Doctor profile · Federal record
Dr. Rishi Raj, MD
Endocrinology, Diabetes & Metabolism Physician (CMS: Endocrinology) · Endocrinology, Diabetes & Metabolism Physician · Pikeville, KY
- NPI 1770965683
- Accepts Medicare
- MIPS 82.9 / 100 · 2023
- 13 yrs in practice
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
911 Bypass RD Bldg A
Pikeville, KY 415011689
(606) 430-2208
fax (606) 218-7508 - Additional location
-
3333 Spring Arbor RD Ste 200
Jackson, MI 492038622
(517) 205-1000 - Mailing address
-
Po Box 432
Pikeville, KY 415020432
Credentials & registration
- NPI registered
- June 2015 — 11 yrs on file
- Profile last updated
- December 11, 2024
- Year of graduation
- 2013 — 13 yrs since
- Specialty taxonomy
- 207RE0101X — NUCC code
- State licenses (2)
- Kentucky #51169 · Michigan #4301513256
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1770965683. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
307
Distinct HCPCS
5
Medicare allowed
$25,088
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 157 | 95 | $92 | |
95251 |
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report | 47 | 30 | $33 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 46 | 37 | $63 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 35 | 35 | $128 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 22 | 22 | $80 |
In context: peer comparison
Among 2 peers in this city , average services per provider: 109. This provider delivers 2.8× the peer median.Open Payments
Industry payments received
All-time total
$1,036
Transactions
62
Manufacturers
11
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Boehringer Ingelheim Pharmaceuticals, Inc. | 13 | $165.21 | |
| Gilead Sciences, Inc. | 10 | $145.22 | |
| Corcept Therapeutics | 8 | $134.59 | |
| Lilly USA, LLC | 6 | $120.52 | |
| Novo Nordisk Inc | 6 | $113.33 | |
| Amgen Inc. | 6 | $94.77 | |
| Abbott Laboratories | 5 | $84.39 | |
| Kyowa Kirin, Inc. | 3 | $54.71 | |
| Merck Sharp & Dohme LLC | 3 | $51.87 | |
| Dexcom, Inc. | 1 | $45.99 | |
| Mallinckrodt Hospital Products Inc. | 1 | $25.27 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
1,665
Patients
480
Total drug cost
$1,059,333
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Levothyroxine Sodium | Generic | 375 | 111 | $6,199 |
| Ozempic (Semaglutide) | Brand | 261 | 54 | $300,334 |
| Metformin Hcl | Generic | 131 | 47 | $1,071 |
| Novolog Mix 70-30 Flexpen (Insulin Aspart Prot/Insuln Asp) | Brand | 110 | 29 | $112,391 |
| Trulicity (Dulaglutide) | Brand | 109 | 23 | $140,232 |
| Novolog Flexpen (Insulin Aspart) | Brand | 84 | 23 | $67,111 |
| Nano 2nd Gen Pen Needle (Pen Needle, Diabetic) | Brand | 76 | 32 | $8,910 |
| Farxiga (Dapagliflozin Propanediol) | Brand | 75 | 24 | $87,898 |
| Humulin R U-500 Kwikpen (Insulin Regular, Human) | Brand | 72 | 15 | $165,854 |
| Jardiance (Empagliflozin) | Brand | 72 | 15 | $74,918 |
Frequently asked questions
What is Dr. Rishi Raj's medical specialty?
Dr. Rishi Raj practices Endocrinology, Diabetes & Metabolism Physician in Pikeville, KY.
Where does Dr. Rishi Raj practice?
Dr. Rishi Raj practices at 911 Bypass RD Bldg A, Pikeville, KY 415011689. Office phone: 6064302208.
What is Dr. Rishi Raj's NPI?
Dr. Rishi Raj's National Provider Identifier (NPI) is 1770965683, issued by NPPES.
Does Dr. Rishi Raj accept Medicare assignment?
Yes. Dr. Rishi Raj accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Rishi Raj commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report (HCPCS 95251); Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.