Doctor profile · Federal record
Dr. Prashanth Rau, M.D.
Gastroenterology Physician (CMS: Gastroenterology) · Worcester, MA
- NPI 1336501311
- Accepts Medicare
- MIPS 89.0 / 100 · 2023
- 10 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
119 Belmont St
Worcester, MA 016052903
(508) 334-2846
fax (508) 856-3981 - Mailing address
-
Po Box 415348
Boston, MA 022415348
Credentials & registration
- NPI registered
- March 2016 — 10 yrs on file
- Profile last updated
- June 6, 2022
- Year of graduation
- 2016 — 10 yrs since
- Specialty taxonomy
- 207RG0100X — NUCC code
- State license (1)
- Massachusetts #292150
- Medicaid
- MA #110115231A
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1336501311. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
246
Distinct HCPCS
10
Medicare allowed
$30,629
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
G0500 |
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito | 29 | 29 | $5 | |
43239 |
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 28 | 27 | $77 | |
45385 |
Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 20 | 20 | $244 | |
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 20 | 18 | $80 | |
G0500 |
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito | 19 | 18 | $5 | |
43239 |
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 18 | 18 | $109 | |
45385 |
Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 17 | 17 | $253 | |
74328 |
Review by radiologist of image from tube placement into bile duct using an endoscope | 17 | 15 | $23 | |
43238 |
Ultrasound guided needle aspiration or biopsy of esophagus using a flexible endoscope | 15 | 15 | $216 | |
43264 |
Removal of stone or debris from bile or pancreatic duct using a flexible endoscope | 15 | 13 | $127 |
In context: peer comparison
Among 20 peers in this city , average services per provider: 36. This provider delivers 6.8× the peer median.Open Payments
Industry payments received
All-time total
$433
Transactions
5
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Boston Scientific Corporation | 5 | $433.27 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
212
Patients
155
Total drug cost
$7,008
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Gavilyte-G (Peg3350/Sod Sulf,bicarb,cl/Kcl) | Brand | 58 | 58 | $876 |
| Gavilyte-C (Peg3350/Sod Sulf,bicarb,cl/Kcl) | Brand | 50 | 49 | $933 |
| Omeprazole | Generic | 45 | 22 | $1,071 |
| Pantoprazole Sodium | Generic | 26 | 15 | $630 |
| Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) | Brand | 11 | 0 | $52 |
| Sod Sulf-Potass Sulf-Mag Sulf (Sodium, Potassium,mag Sulfates) | Brand | 11 | 11 | $789 |
| Sucralfate | Generic | 11 | 0 | $2,656 |
Hospital affiliations
Frequently asked questions
What is Dr. Prashanth Rau's medical specialty?
Dr. Prashanth Rau practices Gastroenterology Physician in Worcester, MA.
Where does Dr. Prashanth Rau practice?
Dr. Prashanth Rau practices at 119 Belmont St, Worcester, MA 016052903. Office phone: 5083342846.
What is Dr. Prashanth Rau's NPI?
Dr. Prashanth Rau's National Provider Identifier (NPI) is 1336501311, issued by NPPES.
Does Dr. Prashanth Rau accept Medicare assignment?
Yes. Dr. Prashanth Rau accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Prashanth Rau commonly perform?
Top Medicare-reported procedures in 2023: Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito (HCPCS G0500); Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS 43239); Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS 45385). Source: CMS Medicare Physician & Other Practitioners file.