Doctor profile · Federal record
Dr. Kiran Rao, M.D.
Gastroenterology Physician (CMS: Gastroenterology) · Hepatology Physician · Sparta, NJ
- NPI 1487801403
- Accepts Medicare
- MIPS 82.0 / 100 · 2023
- 24 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
532 Lafayette RD, Suite 100
Sparta, NJ 078714411
(973) 383-3730
fax (973) 383-2285
Credentials & registration
- NPI registered
- August 2008 — 18 yrs on file
- Profile last updated
- July 18, 2014
- Year of graduation
- 2002 — 24 yrs since
- Specialty taxonomy
- 207RG0100X — NUCC code
- State license (1)
- New Jersey #25MA08417800
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1487801403. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,679
Distinct HCPCS
10
Medicare allowed
$257,083
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 800 | 416 | $142 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 172 | 172 | $186 | |
45380 |
Biopsy of large bowel using a flexible endoscope | 133 | 133 | $156 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 131 | 112 | $100 | |
43239 |
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 125 | 123 | $131 | |
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 87 | 65 | $128 | |
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 82 | 80 | $189 | |
45385 |
Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 49 | 49 | $276 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 38 | 38 | $125 | |
46221 |
Removal of external hemorrhoids by rubber banding | 29 | 17 | $331 |
In context: peer comparison
Among 2 peers in Sparta Gastroenterology Physician, average services per provider: 138. This provider delivers 12× the peer median.Open Payments
Industry payments received
All-time total
$8,539
Transactions
27
Manufacturers
6
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Abbvie INC. | 9 | $3,502.43 | |
| Ironwood Pharmaceuticals, INC | 2 | $2,404.48 | |
| Salix Pharmaceuticals, A Division of Bausch Health US, LLC | 11 | $2,345.16 | |
| Gilead Sciences, INC. | 3 | $149.09 | |
| Phathom Pharmaceuticals, INC. | 1 | $123.37 | |
| Ferring Pharmaceuticals INC. | 1 | $14.91 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
2,211
Patients
823
Total drug cost
$335,569
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Pantoprazole Sodium | Generic | 1,022 | 320 | $14,711 |
| Omeprazole | Generic | 229 | 68 | $4,497 |
| Sucralfate | Generic | 148 | 68 | $9,005 |
| Linzess (Linaclotide) | Brand | 103 | 27 | $97,301 |
| Dicyclomine Hcl | Generic | 102 | 39 | $2,758 |
| Lactulose | Generic | 100 | 27 | $4,276 |
| Plenvu (Peg3350/Sod Sul/Nacl/Kcl/Asb/C) | Brand | 88 | 87 | $12,488 |
| Famotidine | Generic | 71 | 24 | $1,285 |
| Dexlansoprazole Dr (Dexlansoprazole) | Brand | 68 | 21 | $38,937 |
| Esomeprazole Magnesium | Generic | 67 | 23 | $2,676 |
Frequently asked questions
What is Dr. Kiran Rao's medical specialty?
Dr. Kiran Rao practices Gastroenterology Physician in Sparta, NJ.
Where does Dr. Kiran Rao practice?
Dr. Kiran Rao practices at 532 Lafayette RD, Sparta, NJ 078714411. Office phone: 9733833730.
What is Dr. Kiran Rao's NPI?
Dr. Kiran Rao's National Provider Identifier (NPI) is 1487801403, issued by NPPES.
Does Dr. Kiran Rao accept Medicare assignment?
Yes. Dr. Kiran Rao accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Kiran Rao commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); New patient office or other outpatient visit (HCPCS 99204); Biopsy of large bowel using a flexible endoscope (HCPCS 45380). Source: CMS Medicare Physician & Other Practitioners file.