Dr. Pradeep Rai , MD
Surgery • Denver, CO
8181 E Tufts Ave Ste 560
Denver, CO 802372559
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on February 6, 2009; this date does not establish years in practice.
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Published CMS data list 1,139 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99309 — Subsequent nursing facility care with moderate level of medical decision making, per day: 244 service units.
- 11721 — Removal of fingernails or toenails, 6 or more nails: 152 service units.
- 99309 — Subsequent nursing facility care with moderate level of medical decision making, per day: 82 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 20 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 361 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Eliquis (Apixaban) — 85 prescription fills, including refills.
- Furosemide — 32 prescription fills, including refills.
- Metoprolol Succinate — 30 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 15 records in the table · Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 95% of clinicians listed under Surgery in Denver, CO (2024, 37 clinicians with data). Median for this group: 95. Middle half: 43 to 188.
More Medicare Part B services than 95% of clinicians listed under Surgery in Colorado (2024, 291 clinicians with data). Median for this group: 141. Middle half: 80 to 240.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 3,521 in 2020 to 1,139 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
8181 E Tufts Ave Ste 560
Denver, CO 802372559
NPPES lists 3 distinct additional practice-address records in Columbus, OH; Denver, CO. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 2 distinct group names: Magnolia Medical Company; Pro Health One Inc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2000
What Public CMS Data Show
Surgery: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
376 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $93,560 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $72,118 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
361 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$37,493 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $427.49 across 4 records.
By nature of payment
- Long term medical supply or device loan: $392.07 across 2 records.
- Food and Beverage: $35.42 across 2 records.
Reporting-company totals
- Integra LifeSciences Corporation: $408.76 across 3 records.
- Urgo Medical North America, LLC: $18.73 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
26 years (graduated 2000)
CMS Doctors and Clinicians data list 2000 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2009
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Rai has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Rai as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Denver and Colorado
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 95% of clinicians listed under Surgery in Denver, CO (2024, 37 clinicians with data). Median for this group: 95. Middle half: 43 to 188.
More Medicare Part B services than 95% of clinicians listed under Surgery in Colorado (2024, 291 clinicians with data). Median for this group: 141. Middle half: 80 to 240.
Medicare-allowed amount
A higher Medicare-allowed amount than 90% of clinicians listed under Surgery in Denver, CO (2024, 37 clinicians with data). Median for this group: $14,267. Middle half: $5,438 to $34,848.
A higher Medicare-allowed amount than 90% of clinicians listed under Surgery in Colorado (2024, 291 clinicians with data). Median for this group: $21,211. Middle half: $10,645 to $37,244.
Paid by Medicare
A higher Medicare payment amount than 90% of clinicians listed under Surgery in Denver, CO (2024, 37 clinicians with data). Median for this group: $10,794. Middle half: $4,371 to $26,891.
A higher Medicare payment amount than 90% of clinicians listed under Surgery in Colorado (2024, 291 clinicians with data). Median for this group: $16,344. Middle half: $8,128 to $29,463.
Medicare Part D prescriptions
More Part D prescriptions than 95% of clinicians listed under Surgery in Denver, CO (2024, 34 clinicians with data). Median for this group: 40. Middle half: 23 to 86.
More Part D prescriptions than 95% of clinicians listed under Surgery in Colorado (2024, 264 clinicians with data). Median for this group: 42. Middle half: 26 to 80.
Part D drug cost
A higher Part D drug cost than 95% of clinicians listed under Surgery in Denver, CO (2024, 34 clinicians with data). Median for this group: $271. Middle half: $101 to $839.
A higher Part D drug cost than 95% of clinicians listed under Surgery in Colorado (2024, 264 clinicians with data). Median for this group: $230. Middle half: $92 to $633.
109 active clinicians are listed under Surgery with a practice address in Denver, CO (608 in Colorado).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Denver
10.1% of these 109 clinicians have the CMS telehealth indicator.
46.8% of these 109 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 68% from 3,521 in 2020 to 1,139 in 2024.
- 2020: 3,521
- 2021: 4,222
- 2022: 2,576
- 2023: 1,107
- 2024: 1,139
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Medicare-allowed amount
Medicare-allowed amount decreased 76% from $385,136 in 2020 to $93,560 in 2024.
- 2020: $385,136
- 2021: $419,754
- 2022: $253,411
- 2023: $121,843
- 2024: $93,560
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Paid by Medicare
Paid by Medicare decreased 76% from $306,306 in 2020 to $72,118 in 2024.
- 2020: $306,306
- 2021: $333,991
- 2022: $201,758
- 2023: $98,730
- 2024: $72,118
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 1065% from 31 in 2020 to 361 in 2024.
- 2020: 31
- 2021: 75
- 2022: 146
- 2023: 445
- 2024: 361
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30-day fills
30-day fills increased 1065% from 31 in 2020 to 361 in 2024.
- 2020: 31
- 2021: 75
- 2022: 147
- 2023: 446
- 2024: 361
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Part D drug cost
Part D drug cost increased 1478% from $2,376 in 2020 to $37,493 in 2024.
- 2020: $2,376
- 2021: $10,407
- 2022: $17,264
- 2023: $44,488
- 2024: $37,493
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Industry payments (Open Payments)
Industry payments (Open Payments) decreased 76% from $1,781.48 in 2021 to $427.49 in 2025.
- 2021: $1,781.48
- 2022: $283.28
- 2023: $99.59
- 2024: $37.87
- 2025: $427.49
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $427.49.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Integra LifeSciences Corporation |
Long term medical supply or device loan
In-kind items and services
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MicroMatrix | General | $245.39 |
| Integra LifeSciences Corporation |
Long term medical supply or device loan
In-kind items and services
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MicroMatrix | General | $146.68 |
| Urgo Medical North America, LLC |
Food and Beverage
In-kind items and services
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VASHE WOUND SOLUTION 250 ML (8.5 FL OZ) FLIP TOP CAP | General | $18.73 |
| Integra LifeSciences Corporation |
Food and Beverage
In-kind items and services
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Integra | General | $16.69 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99309
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
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244 | 132 | $160.79 | $107.43 |
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11721
Removal of fingernails or toenails, 6 or more nails
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152 | 98 | $72.42 | $45.03 |
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99309
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
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82 | 55 | $159.23 | $106.96 |
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11046
Removal of muscle and/or tissue, each additional 20.0 sq cm or less
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74 | 11 | $111.39 | $53.42 |
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99232
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
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62 | 30 | $114.56 | $75.57 |
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11720
Removal of fingernails or toenails, 1-5 nails
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60 | 39 | $54.61 | $33.40 |
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11043
Removal of muscle and/or tissue, 20.0 sq cm or less
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58 | 24 | $371.29 | $147.71 |
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99305
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes
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53 | 53 | $199.36 | $125.23 |
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G0127
Trimming of dystrophic nails, any number
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53 | 35 | $50.00 | $24.23 |
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99308
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more
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51 | 40 | $112.91 | $74.35 |
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11721
Removal of fingernails or toenails, 6 or more nails
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39 | 28 | $72.42 | $23.02 |
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99305
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes
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37 | 37 | $199.31 | $134.45 |
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93922
Ultrasound study of arm and leg arteries
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34 | 34 | $144.25 | $81.98 |
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11042
Removal of skin and tissue, 20.0 sq cm or less
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32 | 25 | $217.49 | $47.64 |
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99223
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
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22 | 22 | $255.12 | $172.06 |
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99222
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
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21 | 21 | $192.22 | $125.43 |
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11042
Removal of skin and tissue, 20.0 sq cm or less
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20 | 13 | $215.92 | $117.32 |
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93922
Ultrasound study of arm and leg arteries
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17 | 17 | $145.16 | $32.82 |
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11720
Removal of fingernails or toenails, 1-5 nails
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14 | 12 | $54.61 | $13.78 |
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99304
Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes
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14 | 14 | $119.85 | $79.18 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Eliquis | Apixaban | 85 | 1,142 | $23,576.31 | — |
| Furosemide | Furosemide | 32 | 944 | $200.83 | — |
| Metoprolol Succinate | Metoprolol Succinate | 30 | 874 | $435.63 | — |
| Potassium Chloride | Potassium Chloride | 26 | 705 | $307.68 | — |
| Myrbetriq | Mirabegron | 23 | 322 | $5,212.84 | — |
| Diltiazem 24hr Er | Diltiazem Hcl | 22 | 308 | $275.66 | — |
| Farxiga | Dapagliflozin Propanediol | 22 | 308 | $6,252.62 | — |
| Lisinopril | Lisinopril | 19 | 538 | $211.71 | — |
| Tamsulosin Hcl | Tamsulosin Hcl | 17 | 495 | $156.47 | — |
| Sertraline Hcl | Sertraline Hcl | 16 | 354 | $200.66 | — |
| Amlodipine Besylate | Amlodipine Besylate | 16 | 480 | $152.99 | — |
| Atorvastatin Calcium | Atorvastatin Calcium | 14 | 393 | $113.50 | — |
| Levothyroxine Sodium | Levothyroxine Sodium | 14 | 260 | $128.95 | — |
| Olanzapine | Olanzapine | 14 | 218 | $157.89 | — |
| Spironolactone | Spironolactone | 11 | 320 | $109.66 | — |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2025-08-18NUCC Taxonomy Code: 208600000X
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
NUCC Taxonomy Code: 207RA0401X
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
NUCC Taxonomy Code: 208600000X
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - GENERAL SURGERY
I20231025001079
WA
1850510124
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Pro Health One Inc
1334 Terry Ave, Seattle, WA 981012747
Phone: 8667828393
Pro Health One Inc
8181 E Tufts Ave, Denver, CO 802372559
Phone: 8667828393
Magnolia Medical Company
1850 Race St, Denver, CO 802061116
Phone: 3032095115
Pro Health One Inc
6850 Perimeter Dr, Dublin, OH 430168051
Phone: 8667828393
Secondary Practice Locations
5175 E Main St
Columbus, OH 432132425
Phone: 6145751200
1850 Race St
Denver, CO 80206
Phone: 7207251564
1850 Race St
Denver, CO 80206
Phone: 7207251564
8289 E Lowry Blvd
Denver, CO 802307256
Phone: 3033212828
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
General Practice
Doctor of Medicine (M.D.)
Family Medicine
Doctor of Osteopathic Medicine (D.O.)
Nurse Practitioner - Family
Nurse Practitioner - Family
General Practice
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 8181 E TUFTS AVE STE 560, DENVER, CO 802372559 (Tel: 8669908622)
Registered at 1850 RACE ST, DENVER, CO 80206 (Tel: 7207251564)
Registered at 1850 RACE ST, DENVER, CO 802061116 (Tel: 7207251564)
Internal Medicine (license number reported to NPPES: CO DR.0054622)
NPI status registered as active in NPPES database
Registered at 5175 E MAIN ST, COLUMBUS, OH 432132425 (Tel: 6145751200)
Registered at 8331 AMBERLEIGH WAY, DUBLIN, OH 430178896 (Tel: 6467136033)
Recorded as PRADEEP RAI, MD
Surgery (license number reported to NPPES: GA 003499)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Surgery Specialists in Denver
- Dr. Teresa Gross, MD
- Dr. Jennifer Salotto, MD
- Dr. Drew Albright, DO
- Dr. Denise Norton, MD
- Dr. Janine Meza, MD
- Dr. Steve Panian, MD
Mailing Address
1850 Race St
Denver, CO 802061116
Phone: 7207251564