Kusum Rai, MD
NPI 1093277220ActiveIndividual· Family Medicine· Redmond, WA
Family Medicine (MD) with Healthpoint and 1 other group, practicing in Redmond, Washington. Their prescriptions cost Medicare Part D more than their services did: $307,602 for 3,191 claims, against $9,175 paid for services in 2024.
Overview
| NPI | 1093277220 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Apr 5, 2019 |
| Last updated in NPPES | Feb 9, 2026 |
| Certified by provider | Feb 9, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | MD61399969 | WA |
| Family Medicine | 207Q00000X | MD210992 | OR |
| Family Medicine | 207Q00000X | 71694 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (AZ); Practitioner - Family Practice (OR); Practitioner - Family Practice (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 86 |
|---|---|
| Services billed | 195 across 11 procedure codes |
| Paid by Medicare | $9,175 |
Part D prescriptions in 2024
| Prescriptions (claims) | 3,191 · 6,313 30-day fills |
|---|---|
| Patients | 943 |
| Total drug cost | $307,602 |
| Generic share | 86% of claims |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Family Practice |
Medical groups
- HealthpointKent, WA · 177 clinicians
- Lane County OregonEugene, OR · 28 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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