Anup Lahiry, MD
Hematology (Internal Medicine) Physician in Flowery Branch, Georgia.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,436 in Hematology (Internal Medicine) Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Anup Lahiry, MD reported a CMS MIPS final score of 76.6/100 - below the 83.1 national average - and filed 271 Medicare Part D claims in 2023.
- 76.6/100
- MIPS score · -7 vs avg
- 271
- Part D claims, 2023
- 66%
- generic prescribing
- Likely
- board-certified (heuristic)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Anup Lahiry, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
77 21st percentile higher than 21% of 477,587 scored providers
Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Anup Lahiry, MD sits
This provider among hematology (internal medicine) physician peers
Across the 570 hematology (internal medicine) physician providers who report both Medicare Part D prescribing and a MIPS quality score, Anup Lahiry, MD writes more Part D claims than 31% of them and scores higher on MIPS quality than 32% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one hematology (internal medicine) physician peer from a representative sample of 60; the gold marker is Anup Lahiry, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
Anup Lahiry, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Anup Lahiry, MD?
Below national averagePrimary specialty
Medicare Part D claims
MIPS final score
Specialty distribution in Georgia
How Hematology (Internal Medicine) Physician compares to other specialties among Georgia providers
Hematology (Internal Medicine) Physician ranks #236 among Georgia's specialties (0% of in-state providers)
Each bar is a specialty's share of the Georgia provider total, by primary NUCC taxonomy. The highlighted bar is Hematology (Internal Medicine) Physician; the long tail of smaller specialties is omitted for legibility.
Medicare quality performance, MIPS
Anup Lahiry, MD's 2023 MIPS final score plotted against the Hematology (Internal Medicine) Physician national average
- MIPS Final Score
- 76.6/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Hematology (Internal Medicine) Physician) - 76.6/100 vs national avg 83.1
Quality benchmarks
- National MIPS avg 2023 reporting year
- Quality dim CMS Quality category
- Cost dim CMS Cost category
- Specialty volume Hematology (Internal Medicine) Physician US NPIs
76.6/100 MIPS final score - 6.5 pts below the 83.1 national average
Quality, Cost, Promoting Interoperability, and Improvement Activities composite score for the 2023 performance year. Specialty: Hematology (Internal Medicine) Physician. Quality dim: 85.6. Cost dim: 72.1.
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Anup Lahiry, MD appears in the CMS NPPES registry as a Hematology (Internal Medicine) Physician provider holding MD credentials at 4561 THORNBURY CLOSE WAY, Flowery Branch, GA, 30542, with a listed phone of (770) 287-8350. NPI 1083694954 was issued on 01/18/2006.
Medicare Part D records for calendar year 2023 show 271 prescription claims written by this provider, covering 86 Medicare beneficiaries and totaling roughly $1.0 million in drug spend, split 34% brand-name and 66% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 76.6/100 for the 2023 performance year (Quality 85.6, Cost 72.1), compared with the national average of 83.1.
Hematology (Internal Medicine) Physician is a narrow specialty nationwide, with 1,436 enrolled providers across 50 states and an average of 693 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline.
Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.
Practice Address
Provider Details
| NPI | 1083694954 |
|---|---|
| Specialty | Hematology (Internal Medicine) Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 01/18/2006 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm Anup Lahiry, MD's current license status, disciplinary history, and board certifications with the Georgia Composite Medical Board in Georgia before relying on this page for a clinical or care decision.
How we sourced this profile
Profile fields combine the CMS NPPES monthly snapshot (provider directory, taxonomy, and address) with calendar-year 2023 Medicare Part D and MIPS public-use files when records are present. NPI 1083694954 is the unique 10-digit identifier CMS uses to link Lahiry across every Medicare, Medicaid, and HIPAA-covered transaction. Read full methodology →
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
Reporting: Group practice
Hospital and facility affiliations
Facilities where Anup Lahiry, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Anup Lahiry, MD. Source: openpaymentsdata.cms.gov.
Total received
$206
Largest payer
ABBVIE INC.
Most common payment type
Food and Beverage
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
Brand vs generic prescribing mix · Above average
34% brand-name claims vs 66% generic, on 271 2023 Medicare Part D claims.
The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
Prescribing Breakdown
- 30-Day Fills
- 362
- Total Day Supply
- 10,497
- Brand vs Generic
- 34% brand / 66% generic
- Brand Drug Cost
- $1.0M
- Generic Drug Cost
- $6K
Patient Demographics
- Average Patient Age
- 73.3 years
- Avg HCC Risk Score
- 2.33
- Gender Split
- 72% female / 28% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Anup Lahiry, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Letrozole
Letrozole
63 claims
- Potassium Chloride 21
Potassium Chloride
21 claims
- Prednisone 19
Prednisone
19 claims
- Ibrance 13
Ibrance
13 claims
- Anastrozole 12
Anastrozole
12 claims
- Forteo 11
Forteo
11 claims
| Drug | Claims |
|---|---|
| Letrozole | 63 |
| Potassium Chloride | 21 |
| Prednisone | 19 |
| Ibrance Palbociclib | 13 |
| Anastrozole | 12 |
| Forteo Teriparatide | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Hematology (Internal Medicine) Physician Overview
How Anup Lahiry, MD fits within the Hematology (Internal Medicine) Physician landscape nationally.
Anup Lahiry, MD's 271 claims are below the specialty average of 693.
Nearby Hematology (Internal Medicine) Physician Providers in Georgia
Other clinicians with the same primary specialty enrolled in Georgia, drawn from the same CMS NPPES roster as Lahiry.
Compare Hematology (Internal Medicine) Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Georgia medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Hematology (Internal Medicine) Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
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Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology