NPPES file of Aug 9, 2026

Ashwini Prabhakar Gore, M.D.

Endocrinology, Diabetes & Metabolism Physician · Macon, GA

Ashwini Prabhakar Gore, M.D. is an endocrinology, diabetes & metabolism physician with a practice address in Macon, Georgia, and NPI 1457373565, issued on Jul 25, 2006. Check the license on the Georgia Composite Medical Board; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1457373565
Name
Ashwini Prabhakar Gore
Credential
M.D.
Primary taxonomy
Endocrinology, Diabetes & Metabolism Physician 207RE0101X
License number
31585 SC
Self-reported in NPPES; status is on the state search
Practice location
265 Sheraton Blvd, Macon, GA 31210
Phone
(478) 746-8626
Enumerated
Jul 25, 2006
Record last updated
Jun 6, 2023
Fax
(478) 746-0491
Medicare enrollment
Enrolled (PECOS I20110912000127); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 265 Sheraton Blvd

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Karen Boesch- LeverettRegistered Dietitian1508348772
  2. Susan Garcia Castillo, MDEndocrinology, Diabetes & Metabolism Physician1912493669
  3. Andrea Gatchair-Rose, MDEndocrinology, Diabetes & Metabolism Physician1659305662
  4. Barry Johns, M.D.Endocrinology, Diabetes & Metabolism Physician1659555134
  5. Thomas Jones, MDEndocrinology, Diabetes & Metabolism Physician1740208966
  6. Fnu Sidra, MDEndocrinology, Diabetes & Metabolism Physician1932694247

Verify Ashwini Prabhakar Gore in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersGeorgia Composite Medical BoardCheck the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Georgia license search

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53% more Medicare Part D claims than the average endocrinology, diabetes & metabolism physician in 2024

4,037 Medicare Part D claims for 708 beneficiaries, against an average of 2,630 among the 8,223 providers of this specialty who prescribed in Part D. Brand-name drugs were 53% of claims.

  1. Ashwini Gore4,037
  2. Specialty average2,630

Most prescribed

  1. Levothyroxine Sodium472 claims
  2. Ozempic296 claims
  3. Synthroid246 claims
  4. Mounjaro216 claims
  5. Metformin Hcl138 claims
  6. Jardiance98 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The MIPS final score for 2023 (Medicare payment program): 38.4 of 100

The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score26.4
  2. Costout of 100 · 30%92.7
  3. Promoting interoperabilitynot scored (reweighted)
  4. Improvement activities0 of 40 points · 15%0.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $2,384.30

114 payments; by number, the most common kind was food and beverage; the largest payer was Novo Nordisk Inc. The 5,661 providers of this specialty with any payment received $5,742.15 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Ashwini Gore$2,384.30
  2. Specialty average$5,742.15

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Thomas C Jones, M.D., P.C.Macon, GA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Ashwini Prabhakar Gore among 245 endocrinology, diabetes & metabolism physician records in Georgia

Ashwini Prabhakar Gore, M.D. is one of 245 endocrinology, diabetes & metabolism physician records with a practice address in Georgia. 92% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 8% of them.

  • NPI issued2006 · 8% of these records are older, 56% newer
  • In a Medicare fileYes · 92% of these records are
  • In the CMS Doctors and Clinicians fileYes · 80% of these records are
  • Graduated2001 · median 2004 among the 194 with a school on file
  • Record last updated2023 · 61% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RE0101X and a Georgia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Endocrinology, Diabetes & Metabolism Physician providers in Georgia

There are 245 endocrinology, diabetes & metabolism physician records in Georgia.

The 8 endocrinology, diabetes & metabolism physician records with the nearest ZIP codes

  1. Susan Garcia Castillo, MDMacon, GA 312101912493669
  2. Andrea Gatchair-Rose, MDMacon, GA 312101659305662
  3. Barry Johns, M.D.Macon, GA 312101659555134
  4. Thomas Jones, MDMacon, GA 312101740208966
  5. Fnu Sidra, MDMacon, GA 312101932694247
  6. Angel Garcia, M.D.Macon, GA 312011528076759
  7. Larry Kohse, M.D.Macon, GA 312011972545267
  8. Candi Nobles-James, MDMacon, GA 312011245316801

Common questions

What is Ashwini Prabhakar Gore, M.D.'s NPI number?

Ashwini Prabhakar Gore, M.D.'s National Provider Identifier (NPI) is 1457373565, issued on Jul 25, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Ashwini Prabhakar Gore, M.D. located?

The NPPES record lists a practice address at 265 Sheraton Blvd, Macon, GA, 31210. Phone: (478) 746-8626. Providers update this record themselves, so call before visiting.

How can I verify Ashwini Prabhakar Gore, M.D.'s license?

Search the Georgia Composite Medical Board at https://medicalboard.georgia.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Ashwini Prabhakar Gore, M.D. prescribe under Medicare Part D?

In 2024, Ashwini Prabhakar Gore, M.D. had 4,037 Medicare Part D claims for 708 beneficiaries; the average among endocrinology, diabetes & metabolism physician prescribers was 2,630. Part D covers Medicare prescriptions only.

What is Ashwini Prabhakar Gore, M.D.'s MIPS final score?

The 2023 MIPS final score is 38.4 of 100. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.