2026 NPPES data Ophthalmology Physician NPI 1669585022 MD
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BHAIRAVI DHOLAKIA, MD

Ophthalmology Physician in CUMMING, Georgia. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
2K
Medicare Part D claims · 466 beneficiaries · Ophthalmology Physician avg: 1K
MIPS score
9.0315/100
▼ 74 pts below national avg 83.1 · [object Object]
Industry payments
$712.04
18 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: BHAIRAVI DHOLAKIA, MD is a Ophthalmology Physician ([object Object]) practicing in CUMMING, Georgia with a Medicare Part D prescribing footprint of 2K claims across 466 beneficiaries . Their CMS MIPS Final Score of 9.0315/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $712.04 across 18 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: BHAIRAVI DHOLAKIA, MD reported a CMS MIPS final score of 9.0315 out of 100, below the 83.1 national average, and filed 1,663 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

BHAIRAVI DHOLAKIA, 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).

BHAIRAVI DHOLAKIA, MD at a glance

Below national average

NPI registry status

Active

Issued 08/17/2006

NPI 1669585022

Primary specialty

Ophthalmology Physician

Mid-sized

22,090 US NPIs in this specialty

Medicare Part D claims

1,663 17% vs specialty avg

2023 prescription claims

Specialty avg: 1,420

MIPS final score

9.0315/100 74.0685% pts

Penalty band band

vs 83.1 national avg

Specialty distribution in Georgia

How Ophthalmology Physician compares to other specialties among Georgia providers

Georgia providers

Ophthalmology Physician share within Georgia

1. Ophthalmology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Ophthalmology Physician share within Georgia

Medicare quality performance — MIPS

BHAIRAVI DHOLAKIA, MD's 2023 MIPS final score plotted against the Ophthalmology Physician national average

Below national average
MIPS Final Score
9.0315/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Ophthalmology Physician) — 9.0315/100 vs national avg 83.1

0%100%National avg83%9%
MIPS final score (Ophthalmology Physician) — 9.0315/100 vs national avg 83.1

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).

BHAIRAVI DHOLAKIA, MD is a Ophthalmology Physician provider practicing in CUMMING, Georgia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1669585022. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

BHAIRAVI DHOLAKIA, MD appears in the CMS NPPES registry as a Ophthalmology Physician provider holding MD credentials at 1230 BALD RIDGE MARINA RD, CUMMING, GA, 30041, with a listed phone of (770) 292-1999. NPI 1669585022 was issued on 08/17/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what DHOLAKIA most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 1,663 prescription claims written by this provider, covering 466 Medicare beneficiaries and totaling roughly $263K in drug spend. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 9.0315/100 for the 2023 performance year (Quality 0, Cost 30.105), compared with the national average of 83.1.

Ophthalmology Physician is a mid-sized specialty nationwide, with 22,090 enrolled providers across 56 states and an average of 1,420 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

1230 BALD RIDGE MARINA RD
CUMMING, GA 30041

Provider Details

NPI 1669585022
Specialty Ophthalmology Physician
Credentials MD
Gender Female
NPI Issued 08/17/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

9.0315
Final Score
Avg: 83.1
0
Quality
30.105
Cost

Reporting: Individual

Hospital and facility affiliations

Facilities where BHAIRAVI DHOLAKIA, 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.

GAINESVILLE EYE ASSOCIATES LLC
CUMMING, GA

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 BHAIRAVI DHOLAKIA, MD. Source: openpaymentsdata.cms.gov.

Total received

$712

Largest payer

Harrow Eye, LLC

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.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

1,663
Total Claims
$263K
Total Drug Cost
466
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,517
Total Day Supply
65,701
Generic Drug Cost
$46K
Antibiotic Claims
25

Patient Demographics

Average Patient Age
75.0 years
Avg HCC Risk Score
1.16
Gender Split
67% female / 33% male
Age Distribution
<65: 18, 65-74: 218, 75-84: 183, 85+: 47

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Prednisolone Acetate
312
Latanoprost
264
Moxifloxacin
Moxifloxacin Hcl
249
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
123
Brimonidine Tartrate
82
Bromfenac Sodium
78
Neomycin-Polymyxin-Dexameth
Neomycin/Polymyxin B/Dexametha
69
Restasis
Cyclosporine
56
Timolol Maleate
43
Ketorolac Tromethamine
29

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Ophthalmology Physician Overview

How BHAIRAVI DHOLAKIA, MD fits within the Ophthalmology Physician landscape nationally.

22,090
Ophthalmology Physician Providers in US
56
States with Ophthalmology Physician
1,420
Avg Claims per Provider

BHAIRAVI DHOLAKIA, MD's 1,663 claims are above the specialty average of 1,420.

Nearby Ophthalmology Physician Providers in Georgia

Other clinicians with the same primary specialty enrolled in Georgia, drawn from the same CMS NPPES roster as DHOLAKIA.

Compare Ophthalmology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is BHAIRAVI DHOLAKIA, MD's specialty?
BHAIRAVI DHOLAKIA, MD specializes in Ophthalmology Physician and practices in CUMMING, Georgia. Credentials: MD.
How much does BHAIRAVI DHOLAKIA, MD prescribe under Medicare Part D?
In 2023, BHAIRAVI DHOLAKIA, MD wrote 1,663 Medicare Part D claims totaling $263K in drug costs for 466 beneficiaries.
What is BHAIRAVI DHOLAKIA, MD's Medicare quality score?
BHAIRAVI DHOLAKIA, MD has a CMS MIPS Final Score of 9.0315/100 (Quality: 0, Cost: 30.105). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is BHAIRAVI DHOLAKIA, MD located?
BHAIRAVI DHOLAKIA, MD is located at 1230 BALD RIDGE MARINA RD, CUMMING, GA, 30041. Phone: (770) 292-1999.
What is BHAIRAVI DHOLAKIA, MD's NPI number?
BHAIRAVI DHOLAKIA, MD's National Provider Identifier (NPI) is 1669585022, issued on 08/17/2006.
How many Ophthalmology Physician providers are there in the US?
There are 22,090 Ophthalmology Physician providers across 56 states in the US. The average Ophthalmology Physician provider writes 1,420 Medicare Part D claims per year.
What drugs does BHAIRAVI DHOLAKIA, MD prescribe most often?
Based on 2023 Medicare Part D data, BHAIRAVI DHOLAKIA, MD's most frequently prescribed drugs include Prednisolone Acetate, Latanoprost, Moxifloxacin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does BHAIRAVI DHOLAKIA, MD accept Medicare?
BHAIRAVI DHOLAKIA, MD appears in CMS Medicare data with 1,663 Part D claims and 466 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify BHAIRAVI DHOLAKIA, MD's credentials?
BHAIRAVI DHOLAKIA, MD's NPI is 1669585022 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

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