2026 NPPES data Specialist NPI 1063440451 M.D.
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BIREN JOSHI, M.D.

Specialist in LAWRENCEVILLE, 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
828
Medicare Part D claims · 177 beneficiaries · Specialist avg: 1K
Generic prescribing
93%
generic claims · 7% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
16.7354/100
▼ 66 pts below national avg 83.1 · [object Object]
Industry payments
$98.21
5 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

BIREN JOSHI, M.D. reported a CMS MIPS final score of 16.7354/100 — below the 83.1 national average — and filed 828 Medicare Part D claims in 2023.

16.7354/100
MIPS score · -66 vs avg
828
Part D claims, 2023
93%
generic prescribing
$98.21
industry payments (Sunshine Act)

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.

BIREN JOSHI, M.D.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

17 2nd percentile higher than 2% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). This entry sits in this band. 20–30: 3,069 scored providers (1%). Above this entry. 30–40: 2,746 scored providers (1%). Above this entry. 40–50: 2,928 scored providers (1%). Above this entry. 50–60: 5,882 scored providers (1%). Above this entry. 60–70: 13,906 scored providers (3%). Above this entry. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

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

What does the federal data show about BIREN JOSHI, M.D.?

Below national average

NPI registry status

Active

Issued 06/28/2006

NPI 1063440451

Primary specialty

Specialist

High-volume

69,658 US NPIs in this specialty

Medicare Part D claims

828 44% vs specialty avg

2023 prescription claims

Specialty avg: 1,474

MIPS final score

16.7354/100 66.3646% pts

Penalty band band

vs 83.1 national avg

Specialty distribution in Georgia

How Specialist compares to other specialties among Georgia providers

Georgia providers

Specialist share within Georgia

1. Specialist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Specialist share within Georgia

Medicare quality performance — MIPS

BIREN JOSHI, M.D.'s 2023 MIPS final score plotted against the Specialist national average

Below national average
MIPS Final Score
16.7354/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Specialist) — 16.7354/100 vs national avg 83.1

0%100%National avg83%16.7%
MIPS final score (Specialist) — 16.7354/100 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).

BIREN JOSHI, M.D. appears in the CMS NPPES registry as a Specialist provider holding M.D. credentials at 595 HURRICANE SHOALS RD NW STE 100, LAWRENCEVILLE, GA, 30046, with a listed phone of (404) 645-7150. NPI 1063440451 was issued on 06/28/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what JOSHI 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 828 prescription claims written by this provider, covering 177 Medicare beneficiaries and totaling roughly $114K in drug spend, split 7% brand-name and 93% generic by claim count. 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 16.7354/100 for the 2023 performance year (Quality 0, Cost 55.7845), compared with the national average of 83.1.

Specialist is a high-volume specialty nationwide, with 69,658 enrolled providers across 55 states and an average of 1,474 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

595 HURRICANE SHOALS RD NW STE 100
LAWRENCEVILLE, GA 30046

Provider Details

NPI 1063440451
Specialty Specialist
Credentials M.D.
Gender Male
NPI Issued 06/28/2006

CMS Quality Score (MIPS)

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

16.7354
Final Score
Avg: 83.1
0
Quality
55.7845
Cost
0
Promoting Interoperability

Reporting: Individual

Hospital and facility affiliations

Facilities where BIREN JOSHI, M.D. 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.

GEORGIA NEPHROLOGY, LLC
CONYERS, 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 BIREN JOSHI, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$98

Largest payer

Fresenius USA Marketing, 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 · Generic-heavy

BIREN JOSHI, M.D. — brand share 7.0%
Specialty average (est.)

7% brand-name claims vs 93% generic, on 828 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.

828
Total Claims
$114K
Total Drug Cost
177
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,903
Total Day Supply
55,776
Brand vs Generic
7% brand / 93% generic
Brand Drug Cost
$64K
Generic Drug Cost
$51K

Patient Demographics

Average Patient Age
70.8 years
Avg HCC Risk Score
5.28
Gender Split
55% female / 45% male
Age Distribution
<65: 47, 65-74: 55, 75-84: 55, 85+: 20

Top Prescribed Drugs (Medicare Part D)

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

What BIREN JOSHI, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Amlodipine Besylate
62
Hydralazine Hcl
51
Sevelamer Carbonate
51
Furosemide
47
Allopurinol
40
Doxazosin Mesylate
38
Prednisone
37
Calcitriol
36
Nifedipine Er
Nifedipine
36
Carvedilol
34

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

Specialist Overview

How BIREN JOSHI, M.D. fits within the Specialist landscape nationally.

69,658
Specialist Providers in US
55
States with Specialist
1,474
Avg Claims per Provider

BIREN JOSHI, M.D.'s 828 claims are below the specialty average of 1,474.

Nearby Specialist Providers in Georgia

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

Compare Specialist nationally: see state-by-state distribution →

Frequently Asked Questions

What is BIREN JOSHI, M.D.'s specialty?
BIREN JOSHI, M.D. specializes in Specialist and practices in LAWRENCEVILLE, Georgia. Credentials: M.D..
How much does BIREN JOSHI, M.D. prescribe under Medicare Part D?
In 2023, BIREN JOSHI, M.D. wrote 828 Medicare Part D claims totaling $114K in drug costs for 177 beneficiaries.
What is BIREN JOSHI, M.D.'s Medicare quality score?
BIREN JOSHI, M.D. has a CMS MIPS Final Score of 16.7354/100 (Quality: 0, Cost: 55.7845). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is BIREN JOSHI, M.D. located?
BIREN JOSHI, M.D. is located at 595 HURRICANE SHOALS RD NW STE 100, LAWRENCEVILLE, GA, 30046. Phone: (404) 645-7150.
What is BIREN JOSHI, M.D.'s NPI number?
BIREN JOSHI, M.D.'s National Provider Identifier (NPI) is 1063440451, issued on 06/28/2006.
Does BIREN JOSHI, M.D. prescribe more brand-name or generic drugs?
BIREN JOSHI, M.D.'s prescribing is 7% brand-name and 93% generic drugs by claim count, with $64K in brand drug costs.
How many Specialist providers are there in the US?
There are 69,658 Specialist providers across 55 states in the US. The average Specialist provider writes 1,474 Medicare Part D claims per year.
What drugs does BIREN JOSHI, M.D. prescribe most often?
Based on 2023 Medicare Part D data, BIREN JOSHI, M.D.'s most frequently prescribed drugs include Amlodipine Besylate, Hydralazine Hcl, Sevelamer Carbonate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does BIREN JOSHI, M.D. accept Medicare?
BIREN JOSHI, M.D. appears in CMS Medicare data with 828 Part D claims and 177 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify BIREN JOSHI, M.D.'s credentials?
BIREN JOSHI, M.D.'s NPI is 1063440451 with credentials M.D.. 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