NPI registry status
Active
2026 NPPES data Specialist NPI 1063440451 M.D.
Verify on CMS → Biren Joshi, M.D.
Specialist in Lawrenceville, 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 69,608 in Specialist, 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.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
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
16.7/100
▼ 66 pts below national avg 83.1 · Penalty band
Industry payments
$98.21
5 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Biren Joshi, M.D. reported a CMS MIPS final score of 16.7/100 - below the 83.1 national average - and filed 828 Medicare Part D claims in 2023.
- 16.7/100
- 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
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 Biren Joshi, M.D. sits
This provider among specialist peers
Across the 4,869 specialist providers who report both Medicare Part D prescribing and a MIPS quality score, Biren Joshi, M.D. writes more Part D claims than 49% of them and scores higher on MIPS quality than 9% - 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 specialist peer from a representative sample of 60; the gold marker is Biren Joshi, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Biren Joshi, M.D.?
Below national averagePrimary specialty
Specialist
Medicare Part D claims
828 44% vs specialty avg
MIPS final score
16.7/100 66.4 pts vs avg
Specialty distribution in Georgia
How Specialist compares to other specialties among Georgia providers
Medicare quality performance, MIPS
Biren Joshi, M.D.'s 2023 MIPS final score plotted against the Specialist national average
- MIPS Final Score
- 16.7/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Specialist) - 16.7/100 vs national avg 83.1
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).
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.
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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 16.7/100 for the 2023 performance year (Quality 0, Cost 55.8), compared with the national average of 83.1.
Specialist is a high-volume specialty nationwide, with 69,608 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
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%
Specialist average
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
- Amlodipine Besylate
Amlodipine Besylate
62 claims
- Hydralazine Hcl
Hydralazine Hcl
51 claims
- Sevelamer Carbonate
Sevelamer Carbonate
51 claims
- Furosemide
Furosemide
47 claims
- Allopurinol
Allopurinol
40 claims
- Doxazosin Mesylate
Doxazosin Mesylate
38 claims
- Prednisone
Prednisone
37 claims
- Calcitriol
Calcitriol
36 claims
| 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.
69,608
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.
Dr. Cynthia Abbott
M.D.
Atlanta, GA
Dr. Gene Abel
M.D.
Atlanta, GA
Abeer Abouyabis
Macon, GA
Dr. Angela Adams
FNP-C
Blackshear, GA
Tiffany Adams
Forest Park, GA
Compare Specialist 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 Specialist 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.
Healthcare Guides
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Medical Specialties Explained
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Understanding Medicare Claims Data
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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 16.7/100 (Quality: 0, Cost: 55.8). 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 69,608 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
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
Compiled from official public sources by the PlainDoctor editorial team.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.