2026 NPPES data Hematology & Oncology Physician NPI 1255319752 MD
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CELIA MAMBY, MD

Hematology & Oncology Physician in LITHONIA, 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
812
Medicare Part D claims · 196 beneficiaries · Hematology & Oncology Physician avg: 847
Generic prescribing
71%
generic claims · 29% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
68.3891/100
▼ 15 pts below national avg 83.1 · [object Object]
Industry payments
$511.41
17 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: CELIA MAMBY, MD is a Hematology & Oncology Physician ([object Object]) practicing in LITHONIA, Georgia with a Medicare Part D prescribing footprint of 812 claims across 196 beneficiaries — 29% brand-name prescribing . Their CMS MIPS Final Score of 68.3891/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $511.41 across 17 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: CELIA MAMBY, MD reported a CMS MIPS final score of 68.3891 out of 100, below the 83.1 national average, and filed 812 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)

CELIA MAMBY, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

CELIA MAMBY, MD at a glance

Below national average

NPI registry status

Active

Issued 01/04/2006

NPI 1255319752

Primary specialty

Hematology & Oncology Physician

Mid-sized

11,215 US NPIs in this specialty

Medicare Part D claims

812 4% vs specialty avg

2023 prescription claims

Specialty avg: 847

MIPS final score

68.3891/100 14.710899999999995% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Georgia

How Hematology & Oncology Physician compares to other specialties among Georgia providers

Georgia providers

Hematology & Oncology Physician share within Georgia

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

Medicare quality performance — MIPS

CELIA MAMBY, MD's 2023 MIPS final score plotted against the Hematology & Oncology Physician national average

Below national average
MIPS Final Score
68.3891/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Hematology & Oncology Physician) — 68.3891/100 vs national avg 83.1

0%100%National avg83%68.4%
MIPS final score (Hematology & Oncology Physician) — 68.3891/100 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).

CELIA MAMBY, MD is a Hematology & Oncology Physician provider practicing in LITHONIA, Georgia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1255319752. 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.

CELIA MAMBY, MD appears in the CMS NPPES registry as a Hematology & Oncology Physician provider holding MD credentials at 5700 HILLANDALE DR, LITHONIA, GA, 30058, with a listed phone of (770) 981-5431. NPI 1255319752 was issued on 01/04/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MAMBY 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 812 prescription claims written by this provider, covering 196 Medicare beneficiaries and totaling roughly $3.4 million in drug spend, split 29% brand-name and 71% generic by claim count, with an opioid prescribing rate of 3.8%. 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 68.3891/100 for the 2023 performance year (Quality 70.8255, Cost 40.249), compared with the national average of 83.1.

Hematology & Oncology Physician is a mid-sized specialty nationwide, with 11,215 enrolled providers across 54 states and an average of 847 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

5700 HILLANDALE DR
LITHONIA, GA 30058

Provider Details

NPI 1255319752
Specialty Hematology & Oncology Physician
Credentials MD
Gender Female
NPI Issued 01/04/2006

CMS Quality Score (MIPS)

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

68.3891
Final Score
Avg: 83.1
70.8255
Quality
40.249
Cost

Reporting: Group practice

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 CELIA MAMBY, MD. Source: openpaymentsdata.cms.gov.

Total received

$511

Largest payer

Incyte Corporation

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

CELIA MAMBY, MD — brand share 29.0%
Specialty average (est.)

29% brand-name claims vs 71% generic, on 812 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.

812
Total Claims
$3.4M
Total Drug Cost
196
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,171
Total Day Supply
32,014
Brand vs Generic
29% brand / 71% generic
Brand Drug Cost
$3.4M
Generic Drug Cost
$40K
Opioid Claims
31 (3.8% rate)
Antibiotic Claims
33

Patient Demographics

Average Patient Age
73.1 years
Avg HCC Risk Score
2.00
Gender Split
87% female / 13% male
Age Distribution
<65: 19, 65-74: 96, 75-84: 65, 85+: 16

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Letrozole
166
Anastrozole
57
Eliquis
Apixaban
43
Gabapentin
38
Revlimid
Lenalidomide
37
Hydroxyurea
29
Pomalyst
Pomalidomide
27
Ciprofloxacin Hcl
23
Xarelto
Rivaroxaban
23
Dexamethasone
21

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

Hematology & Oncology Physician Overview

How CELIA MAMBY, MD fits within the Hematology & Oncology Physician landscape nationally.

11,215
Hematology & Oncology Physician Providers in US
54
States with Hematology & Oncology Physician
847
Avg Claims per Provider

CELIA MAMBY, MD's 812 claims are below the specialty average of 847.

Nearby Hematology & Oncology Physician Providers in Georgia

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

Compare Hematology & Oncology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is CELIA MAMBY, MD's specialty?
CELIA MAMBY, MD specializes in Hematology & Oncology Physician and practices in LITHONIA, Georgia. Credentials: MD.
How much does CELIA MAMBY, MD prescribe under Medicare Part D?
In 2023, CELIA MAMBY, MD wrote 812 Medicare Part D claims totaling $3.4M in drug costs for 196 beneficiaries.
What is CELIA MAMBY, MD's Medicare quality score?
CELIA MAMBY, MD has a CMS MIPS Final Score of 68.3891/100 (Quality: 70.8255, Cost: 40.249). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is CELIA MAMBY, MD located?
CELIA MAMBY, MD is located at 5700 HILLANDALE DR, LITHONIA, GA, 30058. Phone: (770) 981-5431.
What is CELIA MAMBY, MD's NPI number?
CELIA MAMBY, MD's National Provider Identifier (NPI) is 1255319752, issued on 01/04/2006.
Does CELIA MAMBY, MD prescribe more brand-name or generic drugs?
CELIA MAMBY, MD's prescribing is 29% brand-name and 71% generic drugs by claim count, with $3.4M in brand drug costs.
Does CELIA MAMBY, MD prescribe opioids?
Yes, CELIA MAMBY, MD had 31 opioid claims in 2023 with an opioid prescribing rate of 3.8%.
How many Hematology & Oncology Physician providers are there in the US?
There are 11,215 Hematology & Oncology Physician providers across 54 states in the US. The average Hematology & Oncology Physician provider writes 847 Medicare Part D claims per year.
What drugs does CELIA MAMBY, MD prescribe most often?
Based on 2023 Medicare Part D data, CELIA MAMBY, MD's most frequently prescribed drugs include Letrozole, Anastrozole, Eliquis. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does CELIA MAMBY, MD accept Medicare?
CELIA MAMBY, MD appears in CMS Medicare data with 812 Part D claims and 196 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify CELIA MAMBY, MD's credentials?
CELIA MAMBY, MD's NPI is 1255319752 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