2026 NPPES data Internal Medicine Physician NPI 1790114270 MD
Verify on CMS →

Dhivya Prabhakar, MD

Internal Medicine Physician in Newnan, 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 172,858 in Internal Medicine Physician, 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
186
Medicare Part D claims · 68 beneficiaries · Internal Medicine Physician avg: 3K
Generic prescribing
85%
generic claims · 15% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
99.4/100
▲ 16 pts above national avg 83.1 · Exceptional
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Dhivya Prabhakar, MD reported a CMS MIPS final score of 99.4/100 - above the 83.1 national average - and filed 186 Medicare Part D claims in 2023.

99.4/100
MIPS score · +16 vs avg
186
Part D claims, 2023
85%
generic prescribing
Likely
board-certified (heuristic)

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.

Dhivya Prabhakar, MD's MIPS score vs every scored U.S. clinician

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

99 Top 9% higher than 91% of 477,587 scored providers

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

Where Dhivya Prabhakar, MD sits

This provider among internal medicine physician peers

Across the 36,260 internal medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Dhivya Prabhakar, MD writes more Part D claims than 22% of them and scores higher on MIPS quality than 92% - placing this provider in the lower-volume, high-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

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 78Dhivya Prabhakar, MD-Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 92
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one internal medicine physician peer from a representative sample of 60; the gold marker is Dhivya Prabhakar, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

Dhivya Prabhakar, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about Dhivya Prabhakar, MD?

High performer (top quartile)

NPI registry status

Active

Issued 11/05/2013

NPI 1790114270

Primary specialty

Internal Medicine Physician

High-volume

172,858 US NPIs in this specialty

Medicare Part D claims

186 93% vs specialty avg

2023 prescription claims

Specialty avg: 2,716

MIPS final score

99.4/100 16.3 pts vs avg

Exceptional band

vs 83.1 national avg

Specialty distribution in Georgia

How Internal Medicine Physician compares to other specialties among Georgia providers

Georgia providers

Largest specialties in Georgia (% of in-state providers)

Behavior Technician - 7.3%Behavior Technician7.3%Pharmacist - 5.1%Pharmacist5.1%Student in an Organized Health Care Education/Training Program - 5%Student in an Organized Health Care Education/Training Program5%Family Nurse Practitioner - 4.8%Family Nurse Practitioner4.8%Physical Therapist - 3.9%Physical Therapist3.9%Professional Counselor - 3.6%Professional Counselor3.6%Internal Medicine Physician - 2.8%Internal Medicine Physician2.8%
Largest specialties in Georgia (% of in-state providers)

Medicare quality performance, MIPS

Dhivya Prabhakar, MD's 2023 MIPS final score plotted against the Internal Medicine Physician national average

High performer (top quartile)
MIPS Final Score
99.4/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Internal Medicine Physician) - 99.4/100 vs national avg 83.1

0%100%National avg83%99%
MIPS final score (Internal Medicine Physician) - 99.4/100 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).

Dhivya Prabhakar, MD appears in the CMS NPPES registry as a Internal Medicine Physician provider holding MD credentials at 600 CELEBRATE LIFE PKWY, Newnan, GA, 30265, with a listed phone of (770) 400-6303. NPI 1790114270 was issued on 11/05/2013. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Prabhakar 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 186 prescription claims written by this provider, covering 68 Medicare beneficiaries and totaling roughly $265K in drug spend, split 15% brand-name and 85% generic by claim count, with an opioid prescribing rate of 7.0%. 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 99.4/100 for the 2023 performance year (Quality 95.7), compared with the national average of 83.1.

Internal Medicine Physician is a high-volume specialty nationwide, with 172,858 enrolled providers across 56 states and an average of 2,716 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

600 CELEBRATE LIFE PKWY
Newnan, GA 30265

Provider Details

NPI 1790114270
Specialty Internal Medicine Physician
Credentials MD
Gender Female
NPI Issued 11/05/2013

CMS Quality Score (MIPS)

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

99.3791
Final Score
Avg: 83.1
95.6994
Quality
98.9577
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where Dhivya Prabhakar, 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.

City OF Hope Medical Group OF Georgia LLC
Newnan, GA
Wellstar Medical Group LLC
Kennesaw, 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).

Brand vs generic prescribing mix · Typical

Dhivya Prabhakar, MD - brand share 15.0%
Internal Medicine Physician average

15% brand-name claims vs 85% generic, on 186 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.

186
Total Claims
$265K
Total Drug Cost
68
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
240
Total Day Supply
5,466
Brand vs Generic
15% brand / 85% generic
Brand Drug Cost
$262K
Generic Drug Cost
$3K
Opioid Claims
13 (7.0% rate)
Antibiotic Claims
12

Patient Demographics

Average Patient Age
70.9 years
Avg HCC Risk Score
2.35
Gender Split
62% female / 38% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Dexamethasone
22
Ondansetron Hcl
20

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

Internal Medicine Physician Overview

How Dhivya Prabhakar, MD fits within the Internal Medicine Physician landscape nationally.

172,858
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider

Dhivya Prabhakar, MD's 186 claims are below the specialty average of 2,716.

Nearby Internal Medicine Physician Providers in Georgia

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

Compare Internal Medicine Physician 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 Internal Medicine Physician 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.

Frequently Asked Questions

What is Dhivya Prabhakar, MD's specialty?
Dhivya Prabhakar, MD specializes in Internal Medicine Physician and practices in Newnan, Georgia. Credentials: MD.
How much does Dhivya Prabhakar, MD prescribe under Medicare Part D?
In 2023, Dhivya Prabhakar, MD wrote 186 Medicare Part D claims totaling $265K in drug costs for 68 beneficiaries.
What is Dhivya Prabhakar, MD's Medicare quality score?
Dhivya Prabhakar, MD has a CMS MIPS Final Score of 99.4/100 (Quality: 95.7). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Dhivya Prabhakar, MD located?
Dhivya Prabhakar, MD is located at 600 CELEBRATE LIFE PKWY, Newnan, GA, 30265. Phone: (770) 400-6303.
What is Dhivya Prabhakar, MD's NPI number?
Dhivya Prabhakar, MD's National Provider Identifier (NPI) is 1790114270, issued on 11/05/2013.
Does Dhivya Prabhakar, MD prescribe more brand-name or generic drugs?
Dhivya Prabhakar, MD's prescribing is 15% brand-name and 85% generic drugs by claim count, with $262K in brand drug costs.
Does Dhivya Prabhakar, MD prescribe opioids?
Yes, Dhivya Prabhakar, MD had 13 opioid claims in 2023 with an opioid prescribing rate of 7.0%.
How many Internal Medicine Physician providers are there in the US?
There are 172,858 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
What drugs does Dhivya Prabhakar, MD prescribe most often?
Based on 2023 Medicare Part D data, Dhivya Prabhakar, MD's most frequently prescribed drugs include Dexamethasone, Ondansetron Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Dhivya Prabhakar, MD accept Medicare?
Dhivya Prabhakar, MD appears in CMS Medicare data with 186 Part D claims and 68 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Dhivya Prabhakar, MD's credentials?
Dhivya Prabhakar, MD's NPI is 1790114270 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

Compiled from official public sources by the PlainDoctor editorial team.