NPI registry status
Active
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 174,792 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
662
Medicare Part D claims · 153 beneficiaries · Internal Medicine Physician avg: 3K
Generic prescribing
79%
generic claims · 21% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
99.4/100
▲ 16 pts above national avg 83.5 · Exceptional
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Dhivya Prabhakar, MD reported a CMS MIPS final score of 99.4/100 - above the 83.5 national average - and filed 662 Medicare Part D claims in 2024.
- 99.4/100
- MIPS score · +16 vs avg
- 662
- Part D claims, 2024
- 79%
- 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.
Federal trust snapshot
What official records show about Dhivya Prabhakar, MD
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1790114270), first enumerated 11/05/2013.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 662 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 99.4/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
2 CMS Care Compare hospital affiliations on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1790114270 · Internal Medicine Physician
NPI-10 · ENUM-MID · TAX-MEGA · MIPS-ELITE · RX-LIGHT · BOOK-LIGHT · PHOTO-FINISH
- NPI-10 1790114270
- ENUM-MID 2013
- TAX-MEGA 175K Internal Medicine
- MIPS-ELITE 99.4/100
- RX-LIGHT 662
- BOOK-LIGHT 4,653 in Georgia
- PHOTO-FINISH Vidya Aluri, M.D. · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Prabhakar · this…
Prabhakar · this provider
99.4 MIPS pts
- Gatr-Alnada Gher…
Gatr-Alnada Gheriani, M.D.
99.4 MIPS pts
- Vidya Aluri, M.D…
Vidya Aluri, M.D.
99.4 MIPS pts
- Erin Briggie, MD…
Erin Briggie, MD
99.4 MIPS pts
- Stephen Davick, …
Stephen Davick, MD
99.4 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Dhivya Prabhakar, MD's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
99 ≥ 91st percentile 91% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Dhivya Prabhakar, MD sits
This provider among internal medicine physician peers
Across the 34,612 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 50% of them and scores higher on MIPS quality than 92% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
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)Primary specialty
Internal Medicine Physician
Medicare Part D claims
662 76% vs specialty avg
MIPS final score
99.4/100 15.9 pts vs avg
Specialty distribution in Georgia
How Internal Medicine Physician compares to other specialties among Georgia providers
Medicare quality performance, MIPS
Dhivya Prabhakar, MD's 2023 MIPS final score plotted against the Internal Medicine Physician national average
- MIPS Final Score
- 99.4/100
- vs 83.5 national avg · 2023 performance year
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).
Practice Address
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
Measured-score avg: 83.5
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 21.0%
Internal Medicine Physician average
21% brand-name claims vs 79% generic, on 662 2024 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 2024.
662
Total Claims
$2.4M
Total Drug Cost
153
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 790.7
- Total Day Supply
- 19,751
- Brand vs Generic
- 21% brand / 79% generic
- Brand Drug Cost
- $2.3M
- Generic Drug Cost
- $131K
- Opioid Claims
- 37 (5.6% rate)
- Antibiotic Claims
- 20
Patient Demographics
- Average Patient Age
- 69.7 years
- Avg HCC Risk Score
- 3.09
- Gender Split
- 59% female / 41% male
- Age Distribution
- <65: 23, 65-74: 89, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Dhivya Prabhakar, MD prescribes most
Top Medicare Part D drugs by claim count, 2024
- Ondansetron Hcl
Ondansetron Hcl
58 claims
- Dexamethasone
Dexamethasone
42 claims
- Gabapentin
Gabapentin
24 claims
- Letrozole
Letrozole
24 claims
- Pantoprazole Sodium
Pantoprazole Sodium
24 claims
- Olanzapine 23
Olanzapine
23 claims
- Erlotinib Hcl 22
Erlotinib Hcl
22 claims
- Levothyroxine Sodium 22
Levothyroxine Sodium
22 claims
| Drug | Claims |
|---|---|
| Ondansetron Hcl | 58 |
| Dexamethasone | 42 |
| Gabapentin | 24 |
| Letrozole | 24 |
| Pantoprazole Sodium | 24 |
| Olanzapine | 23 |
| Erlotinib Hcl | 22 |
| Levothyroxine Sodium | 22 |
| Ondansetron Odt Ondansetron | 22 |
| Potassium Chloride | 21 |
* 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.
174,792
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,785
Avg Claims per Provider
Dhivya Prabhakar, MD's 662 claims are below the specialty average of 2,785.
Nationwide Internal Medicine Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Prabhakar, both outside Georgia so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (99.4 here).
Same NPPES enumeration year (2013)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
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.
One of 4,653 Internal Medicine Physician providers enrolled in Georgia, 5 are shown here.
Dr. Karam A.alabed
MD
Rome, GA
Dr. Ugochi Abazie
M.D
Riverdale, GA
Dr. Muhammad Abbasi
M.D.
Covington, GA
Rahat Abbasi
Augusta, GA
Dr. Diane Abby Burr
D.O.
Carrollton, GA
Compare Internal Medicine Physician nationally: see state-by-state distribution →
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 2024, Dhivya Prabhakar, MD wrote 662 Medicare Part D claims totaling $2.4M in drug costs for 153 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 average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. 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 21% brand-name and 79% generic drugs by claim count, with $2.3M in brand drug costs.
Does Dhivya Prabhakar, MD prescribe opioids? ▼
Yes, Dhivya Prabhakar, MD had 37 opioid claims in 2024 with an opioid prescribing rate of 5.6%.
How many Internal Medicine Physician providers are there in the US? ▼
There are 174,792 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,785 Medicare Part D claims per year.
What drugs does Dhivya Prabhakar, MD prescribe most often? ▼
Based on 2024 Medicare Part D data, Dhivya Prabhakar, MD's most frequently prescribed drugs include Ondansetron Hcl, Dexamethasone, Gabapentin. 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 662 Part D claims and 153 Medicare beneficiaries in 2024. 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
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 (2024). 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 August 2026 (NPPES) / 2024 (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
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 August 2026.