NPI registry status
Active
2026 NPPES data Hospitalist Physician NPI 1164869186 M.D.
Verify on CMS → Divya Gehi, M.D.
Hospitalist Physician in Dallas, Texas.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 16,825 in Hospitalist 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
264
Medicare Part D claims · 70 beneficiaries · Hospitalist Physician avg: 888
MIPS score
74.6/100
▼ 9 pts below national avg 83.1 · Mid-tier
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Divya Gehi, M.D. reported a CMS MIPS final score of 74.6/100 - below the 83.1 national average - and filed 264 Medicare Part D claims in 2023.
- 74.6/100
- MIPS score · -9 vs avg
- 264
- Part D claims, 2023
- 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.
Divya Gehi, 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
75 12th percentile higher than 12% 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 Divya Gehi, M.D. sits
This provider among hospitalist physician peers
Across the 4,437 hospitalist physician providers who report both Medicare Part D prescribing and a MIPS quality score, Divya Gehi, M.D. writes more Part D claims than 52% of them and scores higher on MIPS quality than 9% - placing this provider in the high-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 hospitalist physician peer from a representative sample of 60; the gold marker is Divya Gehi, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Divya Gehi, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation - 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 Divya Gehi, M.D.?
Below national averagePrimary specialty
Hospitalist Physician
Medicare Part D claims
264 70% vs specialty avg
MIPS final score
74.6/100 8.5 pts vs avg
Specialty distribution in Texas
How Hospitalist Physician compares to other specialties among Texas providers
Medicare quality performance, MIPS
Divya Gehi, M.D.'s 2023 MIPS final score plotted against the Hospitalist Physician national average
- MIPS Final Score
- 74.6/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Hospitalist Physician) - 74.6/100 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).
Divya Gehi, M.D. appears in the CMS NPPES registry as a Hospitalist Physician provider holding M.D. credentials at 5323 HARRY HINES BLVD, Dallas, TX, 75390, with a listed phone of (214) 645-0624. NPI 1164869186 was issued on 05/30/2013.
Medicare Part D records for calendar year 2023 show 264 prescription claims written by this provider, covering 70 Medicare beneficiaries and totaling roughly $33K in drug spend, with an opioid prescribing rate of 7.2%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 74.6/100 for the 2023 performance year (Quality 56.1, Cost 59.2), compared with the national average of 83.1.
Hospitalist Physician is a mid-sized specialty nationwide, with 16,825 enrolled providers across 54 states and an average of 888 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 | 1164869186 |
|---|---|
| Specialty | Hospitalist Physician |
| Credentials | M.D. |
| Gender | Female |
| NPI Issued | 05/30/2013 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
74.5984
Final Score
Avg: 83.1
56.1252
Quality
59.2027
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Divya Gehi, 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.
Healthtexas Provider Network
Dallas, TX
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
License & disciplinary context - Texas TMB 2023 annual report
Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~77K Texas medical licensees in 2023 - they are NOT specific to Divya Gehi, M.D.. To verify Divya Gehi, M.D.'s current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases
TMB publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
264
Total Claims
$33K
Total Drug Cost
70
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 385
- Total Day Supply
- 10,064
- Generic Drug Cost
- $6K
- Opioid Claims
- 19 (7.2% rate)
- Antibiotic Claims
- 22
Patient Demographics
- Average Patient Age
- 68.7 years
- Avg HCC Risk Score
- 3.87
- Gender Split
- 54% female / 46% male
Hospitalist Physician Overview
How Divya Gehi, M.D. fits within the Hospitalist Physician landscape nationally.
16,825
Hospitalist Physician Providers in US
54
States with Hospitalist Physician
888
Avg Claims per Provider
Divya Gehi, M.D.'s 264 claims are below the specialty average of 888.
Nearby Hospitalist Physician Providers in Texas
Other clinicians with the same primary specialty enrolled in Texas, drawn from the same CMS NPPES roster as Gehi.
Dr. Pedro Abanto
M.D.
McAllen, TX
Dr. Qamar Abbas
DO
Temple, TX
Dr. Saherish Abbasi
DO
Houston, TX
Maimoonah Abid
Baytown, TX
Dr. Asha Abraham
MD
Dallas, TX
Compare Hospitalist 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 Texas medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Hospitalist 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.
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Frequently Asked Questions
What is Divya Gehi, M.D.'s specialty? ▼
Divya Gehi, M.D. specializes in Hospitalist Physician and practices in Dallas, Texas. Credentials: M.D..
How much does Divya Gehi, M.D. prescribe under Medicare Part D? ▼
In 2023, Divya Gehi, M.D. wrote 264 Medicare Part D claims totaling $33K in drug costs for 70 beneficiaries.
What is Divya Gehi, M.D.'s Medicare quality score? ▼
Divya Gehi, M.D. has a CMS MIPS Final Score of 74.6/100 (Quality: 56.1, Cost: 59.2). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Divya Gehi, M.D. located? ▼
Divya Gehi, M.D. is located at 5323 HARRY HINES BLVD, Dallas, TX, 75390. Phone: (214) 645-0624.
What is Divya Gehi, M.D.'s NPI number? ▼
Divya Gehi, M.D.'s National Provider Identifier (NPI) is 1164869186, issued on 05/30/2013.
Does Divya Gehi, M.D. prescribe opioids? ▼
Yes, Divya Gehi, M.D. had 19 opioid claims in 2023 with an opioid prescribing rate of 7.2%.
How many Hospitalist Physician providers are there in the US? ▼
There are 16,825 Hospitalist Physician providers across 54 states in the US. The average Hospitalist Physician provider writes 888 Medicare Part D claims per year.
Does Divya Gehi, M.D. accept Medicare? ▼
Divya Gehi, M.D. appears in CMS Medicare data with 264 Part D claims and 70 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Divya Gehi, M.D.'s credentials? ▼
Divya Gehi, M.D.'s NPI is 1164869186 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.