2026 NPPES data Urology Physician NPI 1033172648 MD
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EDWARD HAYES, MD

Urology Physician in DUBLIN, 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
5K
Medicare Part D claims · 1K beneficiaries · Urology Physician avg: 1K
Generic prescribing
90%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
92.1063/100
▲ 9 pts above national avg 83.1 · [object Object]
Industry payments
$104.65
3 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

EDWARD HAYES, MD reported a CMS MIPS final score of 92.1063/100 — above the 83.1 national average — and filed 5,350 Medicare Part D claims in 2023.

92.1063/100
MIPS score · +9 vs avg
5K
Part D claims, 2023
90%
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.

EDWARD HAYES, MD's MIPS score vs every scored U.S. clinician

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

92 Top 32% higher than 68% 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. 90–100: 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

Board certification likely (heuristic — not verified)

EDWARD HAYES, 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).

What does the federal data show about EDWARD HAYES, MD?

High performer (top quartile)

NPI registry status

Active

Issued 04/07/2006

NPI 1033172648

Primary specialty

Urology Physician

Mid-sized

13,350 US NPIs in this specialty

Medicare Part D claims

5,350 318% vs specialty avg

2023 prescription claims

Specialty avg: 1,280

MIPS final score

92.1063/100 9.00630000000001% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Georgia

How Urology Physician compares to other specialties among Georgia providers

Georgia providers

Urology Physician share within Georgia

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

Medicare quality performance — MIPS

EDWARD HAYES, MD's 2023 MIPS final score plotted against the Urology Physician national average

High performer (top quartile)
MIPS Final Score
92.1063/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Urology Physician) — 92.1063/100 vs national avg 83.1

0%100%National avg83%92.1%
MIPS final score (Urology Physician) — 92.1063/100 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).

EDWARD HAYES, MD appears in the CMS NPPES registry as a Urology Physician provider holding MD credentials at 2301 BELLEVUE RD STE 1000, DUBLIN, GA, 31021, with a listed phone of (478) 272-5598. NPI 1033172648 was issued on 04/07/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HAYES 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 5,350 prescription claims written by this provider, covering 1,003 Medicare beneficiaries and totaling roughly $489K in drug spend, split 10% brand-name and 90% generic by claim count, with an opioid prescribing rate of 2.3%. 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 92.1063/100 for the 2023 performance year (Quality 84.2125), compared with the national average of 83.1.

Urology Physician is a mid-sized specialty nationwide, with 13,350 enrolled providers across 54 states and an average of 1,280 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

2301 BELLEVUE RD STE 1000
DUBLIN, GA 31021

Provider Details

NPI 1033172648
Specialty Urology Physician
Credentials MD
Gender Male
NPI Issued 04/07/2006

CMS Quality Score (MIPS)

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

92.1063
Final Score
Avg: 83.1
84.2125
Quality

Reporting: Individual

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 EDWARD HAYES, MD. Source: openpaymentsdata.cms.gov.

Total received

$105

Largest payer

Merck Sharp & Dohme LLC

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 · Typical

EDWARD HAYES, MD — brand share 10.0%
Specialty average (est.)

10% brand-name claims vs 90% generic, on 5,350 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.

5,350
Total Claims
$489K
Total Drug Cost
1,003
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
8,156
Total Day Supply
230,464
Brand vs Generic
10% brand / 90% generic
Brand Drug Cost
$300K
Generic Drug Cost
$189K
Opioid Claims
124 (2.3% rate)
Antibiotic Claims
1,640

Patient Demographics

Average Patient Age
74.0 years
Avg HCC Risk Score
1.52
Gender Split
34% female / 66% male
Age Distribution
<65: 105, 65-74: 428, 75-84: 347, 85+: 123

Top Prescribed Drugs (Medicare Part D)

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

What EDWARD HAYES, MD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Tamsulosin Hcl
821
Oxybutynin Chloride Er
Oxybutynin Chloride
618
Nitrofurantoin Mono-Macro
Nitrofurantoin Monohyd/M-Cryst
458
Ciprofloxacin Hcl
400
Silodosin
374
Myrbetriq
Mirabegron
369
Solifenacin Succinate
261
Alfuzosin Hcl Er
Alfuzosin Hcl
225
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
214
Nitrofurantoin
Nitrofurantoin Macrocrystal
211

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

Urology Physician Overview

How EDWARD HAYES, MD fits within the Urology Physician landscape nationally.

13,350
Urology Physician Providers in US
54
States with Urology Physician
1,280
Avg Claims per Provider

EDWARD HAYES, MD's 5,350 claims are above the specialty average of 1,280.

Nearby Urology Physician Providers in Georgia

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

Compare Urology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is EDWARD HAYES, MD's specialty?
EDWARD HAYES, MD specializes in Urology Physician and practices in DUBLIN, Georgia. Credentials: MD.
How much does EDWARD HAYES, MD prescribe under Medicare Part D?
In 2023, EDWARD HAYES, MD wrote 5,350 Medicare Part D claims totaling $489K in drug costs for 1,003 beneficiaries.
What is EDWARD HAYES, MD's Medicare quality score?
EDWARD HAYES, MD has a CMS MIPS Final Score of 92.1063/100 (Quality: 84.2125). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is EDWARD HAYES, MD located?
EDWARD HAYES, MD is located at 2301 BELLEVUE RD STE 1000, DUBLIN, GA, 31021. Phone: (478) 272-5598.
What is EDWARD HAYES, MD's NPI number?
EDWARD HAYES, MD's National Provider Identifier (NPI) is 1033172648, issued on 04/07/2006.
Does EDWARD HAYES, MD prescribe more brand-name or generic drugs?
EDWARD HAYES, MD's prescribing is 10% brand-name and 90% generic drugs by claim count, with $300K in brand drug costs.
Does EDWARD HAYES, MD prescribe opioids?
Yes, EDWARD HAYES, MD had 124 opioid claims in 2023 with an opioid prescribing rate of 2.3%.
How many Urology Physician providers are there in the US?
There are 13,350 Urology Physician providers across 54 states in the US. The average Urology Physician provider writes 1,280 Medicare Part D claims per year.
What drugs does EDWARD HAYES, MD prescribe most often?
Based on 2023 Medicare Part D data, EDWARD HAYES, MD's most frequently prescribed drugs include Tamsulosin Hcl, Oxybutynin Chloride Er, Nitrofurantoin Mono-Macro. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does EDWARD HAYES, MD accept Medicare?
EDWARD HAYES, MD appears in CMS Medicare data with 5,350 Part D claims and 1,003 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify EDWARD HAYES, MD's credentials?
EDWARD HAYES, MD's NPI is 1033172648 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