NPI registry status
Active
2026 NPPES data Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician NPI 1003887407 MD
Verify on CMS → Ghulam Abbas, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Tyler, 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 5,062 in Thoracic Surgery (Cardiothoracic Vascular Surgery) 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
102
Medicare Part D claims · 41 beneficiaries · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician avg: 128
MIPS score
90.1/100
▲ 7 pts above national avg 83.1 · Exceptional
Industry payments
$13.9K
18 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Ghulam Abbas, MD reported a CMS MIPS final score of 90.1/100 - above the 83.1 national average - and filed 102 Medicare Part D claims in 2023.
- 90.1/100
- MIPS score · +7 vs avg
- 102
- 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.
Ghulam Abbas, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
90 Top 40% higher than 60% 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 Ghulam Abbas, MD sits
This provider among thoracic surgery (cardiothoracic vascular surgery) physician peers
Across the 820 thoracic surgery (cardiothoracic vascular surgery) physician providers who report both Medicare Part D prescribing and a MIPS quality score, Ghulam Abbas, MD writes more Part D claims than 69% of them and scores higher on MIPS quality than 57% - placing this provider in the high-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
Each dot is one thoracic surgery (cardiothoracic vascular surgery) physician peer from a representative sample of 60; the gold marker is Ghulam Abbas, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Ghulam Abbas, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 3 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 Ghulam Abbas, MD?
High performer (top quartile)Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Medicare Part D claims
102 20% vs specialty avg
MIPS final score
90.1/100 7 pts vs avg
Specialty distribution in Texas
How Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician compares to other specialties among Texas providers
Medicare quality performance, MIPS
Ghulam Abbas, MD's 2023 MIPS final score plotted against the Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician national average
- MIPS Final Score
- 90.1/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician) - 90.1/100 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).
Ghulam Abbas, MD appears in the CMS NPPES registry as a Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician provider holding MD credentials at 700 OLYMPIC PLAZA CIR STE 508, Tyler, TX, 75701, with a listed phone of (903) 595-6680. NPI 1003887407 was issued on 02/01/2006.
Medicare Part D records for calendar year 2023 show 102 prescription claims written by this provider, covering 41 Medicare beneficiaries and totaling roughly $1K in drug spend, with an opioid prescribing rate of 27.5%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 90.1/100 for the 2023 performance year (Quality 67), compared with the national average of 83.1.
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician is a mid-sized specialty nationwide, with 5,062 enrolled providers across 52 states and an average of 128 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 | 1003887407 |
|---|---|
| Specialty | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 02/01/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
90.1191
Final Score
Avg: 83.1
66.9698
Quality
100
Promoting Interoperability
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where Ghulam Abbas, 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.
According to CMS billing records, Ghulam Abbas, MD is affiliated with 3 Medicare-billing facilities across 3 states.
Charleston Area Medical Center Inc
Charleston, WV
Etmc Physician Group, Inc.
Tyler, TX
Monongalia County General Hospital Company
Mc Henry, MD
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
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 Ghulam Abbas, MD. Source: openpaymentsdata.cms.gov.
Total received
$13.9K
Largest payer
INTUITIVE SURGICAL, INC.
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.
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 Ghulam Abbas, MD. To verify Ghulam Abbas, MD'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.
102
Total Claims
$1K
Total Drug Cost
41
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 107
- Total Day Supply
- 2,131
- Brand Drug Cost
- $0
- Generic Drug Cost
- $1K
- Opioid Claims
- 28 (27.5% rate)
Patient Demographics
- Average Patient Age
- 72.5 years
- Avg HCC Risk Score
- 1.45
- Gender Split
- 59% female / 41% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Ghulam Abbas, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Hydrocodone-Acetam…
Hydrocodone-Acetaminophen
18 claims
- Atorvastatin Calcium
Atorvastatin Calcium
17 claims
- Lamotrigine
Lamotrigine
12 claims
- Trazodone Hcl
Trazodone Hcl
12 claims
| Drug | Claims |
|---|---|
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 18 |
| Atorvastatin Calcium | 17 |
| Lamotrigine | 12 |
| Trazodone Hcl | 12 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in TX →
All providers in Texas →
Compare specialties →
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Overview
How Ghulam Abbas, MD fits within the Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician landscape nationally.
5,062
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Providers in US
52
States with Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
128
Avg Claims per Provider
Ghulam Abbas, MD's 102 claims are below the specialty average of 128.
Nearby Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Providers in Texas
Other clinicians with the same primary specialty enrolled in Texas, drawn from the same CMS NPPES roster as Abbas.
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 Thoracic Surgery (Cardiothoracic Vascular Surgery) 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 Ghulam Abbas, MD's specialty? ▼
Ghulam Abbas, MD specializes in Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician and practices in Tyler, Texas. Credentials: MD.
How much does Ghulam Abbas, MD prescribe under Medicare Part D? ▼
In 2023, Ghulam Abbas, MD wrote 102 Medicare Part D claims totaling $1K in drug costs for 41 beneficiaries.
What is Ghulam Abbas, MD's Medicare quality score? ▼
Ghulam Abbas, MD has a CMS MIPS Final Score of 90.1/100 (Quality: 67). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Ghulam Abbas, MD located? ▼
Ghulam Abbas, MD is located at 700 OLYMPIC PLAZA CIR STE 508, Tyler, TX, 75701. Phone: (903) 595-6680.
What is Ghulam Abbas, MD's NPI number? ▼
Ghulam Abbas, MD's National Provider Identifier (NPI) is 1003887407, issued on 02/01/2006.
Does Ghulam Abbas, MD prescribe opioids? ▼
Yes, Ghulam Abbas, MD had 28 opioid claims in 2023 with an opioid prescribing rate of 27.5%.
How many Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician providers are there in the US? ▼
There are 5,062 Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician providers across 52 states in the US. The average Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician provider writes 128 Medicare Part D claims per year.
What drugs does Ghulam Abbas, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Ghulam Abbas, MD's most frequently prescribed drugs include Hydrocodone-Acetaminophen, Atorvastatin Calcium, Lamotrigine. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Ghulam Abbas, MD accept Medicare? ▼
Ghulam Abbas, MD appears in CMS Medicare data with 102 Part D claims and 41 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Ghulam Abbas, MD's credentials? ▼
Ghulam Abbas, MD's NPI is 1003887407 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 (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.