NPI registry status
Active
2026 NPPES data Hospitalist Physician NPI 1093760290 MD
Verify on CMS → Girum Lemma, MD
Hospitalist Physician in Woodbury, Minnesota.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 17,950 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
1K
Medicare Part D claims · 171 beneficiaries · Hospitalist Physician avg: 940
MIPS score
90.8/100
▲ 7 pts above national avg 83.5 · Exceptional
What the federal data shows
Girum Lemma, MD reported a CMS MIPS final score of 90.8/100 - above the 83.5 national average - and filed 1,031 Medicare Part D claims in 2024.
- 90.8/100
- MIPS score · +7 vs avg
- 1K
- Part D claims, 2024
- Likely
- board-certified (heuristic)
- ≥58th
- pct among measured MIPS (lower-bound band)
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 Girum Lemma, 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 1093760290), first enumerated 05/24/2006.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 1,031 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 90.8/100 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
1 CMS Care Compare hospital affiliation 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 1093760290 · Hospitalist Physician
NPI-10 · ENUM-LEGACY · TAX-MID · MIPS-ABOVE · RX-MID · BOOK-THIN · PHOTO-FINISH
- NPI-10 1093760290
- ENUM-LEGACY 2006
- TAX-MID 18K Hospitalist Physician
- MIPS-ABOVE 90.8/100
- RX-MID 1,031
- BOOK-THIN 210 in Minnesota
- PHOTO-FINISH Haydar Alamiri, MD · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Lemma · this pro…
Lemma · this provider
90.8 MIPS pts
- Michael Harris, …
Michael Harris, MD
90.8 MIPS pts
- Haydar Alamiri, …
Haydar Alamiri, MD
90.8 MIPS pts
- Yashaswi Belvadi…
Yashaswi Belvadi, MD
90.8 MIPS pts
- Jemila Crawford,…
Jemila Crawford, M.D.
90.8 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Girum Lemma, 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.
91 ≥ 58th percentile 58% 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 Girum Lemma, MD sits
This provider among hospitalist physician peers
Across the 4,317 hospitalist physician providers who report both Medicare Part D prescribing and a MIPS quality score, Girum Lemma, MD writes more Part D claims than 90% of them and scores higher on MIPS quality than 55% - 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 hospitalist physician peer from a representative sample of 60; the gold marker is Girum Lemma, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Girum Lemma, MD 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 Girum Lemma, MD?
High performer (top quartile)Primary specialty
Hospitalist Physician
Medicare Part D claims
1,031 10% vs specialty avg
MIPS final score
90.8/100 7.3 pts vs avg
Specialty distribution in Minnesota
How Hospitalist Physician compares to other specialties among Minnesota providers
Medicare quality performance, MIPS
Girum Lemma, MD's 2023 MIPS final score plotted against the Hospitalist Physician national average
- MIPS Final Score
- 90.8/100
- 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 | 1093760290 |
|---|---|
| Specialty | Hospitalist Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 05/24/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
90.7537
Final Score
Measured-score avg: 83.5
74.643
Quality
99
Promoting Interoperability
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where Girum Lemma, 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.
Minnesota Oncology Hematology PA
Woodbury, MN
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2024.
1,031
Total Claims
$5.1M
Total Drug Cost
171
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 1,383.567
- Total Day Supply
- 37,570
- Generic Drug Cost
- $932K
- Opioid Claims
- 29 (2.8% rate)
- Antibiotic Claims
- 25
Patient Demographics
- Average Patient Age
- 73.2 years
- Avg HCC Risk Score
- 2.37
- Gender Split
- 47% female / 53% male
- Age Distribution
- <65: 16, 65-74: 82, 75-84: 60, 85+: 13
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Girum Lemma, MD prescribes most
Top Medicare Part D drugs by claim count, 2024
- Prednisone
Prednisone
80 claims
- Hydroxyurea
Hydroxyurea
75 claims
- Lenalidomide
Lenalidomide
53 claims
- Acyclovir
Acyclovir
47 claims
- Brukinsa
Brukinsa
43 claims
- Calquence
Calquence
40 claims
- Levothyroxine Sodium
Levothyroxine Sodium
39 claims
- Abiraterone Acetate
Abiraterone Acetate
36 claims
| Drug | Claims |
|---|---|
| Prednisone | 80 |
| Hydroxyurea | 75 |
| Lenalidomide | 53 |
| Acyclovir | 47 |
| Brukinsa Zanubrutinib | 43 |
| Calquence Acalabrutinib Maleate | 40 |
| Levothyroxine Sodium | 39 |
| Abiraterone Acetate | 36 |
| Letrozole | 35 |
| Tamoxifen Citrate | 33 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Hospitalist Physician Overview
How Girum Lemma, MD fits within the Hospitalist Physician landscape nationally.
17,950
Hospitalist Physician Providers in US
54
States with Hospitalist Physician
940
Avg Claims per Provider
Girum Lemma, MD's 1,031 claims are above the specialty average of 940.
Nationwide Hospitalist Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Lemma, both outside Minnesota so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (90.8 here).
Same NPPES enumeration year (2006)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Hospitalist Physician Providers in Minnesota
Other clinicians with the same primary specialty enrolled in Minnesota, drawn from the same CMS NPPES roster as Lemma.
One of 210 Hospitalist Physician providers enrolled in Minnesota, 5 are shown here.
Dr. Yasir Abdelgadir
M.D.
Saint Paul, MN
Dr. Bariituu Adam
MD
Minneapolis, MN
Azza Ahmed
MBBS
Rochester, MN
Mohamed Ahmed
Saint Cloud, MN
Oluyemi Ajayi
MBBS
St Cloud, MN
Compare Hospitalist Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Girum Lemma, MD's specialty? ▼
Girum Lemma, MD specializes in Hospitalist Physician and practices in Woodbury, Minnesota. Credentials: MD.
How much does Girum Lemma, MD prescribe under Medicare Part D? ▼
In 2024, Girum Lemma, MD wrote 1,031 Medicare Part D claims totaling $5.1M in drug costs for 171 beneficiaries.
What is Girum Lemma, MD's Medicare quality score? ▼
Girum Lemma, MD has a CMS MIPS Final Score of 90.8/100 (Quality: 74.6). 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 Girum Lemma, MD located? ▼
Girum Lemma, MD is located at 6025 LAKE RD STE 110, Woodbury, MN, 55125. Phone: (651) 735-7414.
What is Girum Lemma, MD's NPI number? ▼
Girum Lemma, MD's National Provider Identifier (NPI) is 1093760290, issued on 05/24/2006.
Does Girum Lemma, MD prescribe opioids? ▼
Yes, Girum Lemma, MD had 29 opioid claims in 2024 with an opioid prescribing rate of 2.8%.
How many Hospitalist Physician providers are there in the US? ▼
There are 17,950 Hospitalist Physician providers across 54 states in the US. The average Hospitalist Physician provider writes 940 Medicare Part D claims per year.
What drugs does Girum Lemma, MD prescribe most often? ▼
Based on 2024 Medicare Part D data, Girum Lemma, MD's most frequently prescribed drugs include Prednisone, Hydroxyurea, Lenalidomide. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Girum Lemma, MD accept Medicare? ▼
Girum Lemma, MD appears in CMS Medicare data with 1,031 Part D claims and 171 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Girum Lemma, MD's credentials? ▼
Girum Lemma, MD's NPI is 1093760290 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.