2026 NPPES data Hospitalist Physician NPI 1093760290 MD
Verify on CMS →

GIRUM LEMMA, MD

Hospitalist Physician in WOODBURY, Minnesota. 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
853
Medicare Part D claims · 140 beneficiaries · Hospitalist Physician avg: 888
MIPS score
90.7537/100
▲ 8 pts above national avg 83.1 · [object Object]
What the federal data reveals: GIRUM LEMMA, MD is a Hospitalist Physician ([object Object]) practicing in WOODBURY, Minnesota with a Medicare Part D prescribing footprint of 853 claims across 140 beneficiaries . Their CMS MIPS Final Score of 90.7537/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: GIRUM LEMMA, MD reported a CMS MIPS final score of 90.7537 out of 100, above the 83.1 national average, and filed 853 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

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).

GIRUM LEMMA, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 05/24/2006

NPI 1093760290

Primary specialty

Hospitalist Physician

Mid-sized

16,825 US NPIs in this specialty

Medicare Part D claims

853 4% vs specialty avg

2023 prescription claims

Specialty avg: 888

MIPS final score

90.7537/100 7.653700000000001% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Minnesota

How Hospitalist Physician compares to other specialties among Minnesota providers

Minnesota providers

Hospitalist Physician share within Minnesota

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

Medicare quality performance — MIPS

GIRUM LEMMA, MD's 2023 MIPS final score plotted against the Hospitalist Physician national average

High performer (top quartile)
MIPS Final Score
90.7537/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Hospitalist Physician) — 90.7537/100 vs national avg 83.1

0%100%National avg83%90.8%
MIPS final score (Hospitalist Physician) — 90.7537/100 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).

GIRUM LEMMA, MD is a Hospitalist Physician provider practicing in WOODBURY, Minnesota, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1093760290. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

GIRUM LEMMA, MD appears in the CMS NPPES registry as a Hospitalist Physician provider holding MD credentials at 6025 LAKE RD STE 110, WOODBURY, MN, 55125, with a listed phone of (651) 735-7414. NPI 1093760290 was issued on 05/24/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what LEMMA 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 853 prescription claims written by this provider, covering 140 Medicare beneficiaries and totaling roughly $2.4 million in drug spend, with an opioid prescribing rate of 2.8%. 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 90.7537/100 for the 2023 performance year (Quality 74.643), 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

6025 LAKE RD STE 110
WOODBURY, MN 55125

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
Avg: 83.1
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 2023.

853
Total Claims
$2.4M
Total Drug Cost
140
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,255
Total Day Supply
33,392
Generic Drug Cost
$480K
Opioid Claims
24 (2.8% rate)
Antibiotic Claims
41

Patient Demographics

Average Patient Age
71.9 years
Avg HCC Risk Score
2.08
Gender Split
53% female / 47% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Dexamethasone
63
Hydroxyurea
63
Tamoxifen Citrate
52
Prednisone
50
Levothyroxine Sodium
45
Acyclovir
41
Letrozole
38
Calquence
Acalabrutinib Maleate
27
Olanzapine
27
Ondansetron Hcl
21

* 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.

16,825
Hospitalist Physician Providers in US
54
States with Hospitalist Physician
888
Avg Claims per Provider

GIRUM LEMMA, MD's 853 claims are below the specialty average of 888.

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.

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 2023, GIRUM LEMMA, MD wrote 853 Medicare Part D claims totaling $2.4M in drug costs for 140 beneficiaries.
What is GIRUM LEMMA, MD's Medicare quality score?
GIRUM LEMMA, MD has a CMS MIPS Final Score of 90.7537/100 (Quality: 74.643). The national average MIPS Final Score is 83.1. 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 24 opioid claims in 2023 with an opioid prescribing rate of 2.8%.
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.
What drugs does GIRUM LEMMA, MD prescribe most often?
Based on 2023 Medicare Part D data, GIRUM LEMMA, MD's most frequently prescribed drugs include Dexamethasone, Hydroxyurea, Tamoxifen Citrate. 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 853 Part D claims and 140 Medicare beneficiaries in 2023. 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

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