2026 NPPES data Allergy & Immunology Physician NPI 1134345069 M.D.
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GISOO GHAFFARI, M.D.

Allergy & Immunology Physician in HERSHEY, Pennsylvania. 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
326
Medicare Part D claims · 54 beneficiaries · Allergy & Immunology Physician avg: 764
Generic prescribing
31%
generic claims · 69% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
71.7884/100
▼ 11 pts below national avg 83.1 · [object Object]
Industry payments
$94.72
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

GISOO GHAFFARI, M.D. reported a CMS MIPS final score of 71.7884/100 — below the 83.1 national average — and filed 326 Medicare Part D claims in 2023.

71.7884/100
MIPS score · -11 vs avg
326
Part D claims, 2023
31%
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.

GISOO GHAFFARI, 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

72 9th percentile higher than 9% 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%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. 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)

GISOO GHAFFARI, 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 GISOO GHAFFARI, M.D.?

Below national average

NPI registry status

Active

Issued 04/18/2007

NPI 1134345069

Primary specialty

Allergy & Immunology Physician

Niche

3,390 US NPIs in this specialty

Medicare Part D claims

326 57% vs specialty avg

2023 prescription claims

Specialty avg: 764

MIPS final score

71.7884/100 11.311599999999999% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Pennsylvania

How Allergy & Immunology Physician compares to other specialties among Pennsylvania providers

Pennsylvania providers

Allergy & Immunology Physician share within Pennsylvania

1. Allergy & Immunology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Allergy & Immunology Physician share within Pennsylvania

Medicare quality performance — MIPS

GISOO GHAFFARI, M.D.'s 2023 MIPS final score plotted against the Allergy & Immunology Physician national average

Below national average
MIPS Final Score
71.7884/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Allergy & Immunology Physician) — 71.7884/100 vs national avg 83.1

0%100%National avg83%71.8%
MIPS final score (Allergy & Immunology Physician) — 71.7884/100 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).

GISOO GHAFFARI, M.D. appears in the CMS NPPES registry as a Allergy & Immunology Physician provider holding M.D. credentials at 500 UNIVERSITY DR, HERSHEY, PA, 17033, with a listed phone of (717) 531-6525. NPI 1134345069 was issued on 04/18/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GHAFFARI 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 326 prescription claims written by this provider, covering 54 Medicare beneficiaries and totaling roughly $620K in drug spend, split 69% brand-name and 31% generic by claim count. 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 71.7884/100 for the 2023 performance year (Quality 48.3237, Cost 57.6377), compared with the national average of 83.1.

Allergy & Immunology Physician is a narrow specialty nationwide, with 3,390 enrolled providers across 52 states and an average of 764 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

500 UNIVERSITY DR
HERSHEY, PA 17033

Provider Details

NPI 1134345069
Specialty Allergy & Immunology Physician
Credentials M.D.
Gender Female
NPI Issued 04/18/2007

CMS Quality Score (MIPS)

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

71.7884
Final Score
Avg: 83.1
48.3237
Quality
57.6377
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where GISOO GHAFFARI, 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.

THE MILTON S HERSHEY MEDICAL CENTER PHYSICIANS GROUP
HERSHEY, PA

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 GISOO GHAFFARI, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$95

Largest payer

CSL Behring

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 — Pennsylvania PA-BOM 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 ~45K Pennsylvania medical licensees in 2023 — they are NOT specific to GISOO GHAFFARI, M.D.. To verify GISOO GHAFFARI, M.D.'s current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases

PA-BOM 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 Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Brand-heavy

GISOO GHAFFARI, M.D. — brand share 69.0%
Specialty average (est.)

69% brand-name claims vs 31% generic, on 326 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.

326
Total Claims
$620K
Total Drug Cost
54
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
457
Total Day Supply
12,752
Brand vs Generic
69% brand / 31% generic
Brand Drug Cost
$616K
Generic Drug Cost
$5K

Patient Demographics

Average Patient Age
64.5 years
Avg HCC Risk Score
1.16
Gender Split
78% female / 22% male
Age Distribution
<65: 14, 65-74: 28, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

What GISOO GHAFFARI, M.D. 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
Montelukast Sodium
32
Albuterol Sulfate Hfa
Albuterol Sulfate
31
Symbicort
Budesonide/Formoterol Fumarate
29
Dupixent Syringe
Dupilumab
21
Gammaplex
Immun Glob G(Igg)/Gly/Iga 0-50
17
Nucala
Mepolizumab
17
Advair Hfa
Fluticasone Propion/Salmeterol
16
Azelastine Hcl
12
Epinephrine
12
Sodium Chloride
0.9 % Sodium Chloride
11

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

Allergy & Immunology Physician Overview

How GISOO GHAFFARI, M.D. fits within the Allergy & Immunology Physician landscape nationally.

3,390
Allergy & Immunology Physician Providers in US
52
States with Allergy & Immunology Physician
764
Avg Claims per Provider

GISOO GHAFFARI, M.D.'s 326 claims are below the specialty average of 764.

Nearby Allergy & Immunology Physician Providers in Pennsylvania

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

Compare Allergy & Immunology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is GISOO GHAFFARI, M.D.'s specialty?
GISOO GHAFFARI, M.D. specializes in Allergy & Immunology Physician and practices in HERSHEY, Pennsylvania. Credentials: M.D..
How much does GISOO GHAFFARI, M.D. prescribe under Medicare Part D?
In 2023, GISOO GHAFFARI, M.D. wrote 326 Medicare Part D claims totaling $620K in drug costs for 54 beneficiaries.
What is GISOO GHAFFARI, M.D.'s Medicare quality score?
GISOO GHAFFARI, M.D. has a CMS MIPS Final Score of 71.7884/100 (Quality: 48.3237, Cost: 57.6377). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is GISOO GHAFFARI, M.D. located?
GISOO GHAFFARI, M.D. is located at 500 UNIVERSITY DR, HERSHEY, PA, 17033. Phone: (717) 531-6525.
What is GISOO GHAFFARI, M.D.'s NPI number?
GISOO GHAFFARI, M.D.'s National Provider Identifier (NPI) is 1134345069, issued on 04/18/2007.
Does GISOO GHAFFARI, M.D. prescribe more brand-name or generic drugs?
GISOO GHAFFARI, M.D.'s prescribing is 69% brand-name and 31% generic drugs by claim count, with $616K in brand drug costs.
How many Allergy & Immunology Physician providers are there in the US?
There are 3,390 Allergy & Immunology Physician providers across 52 states in the US. The average Allergy & Immunology Physician provider writes 764 Medicare Part D claims per year.
What drugs does GISOO GHAFFARI, M.D. prescribe most often?
Based on 2023 Medicare Part D data, GISOO GHAFFARI, M.D.'s most frequently prescribed drugs include Montelukast Sodium, Albuterol Sulfate Hfa, Symbicort. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does GISOO GHAFFARI, M.D. accept Medicare?
GISOO GHAFFARI, M.D. appears in CMS Medicare data with 326 Part D claims and 54 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify GISOO GHAFFARI, M.D.'s credentials?
GISOO GHAFFARI, M.D.'s NPI is 1134345069 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

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