2026 NPPES data Sports Medicine (Orthopaedic Surgery) Physician NPI 1376857151 MD
Verify on CMS →

Hamidreza Doroodchi, MD

Sports Medicine (Orthopaedic Surgery) Physician in Blairsville, Georgia.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 2,681 in Sports Medicine (Orthopaedic 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
202
Medicare Part D claims · 109 beneficiaries · Sports Medicine (Orthopaedic Surgery) Physician avg: 278
MIPS score
86.8/100
▲ 4 pts above national avg 83.1 · Above neutral
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Hamidreza Doroodchi, MD reported a CMS MIPS final score of 86.8/100 - above the 83.1 national average - and filed 202 Medicare Part D claims in 2023.

86.8/100
MIPS score · +4 vs avg
202
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.

Hamidreza Doroodchi, MD's MIPS score vs every scored U.S. clinician

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

87 Top 48% higher than 52% 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%). This entry sits in this band. 90+: 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

Where Hamidreza Doroodchi, MD sits

This provider among sports medicine (orthopaedic surgery) physician peers

Across the 1,085 sports medicine (orthopaedic surgery) physician providers who report both Medicare Part D prescribing and a MIPS quality score, Hamidreza Doroodchi, MD writes more Part D claims than 48% of them and scores higher on MIPS quality than 70% - placing this provider in the lower-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

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 98Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 98Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 20Hamidreza Doroodchi, MD-Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 70
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one sports medicine (orthopaedic surgery) physician peer from a representative sample of 60; the gold marker is Hamidreza Doroodchi, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

Hamidreza Doroodchi, 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 Hamidreza Doroodchi, MD?

High performer (top quartile)

NPI registry status

Active

Issued 08/04/2010

NPI 1376857151

Primary specialty

Sports Medicine (Orthopaedic Surgery) Physician

Niche

2,681 US NPIs in this specialty

Medicare Part D claims

202 27% vs specialty avg

2023 prescription claims

Specialty avg: 278

MIPS final score

86.8/100 3.7 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in Georgia

How Sports Medicine (Orthopaedic Surgery) Physician compares to other specialties among Georgia providers

Georgia providers
Behavior Technician - 7.3%Behavior Technician7.3%Pharmacist - 5.1%Pharmacist5.1%Student in an Organized Health Care Education/Training Program - 5%Student in an Organized Health Care Education/Training Program5%Family Nurse Practitioner - 4.8%Family Nurse Practitioner4.8%Physical Therapist - 3.9%Physical Therapist3.9%Professional Counselor - 3.6%Professional Counselor3.6%Sports Medicine (Orthopaedic Surgery) Physician - 0%Sports Medicine (Orthopaedic Surgery) Physician0%
Largest specialties in Georgia (% of in-state providers)

Medicare quality performance, MIPS

Hamidreza Doroodchi, MD's 2023 MIPS final score plotted against the Sports Medicine (Orthopaedic Surgery) Physician national average

High performer (top quartile)
MIPS Final Score
86.8/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Sports Medicine (Orthopaedic Surgery) Physician) - 86.8/100 vs national avg 83.1

0%100%National avg83%86.8%
MIPS final score (Sports Medicine (Orthopaedic Surgery) Physician) - 86.8/100 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).

Hamidreza Doroodchi, MD appears in the CMS NPPES registry as a Sports Medicine (Orthopaedic Surgery) Physician provider holding MD credentials at 19 DOCTORS WAY, Blairsville, GA, 30512, with a listed phone of (706) 439-6858. NPI 1376857151 was issued on 08/04/2010.

Medicare Part D records for calendar year 2023 show 202 prescription claims written by this provider, covering 109 Medicare beneficiaries and totaling roughly $4K in drug spend, with an opioid prescribing rate of 45.0%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 86.8/100 for the 2023 performance year (Quality 84.5, Cost 76.6), compared with the national average of 83.1.

Sports Medicine (Orthopaedic Surgery) Physician is a narrow specialty nationwide, with 2,681 enrolled providers across 53 states and an average of 278 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

19 DOCTORS WAY
Blairsville, GA 30512

Provider Details

NPI 1376857151
Specialty Sports Medicine (Orthopaedic Surgery) Physician
Credentials MD
Gender Male
NPI Issued 08/04/2010

CMS Quality Score (MIPS)

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

86.7816
Final Score
Avg: 83.1
84.493
Quality
76.6146
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where Hamidreza Doroodchi, 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.

Union General Affiliated Services, LLC
Blairsville, GA

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.

202
Total Claims
$4K
Total Drug Cost
109
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
219
Total Day Supply
3,224
Brand Drug Cost
$0
Generic Drug Cost
$4K
Opioid Claims
91 (45.0% rate)
Antibiotic Claims
17

Patient Demographics

Average Patient Age
72.5 years
Avg HCC Risk Score
0.97
Gender Split
60% female / 40% male

Top Prescribed Drugs (Medicare Part D)

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

What Hamidreza Doroodchi, 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
Celecoxib
44
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
42
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
40
Enoxaparin Sodium
27

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

Sports Medicine (Orthopaedic Surgery) Physician Overview

How Hamidreza Doroodchi, MD fits within the Sports Medicine (Orthopaedic Surgery) Physician landscape nationally.

2,681
Sports Medicine (Orthopaedic Surgery) Physician Providers in US
53
States with Sports Medicine (Orthopaedic Surgery) Physician
278
Avg Claims per Provider

Hamidreza Doroodchi, MD's 202 claims are below the specialty average of 278.

Nearby Sports Medicine (Orthopaedic Surgery) Physician Providers in Georgia

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

Compare Sports Medicine (Orthopaedic Surgery) Physician nationally: see state-by-state distribution →

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 Georgia medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Sports Medicine (Orthopaedic 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.

Frequently Asked Questions

What is Hamidreza Doroodchi, MD's specialty?
Hamidreza Doroodchi, MD specializes in Sports Medicine (Orthopaedic Surgery) Physician and practices in Blairsville, Georgia. Credentials: MD.
How much does Hamidreza Doroodchi, MD prescribe under Medicare Part D?
In 2023, Hamidreza Doroodchi, MD wrote 202 Medicare Part D claims totaling $4K in drug costs for 109 beneficiaries.
What is Hamidreza Doroodchi, MD's Medicare quality score?
Hamidreza Doroodchi, MD has a CMS MIPS Final Score of 86.8/100 (Quality: 84.5, Cost: 76.6). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Hamidreza Doroodchi, MD located?
Hamidreza Doroodchi, MD is located at 19 DOCTORS WAY, Blairsville, GA, 30512. Phone: (706) 439-6858.
What is Hamidreza Doroodchi, MD's NPI number?
Hamidreza Doroodchi, MD's National Provider Identifier (NPI) is 1376857151, issued on 08/04/2010.
Does Hamidreza Doroodchi, MD prescribe opioids?
Yes, Hamidreza Doroodchi, MD had 91 opioid claims in 2023 with an opioid prescribing rate of 45.0%.
How many Sports Medicine (Orthopaedic Surgery) Physician providers are there in the US?
There are 2,681 Sports Medicine (Orthopaedic Surgery) Physician providers across 53 states in the US. The average Sports Medicine (Orthopaedic Surgery) Physician provider writes 278 Medicare Part D claims per year.
What drugs does Hamidreza Doroodchi, MD prescribe most often?
Based on 2023 Medicare Part D data, Hamidreza Doroodchi, MD's most frequently prescribed drugs include Celecoxib, Hydrocodone-Acetaminophen, Oxycodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Hamidreza Doroodchi, MD accept Medicare?
Hamidreza Doroodchi, MD appears in CMS Medicare data with 202 Part D claims and 109 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Hamidreza Doroodchi, MD's credentials?
Hamidreza Doroodchi, MD's NPI is 1376857151 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.