2026 NPPES data Gastroenterology Physician NPI 1851745061 MD, PHD
Verify on CMS →

HAORAN PENG, MD, PHD

Gastroenterology Physician in DALTON, Georgia. 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
226
Medicare Part D claims · 134 beneficiaries · Gastroenterology Physician avg: 833
Generic prescribing
70%
generic claims · 30% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
80.8933/100
▼ 2 pts below national avg 83.1 · [object Object]
Industry payments
$1.5K
47 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

HAORAN PENG, MD, PHD reported a CMS MIPS final score of 80.8933/100 — below the 83.1 national average — and filed 226 Medicare Part D claims in 2023.

80.8933/100
MIPS score · -2 vs avg
226
Part D claims, 2023
70%
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.

HAORAN PENG, MD, PHD's MIPS score vs every scored U.S. clinician

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

81 33rd percentile higher than 33% 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. 90–100: 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)

HAORAN PENG, MD, PHD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 4 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 HAORAN PENG, MD, PHD?

Near national average

NPI registry status

Active

Issued 04/14/2016

NPI 1851745061

Primary specialty

Gastroenterology Physician

Mid-sized

16,567 US NPIs in this specialty

Medicare Part D claims

226 73% vs specialty avg

2023 prescription claims

Specialty avg: 833

MIPS final score

80.8933/100 2.206699999999998% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Georgia

How Gastroenterology Physician compares to other specialties among Georgia providers

Georgia providers

Gastroenterology Physician share within Georgia

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

Medicare quality performance — MIPS

HAORAN PENG, MD, PHD's 2023 MIPS final score plotted against the Gastroenterology Physician national average

Near national average
MIPS Final Score
80.8933/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Gastroenterology Physician) — 80.8933/100 vs national avg 83.1

0%100%National avg83%80.9%
MIPS final score (Gastroenterology Physician) — 80.8933/100 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).

HAORAN PENG, MD, PHD appears in the CMS NPPES registry as a Gastroenterology Physician provider holding MD, PHD credentials at 302 POINT NORTH PL, DALTON, GA, 30720, with a listed phone of (706) 272-4127. NPI 1851745061 was issued on 04/14/2016. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PENG 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 226 prescription claims written by this provider, covering 134 Medicare beneficiaries and totaling roughly $541K in drug spend, split 30% brand-name and 70% 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 80.8933/100 for the 2023 performance year (Quality 94.8661, Cost 43.156), compared with the national average of 83.1.

Gastroenterology Physician is a mid-sized specialty nationwide, with 16,567 enrolled providers across 54 states and an average of 833 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

302 POINT NORTH PL
DALTON, GA 30720

Provider Details

NPI 1851745061
Specialty Gastroenterology Physician
Credentials MD, PHD
Gender Male
NPI Issued 04/14/2016

CMS Quality Score (MIPS)

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

80.8933
Final Score
Avg: 83.1
94.8661
Quality
43.156
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where HAORAN PENG, MD, PHD 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.

ARCHBOLD MEDICAL GROUP, INC.
THOMASVILLE, GA
HAMILTON PHYSICIAN GROUP, INC
DALTON, GA
NEWCO GI LLC
CUMMING, GA
SOUTH GEORGIA MEDICAL CENTER INC
VALDOSTA, 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).

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 HAORAN PENG, MD, PHD. Source: openpaymentsdata.cms.gov.

Total received

$1.5K

Largest payer

ABBVIE 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.

Brand vs generic prescribing mix · Above average

HAORAN PENG, MD, PHD — brand share 30.0%
Specialty average (est.)

30% brand-name claims vs 70% generic, on 226 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.

226
Total Claims
$541K
Total Drug Cost
134
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
304
Total Day Supply
6,346
Brand vs Generic
30% brand / 70% generic
Brand Drug Cost
$534K
Generic Drug Cost
$7K
Antibiotic Claims
21

Patient Demographics

Average Patient Age
70.1 years
Avg HCC Risk Score
1.48
Gender Split
66% female / 34% male

Top Prescribed Drugs (Medicare Part D)

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

What HAORAN PENG, MD, PHD 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
Omeprazole
38
Pantoprazole Sodium
18
Stelara
Ustekinumab
13
Gavilyte-G
"Peg3350/Sod Sulf
N/A
Sod Sulf-Potass Sulf-Mag Sulf
"Sodium
N/A

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

Gastroenterology Physician Overview

How HAORAN PENG, MD, PHD fits within the Gastroenterology Physician landscape nationally.

16,567
Gastroenterology Physician Providers in US
54
States with Gastroenterology Physician
833
Avg Claims per Provider

HAORAN PENG, MD, PHD's 226 claims are below the specialty average of 833.

Nearby Gastroenterology Physician Providers in Georgia

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

Compare Gastroenterology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is HAORAN PENG, MD, PHD's specialty?
HAORAN PENG, MD, PHD specializes in Gastroenterology Physician and practices in DALTON, Georgia. Credentials: MD, PHD.
How much does HAORAN PENG, MD, PHD prescribe under Medicare Part D?
In 2023, HAORAN PENG, MD, PHD wrote 226 Medicare Part D claims totaling $541K in drug costs for 134 beneficiaries.
What is HAORAN PENG, MD, PHD's Medicare quality score?
HAORAN PENG, MD, PHD has a CMS MIPS Final Score of 80.8933/100 (Quality: 94.8661, Cost: 43.156). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is HAORAN PENG, MD, PHD located?
HAORAN PENG, MD, PHD is located at 302 POINT NORTH PL, DALTON, GA, 30720. Phone: (706) 272-4127.
What is HAORAN PENG, MD, PHD's NPI number?
HAORAN PENG, MD, PHD's National Provider Identifier (NPI) is 1851745061, issued on 04/14/2016.
Does HAORAN PENG, MD, PHD prescribe more brand-name or generic drugs?
HAORAN PENG, MD, PHD's prescribing is 30% brand-name and 70% generic drugs by claim count, with $534K in brand drug costs.
How many Gastroenterology Physician providers are there in the US?
There are 16,567 Gastroenterology Physician providers across 54 states in the US. The average Gastroenterology Physician provider writes 833 Medicare Part D claims per year.
What drugs does HAORAN PENG, MD, PHD prescribe most often?
Based on 2023 Medicare Part D data, HAORAN PENG, MD, PHD's most frequently prescribed drugs include Omeprazole, Pantoprazole Sodium, Stelara. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does HAORAN PENG, MD, PHD accept Medicare?
HAORAN PENG, MD, PHD appears in CMS Medicare data with 226 Part D claims and 134 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify HAORAN PENG, MD, PHD's credentials?
HAORAN PENG, MD, PHD's NPI is 1851745061 with credentials MD, PHD. 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