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2026 NPPES data Family Medicine Physician NPI 1093801516 M.D.
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Harry McDonald, M.D.

Family Medicine Physician in Toccoa, 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 147,760 in Family Medicine 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
9K
Medicare Part D claims · 348 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
91%
generic claims · 8% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
60.6/100
▼ 23 pts below national avg 83.5 · Mid-tier
Verify NPI on CMS Methodology
Compiled from official public sources by the editorial process.

What the federal data shows

Harry McDonald, M.D. reported a CMS MIPS final score of 60.6/100 - below the 83.5 national average - and filed 8,688 Medicare Part D claims in 2023.

60.6/100
MIPS score · -23 vs avg
9K
Part D claims, 2023
91%
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.

CMS NPPES provider registry desk

NPI 1093801516 · Family Medicine Physician

NPI-10 · ENUM-LEGACY · TAX-MEGA · MIPS-LOW · RX-MID · BOOK-LIGHT · PHOTO-FINISH

  • NPI-10 1093801516
  • ENUM-LEGACY 2006
  • TAX-MEGA 148K Family Medicine
  • MIPS-LOW 60.6/100
  • RX-MID 8,688
  • BOOK-LIGHT 3,727 in Georgia
  • PHOTO-FINISH Mathew Jose · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Harry McDonald, M.D.'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.

61 ≥ 6th percentile 6% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). This entry sits in this band. 70–80: 94,570 measured providers (21%). Above this entry. 80–90: 129,887 measured providers (29%). Above this entry. 90+: 189,403 measured providers (42%). Above this entry. This provider 0 100 every measured MIPS clinician, bucketed by value

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 Harry McDonald, M.D. sits

This provider among family medicine physician peers

Across the 21,266 family medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Harry McDonald, M.D. writes more Part D claims than 85% of them and scores higher on MIPS quality than 7% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

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

Each dot is one family medicine physician peer from a representative sample of 60; the gold marker is Harry McDonald, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

✓
Board certification likely (heuristic, not verified)

Harry McDonald, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting - 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 Harry McDonald, M.D.?

Below national average

NPI registry status

Active

Issued 10/04/2006

NPI 1093801516

Primary specialty

Family Medicine Physician

High-volume

147,760 US NPIs in this specialty

Medicare Part D claims

8,688 154% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

MIPS final score

60.6/100 22.9 pts vs avg

Mid-tier band

vs 83.5 national avg

Specialty distribution in Georgia

How Family Medicine Physician compares to other specialties among Georgia providers

Georgia providers
Behavior Technician7.3%Pharmacist5.1%Student in an Organized Heal…5%Family Nurse Practitioner4.8%Physical Therapist3.9%Professional Counselor3.6%Family Medicine Physician2.3%
Largest specialties in Georgia (% of in-state providers)

Medicare quality performance, MIPS

Harry McDonald, M.D.'s 2023 MIPS final score plotted against the Family Medicine Physician national average

Below national average
MIPS Final Score
60.6/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%60.6%
MIPS final score (Family Medicine Physician) - 60.6/100 vs national avg 83.5
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

201 FALLS RD
Toccoa, GA 30577
(706) 886-8476

Provider Details

NPI 1093801516
Specialty Family Medicine Physician
Credentials M.D.
Gender Male
NPI Issued 10/04/2006

CMS Quality Score (MIPS)

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

60.5851
Final Score
Measured-score avg: 83.5
20
Quality
75.2835
Cost

Reporting: Individual

Brand vs generic prescribing mix · Generic-heavy

Harry McDonald, M.D. - brand share 8.0%
Family Medicine Physician average

8% brand-name claims vs 91% generic, on 8,688 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.

8,688
Total Claims
$508K
Total Drug Cost
348
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
15,710
Total Day Supply
448,647
Brand vs Generic
8% brand / 91% generic
Brand Drug Cost
$373K
Generic Drug Cost
$131K
Opioid Claims
618 (7.1% rate)
Antibiotic Claims
270

Patient Demographics

Average Patient Age
72.1 years
Avg HCC Risk Score
1.24
Gender Split
51% female / 49% male
Age Distribution
<65: 50, 65-74: 163, 75-84: 105, 85+: 30

Top Prescribed Drugs (Medicare Part D)

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

What Harry McDonald, 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
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
402
Lorazepam
 333
Omeprazole
 295
Amlodipine Besylate
 267
Meloxicam
 267
Simvastatin
 256
Losartan Potassium
 253
Gabapentin
 239
Lisinopril
 219
Levothyroxine Sodium
 178

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

More Family Medicine Physician in GA → All providers in Georgia → Compare specialties →

Family Medicine Physician Overview

How Harry McDonald, M.D. fits within the Family Medicine Physician landscape nationally.

147,760
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

Harry McDonald, M.D.'s 8,688 claims are above the specialty average of 3,418.

Nationwide Family Medicine Physician peers with similar MIPS or enrollment year

Two federal-record peer sets for McDonald, both outside Georgia so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (60.6 here).

Mathew Jose 60.6 OH Amy Gruber 60.5 WY Karen Mailer 60.5 AK Elizabeth Sullivan 60.4 AR

Same NPPES enumeration year (2006)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

David Conner Caribou, ME Meena Eswaran Webster, TX Walter Burnett Yazoo City, MS Joseph Cavuto Philadelphia, PA

Nearby Family Medicine Physician Providers in Georgia

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

One of 3,727 Family Medicine Physician providers enrolled in Georgia, 5 are shown here.

Dr. Hayden Aaron
MD
Atlanta, GA
Dr. Margaret Abate
MD
Covington, GA
Dr. Suzanne Abbasi
MD
Grovetown, GA
Dr. Zia Abdi
MD
Atlanta, GA
Dr. Hamdi Abdirahman
MD
Dahlonega, GA

Compare Family Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is Harry McDonald, M.D.'s specialty? ▼
Harry McDonald, M.D. specializes in Family Medicine Physician and practices in Toccoa, Georgia. Credentials: M.D..
How much does Harry McDonald, M.D. prescribe under Medicare Part D? ▼
In 2023, Harry McDonald, M.D. wrote 8,688 Medicare Part D claims totaling $508K in drug costs for 348 beneficiaries.
What is Harry McDonald, M.D.'s Medicare quality score? ▼
Harry McDonald, M.D. has a CMS MIPS Final Score of 60.6/100 (Quality: 20, Cost: 75.3). 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 Harry McDonald, M.D. located? ▼
Harry McDonald, M.D. is located at 201 FALLS RD, Toccoa, GA, 30577. Phone: (706) 886-8476.
What is Harry McDonald, M.D.'s NPI number? ▼
Harry McDonald, M.D.'s National Provider Identifier (NPI) is 1093801516, issued on 10/04/2006.
Does Harry McDonald, M.D. prescribe more brand-name or generic drugs? ▼
Harry McDonald, M.D.'s prescribing is 8% brand-name and 91% generic drugs by claim count, with $373K in brand drug costs.
Does Harry McDonald, M.D. prescribe opioids? ▼
Yes, Harry McDonald, M.D. had 618 opioid claims in 2023 with an opioid prescribing rate of 7.1%.
How many Family Medicine Physician providers are there in the US? ▼
There are 147,760 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does Harry McDonald, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Harry McDonald, M.D.'s most frequently prescribed drugs include Hydrocodone-Acetaminophen, Lorazepam, Omeprazole. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Harry McDonald, M.D. accept Medicare? ▼
Harry McDonald, M.D. appears in CMS Medicare data with 8,688 Part D claims and 348 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Harry McDonald, M.D.'s credentials? ▼
Harry McDonald, M.D.'s NPI is 1093801516 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

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 editorial process.

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 May 2026.