2026 NPPES data Gynecologic Oncology Physician NPI 1902253446 MD
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JHALAK DHOLAKIA, MD

Gynecologic Oncology Physician in GREENVILLE, North Carolina. 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
110
Medicare Part D claims · 55 beneficiaries · Gynecologic Oncology Physician avg: 188
MIPS score
98.333/100
▲ 15 pts above national avg 83.1 · [object Object]
Industry payments
$227.98
6 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: JHALAK DHOLAKIA, MD is a Gynecologic Oncology Physician ([object Object]) practicing in GREENVILLE, North Carolina with a Medicare Part D prescribing footprint of 110 claims across 55 beneficiaries . Their CMS MIPS Final Score of 98.333/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $227.98 across 6 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: JHALAK DHOLAKIA, MD reported a CMS MIPS final score of 98.333 out of 100, above the 83.1 national average, and filed 110 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)

JHALAK DHOLAKIA, 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).

JHALAK DHOLAKIA, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 05/14/2016

NPI 1902253446

Primary specialty

Gynecologic Oncology Physician

Niche

1,360 US NPIs in this specialty

Medicare Part D claims

110 41% vs specialty avg

2023 prescription claims

Specialty avg: 188

MIPS final score

98.333/100 15.233000000000004% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in North Carolina

How Gynecologic Oncology Physician compares to other specialties among North Carolina providers

North Carolina providers

Gynecologic Oncology Physician share within North Carolina

1. Gynecologic Oncology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Gynecologic Oncology Physician share within North Carolina

Medicare quality performance — MIPS

JHALAK DHOLAKIA, MD's 2023 MIPS final score plotted against the Gynecologic Oncology Physician national average

High performer (top quartile)
MIPS Final Score
98.333/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Gynecologic Oncology Physician) — 98.333/100 vs national avg 83.1

0%100%National avg83%98.3%
MIPS final score (Gynecologic Oncology Physician) — 98.333/100 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).

JHALAK DHOLAKIA, MD is a Gynecologic Oncology Physician provider practicing in GREENVILLE, North Carolina, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1902253446. 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.

JHALAK DHOLAKIA, MD appears in the CMS NPPES registry as a Gynecologic Oncology Physician provider holding MD credentials at 2100 STANTONSBURG RD, GREENVILLE, NC, 27834, with a listed phone of (252) 847-4100. NPI 1902253446 was issued on 05/14/2016. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what DHOLAKIA 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 110 prescription claims written by this provider, covering 55 Medicare beneficiaries and totaling roughly $7K in drug spend, with an opioid prescribing rate of 34.5%. 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 98.333/100 for the 2023 performance year (Quality 82.9398), compared with the national average of 83.1.

Gynecologic Oncology Physician is a narrow specialty nationwide, with 1,360 enrolled providers across 49 states and an average of 188 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

2100 STANTONSBURG RD
GREENVILLE, NC 27834

Provider Details

NPI 1902253446
Specialty Gynecologic Oncology Physician
Credentials MD
Gender Female
NPI Issued 05/14/2016

CMS Quality Score (MIPS)

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

98.333
Final Score
Avg: 83.1
82.9398
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where JHALAK DHOLAKIA, 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.

VIDANT MEDICAL GROUP LLC
GREENVILLE, NC

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 JHALAK DHOLAKIA, MD. Source: openpaymentsdata.cms.gov.

Total received

$228

Largest payer

GlaxoSmithKline, LLC.

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.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

110
Total Claims
$7K
Total Drug Cost
55
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
114
Total Day Supply
1,985
Generic Drug Cost
$2K
Opioid Claims
38 (34.5% rate)

Patient Demographics

Average Patient Age
65.7 years
Avg HCC Risk Score
2.46
Gender Split
100% female / 0% male
Age Distribution
<65: 17, 65-74: 27, 75-84: 11, 85+: 0

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Oxycodone Hcl
27

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

Gynecologic Oncology Physician Overview

How JHALAK DHOLAKIA, MD fits within the Gynecologic Oncology Physician landscape nationally.

1,360
Gynecologic Oncology Physician Providers in US
49
States with Gynecologic Oncology Physician
188
Avg Claims per Provider

JHALAK DHOLAKIA, MD's 110 claims are below the specialty average of 188.

Nearby Gynecologic Oncology Physician Providers in North Carolina

Other clinicians with the same primary specialty enrolled in North Carolina, drawn from the same CMS NPPES roster as DHOLAKIA.

Compare Gynecologic Oncology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JHALAK DHOLAKIA, MD's specialty?
JHALAK DHOLAKIA, MD specializes in Gynecologic Oncology Physician and practices in GREENVILLE, North Carolina. Credentials: MD.
How much does JHALAK DHOLAKIA, MD prescribe under Medicare Part D?
In 2023, JHALAK DHOLAKIA, MD wrote 110 Medicare Part D claims totaling $7K in drug costs for 55 beneficiaries.
What is JHALAK DHOLAKIA, MD's Medicare quality score?
JHALAK DHOLAKIA, MD has a CMS MIPS Final Score of 98.333/100 (Quality: 82.9398). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JHALAK DHOLAKIA, MD located?
JHALAK DHOLAKIA, MD is located at 2100 STANTONSBURG RD, GREENVILLE, NC, 27834. Phone: (252) 847-4100.
What is JHALAK DHOLAKIA, MD's NPI number?
JHALAK DHOLAKIA, MD's National Provider Identifier (NPI) is 1902253446, issued on 05/14/2016.
Does JHALAK DHOLAKIA, MD prescribe opioids?
Yes, JHALAK DHOLAKIA, MD had 38 opioid claims in 2023 with an opioid prescribing rate of 34.5%.
How many Gynecologic Oncology Physician providers are there in the US?
There are 1,360 Gynecologic Oncology Physician providers across 49 states in the US. The average Gynecologic Oncology Physician provider writes 188 Medicare Part D claims per year.
What drugs does JHALAK DHOLAKIA, MD prescribe most often?
Based on 2023 Medicare Part D data, JHALAK DHOLAKIA, MD's most frequently prescribed drugs include Oxycodone Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JHALAK DHOLAKIA, MD accept Medicare?
JHALAK DHOLAKIA, MD appears in CMS Medicare data with 110 Part D claims and 55 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JHALAK DHOLAKIA, MD's credentials?
JHALAK DHOLAKIA, MD's NPI is 1902253446 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