Kalpesh Mistry, MD
Family Medicine Physician · Toccoa, GA
Kalpesh Mistry, MD is a family medicine physician with a practice address in Toccoa, Georgia, and NPI 1740717669, issued on May 23, 2017. Check the license (Georgia 83153, as entered in NPPES) on the Georgia Composite Medical Board; the Medicare figures below come from public CMS files.
- Name
- Kalpesh Mistry
- Credential
- MD
- Primary taxonomy
- Family Medicine Physician 207Q00000X
- License number
- 83153 GA
Self-reported in NPPES; status is on the state search - Practice location
- 115 Rock Quarry RD, Toccoa, GA 30577
- Phone
- (706) 282-5815
- Enumerated
- May 23, 2017
- Record last updated
- Jun 30, 2020 (not updated in 6 years: call before relying on the address or phone)
- Fax
- (706) 898-5716
- Medicare enrollment
- Enrolled (PECOS I20200709000300); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest family medicine physician records → All 3,951 in Georgia → Look up another NPI →
Also registered at 115 Rock Quarry RD
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Sydney Caudell, NP-CFamily Nurse Practitioner1558091827
- Larry Fritchman, M.D.Family Medicine Physician1790747541
Verify Kalpesh Mistry in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersGeorgia Composite Medical Board
Search for license 83153Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
94% fewer Medicare Part D claims than the average family medicine physician in 2024
206 Medicare Part D claims for 121 beneficiaries, against an average of 3,544 among the 117,163 providers of this specialty who prescribed in Part D.
Most prescribed
- Santyl33 claims
- Doxycycline Hyclate32 claims
- Sulfamethoxazole-Trimethoprim26 claims
- Cefdinir22 claims
- Ciprofloxacin Hcl21 claims
- Amoxicillin15 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 89.9 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $323.88
19 payments; by number, the most common kind was food and beverage; the largest payer was Smith+Nephew, Inc. The 55,478 providers of this specialty with any payment received $902.55 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Stephens County Hospital Physician Group LLCToccoa, GA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Kalpesh Mistry among 3,951 family medicine physician records in Georgia
Kalpesh Mistry, MD is one of 3,951 family medicine physician records with a practice address in Georgia. 81% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2017, is newer than 77% of them.
- NPI issued2017 · 77% of these records are older, 20% newer
- In a Medicare fileYes · 81% of these records are
- In the CMS Doctors and Clinicians fileYes · 64% of these records are
- Graduated2016 · median 2005 among the 2,542 with a school on file
- Record last updated2020 · 53% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207Q00000X and a Georgia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
10 family medicine physician records list a practice address in Toccoa
They are 10 of the 213 NPPES records with a practice address in Toccoa, and 3,951 family medicine physician records in Georgia.
All 3,951 in Georgia → Every provider in Toccoa → Family Medicine Physician nationwide →
The 8 family medicine physician records with the nearest ZIP codes
- Charles Cosby, DOToccoa, GA 305771750957361
- Larry Fritchman, M.D.Toccoa, GA 305771790747541
- David Hermann, MDToccoa, GA 305771730290933
- Christopher Kiker, MDToccoa, GA 305771679908057
- Harry McDonald, M.D.Toccoa, GA 305771093801516
- William Mills, MDToccoa, GA 305771588658330
- Lenka Novotna, MDToccoa, GA 305771437142809
- Robert Quick, MDToccoa, GA 305771255868196
Common questions
What is Kalpesh Mistry, MD's NPI number?
Kalpesh Mistry, MD's National Provider Identifier (NPI) is 1740717669, issued on May 23, 2017. An NPI identifies a provider in billing; it is not a license.
Where is Kalpesh Mistry, MD located?
The NPPES record lists a practice address at 115 Rock Quarry RD, Toccoa, GA, 30577. Phone: (706) 282-5815. Providers update this record themselves, so call before visiting.
How can I verify Kalpesh Mistry, MD's license?
NPPES lists Georgia license number 83153, as entered by the provider. Search the Georgia Composite Medical Board at https://medicalboard.georgia.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Kalpesh Mistry, MD prescribe under Medicare Part D?
In 2024, Kalpesh Mistry, MD had 206 Medicare Part D claims for 121 beneficiaries; the average among family medicine physician prescribers was 3,544. Part D covers Medicare prescriptions only.
What is Kalpesh Mistry, MD's MIPS final score?
The 2023 MIPS final score is 89.9 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.