2026 NPPES data Hematology (Internal Medicine) Physician NPI 1598902140 M.D.
Verify on CMS →

MANILA GADDH, M.D.

Hematology (Internal Medicine) Physician in ATLANTA, 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
365
Medicare Part D claims · 88 beneficiaries · Hematology (Internal Medicine) Physician avg: 693
Generic prescribing
6%
generic claims · 94% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
92.2614/100
▲ 9 pts above national avg 83.1 · [object Object]
What the federal data reveals: MANILA GADDH, M.D. is a Hematology (Internal Medicine) Physician ([object Object]) practicing in ATLANTA, Georgia with a Medicare Part D prescribing footprint of 365 claims across 88 beneficiaries — 94% brand-name prescribing . Their CMS MIPS Final Score of 92.2614/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: MANILA GADDH, M.D. reported a CMS MIPS final score of 92.2614 out of 100, above the 83.1 national average, and filed 365 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)

MANILA GADDH, M.D. 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).

MANILA GADDH, M.D. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 01/18/2009

NPI 1598902140

Primary specialty

Hematology (Internal Medicine) Physician

Niche

1,436 US NPIs in this specialty

Medicare Part D claims

365 47% vs specialty avg

2023 prescription claims

Specialty avg: 693

MIPS final score

92.2614/100 9.1614% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Georgia

How Hematology (Internal Medicine) Physician compares to other specialties among Georgia providers

Georgia providers

Hematology (Internal Medicine) Physician share within Georgia

1. Hematology (Internal Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Hematology (Internal Medicine) Physician share within Georgia

Medicare quality performance — MIPS

MANILA GADDH, M.D.'s 2023 MIPS final score plotted against the Hematology (Internal Medicine) Physician national average

High performer (top quartile)
MIPS Final Score
92.2614/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Hematology (Internal Medicine) Physician) — 92.2614/100 vs national avg 83.1

0%100%National avg83%92.3%
MIPS final score (Hematology (Internal Medicine) Physician) — 92.2614/100 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).

MANILA GADDH, M.D. is a Hematology (Internal Medicine) Physician provider practicing in ATLANTA, Georgia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1598902140. 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.

MANILA GADDH, M.D. appears in the CMS NPPES registry as a Hematology (Internal Medicine) Physician provider holding M.D. credentials at 1365 CLIFTON RD NE, ATLANTA, GA, 30322, with a listed phone of (404) 778-5871. NPI 1598902140 was issued on 01/18/2009. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GADDH 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 365 prescription claims written by this provider, covering 88 Medicare beneficiaries and totaling roughly $356K in drug spend, split 94% brand-name and 6% 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 92.2614/100 for the 2023 performance year (Quality 73.8353), compared with the national average of 83.1.

Hematology (Internal Medicine) Physician is a narrow specialty nationwide, with 1,436 enrolled providers across 50 states and an average of 693 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

1365 CLIFTON RD NE
ATLANTA, GA 30322

Provider Details

NPI 1598902140
Specialty Hematology (Internal Medicine) Physician
Credentials M.D.
Gender Female
NPI Issued 01/18/2009

CMS Quality Score (MIPS)

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

92.2614
Final Score
Avg: 83.1
73.8353
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where MANILA GADDH, M.D. 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.

THE EMORY CLINIC INC
ATLANTA, 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).

Brand vs generic prescribing mix · Brand-heavy

MANILA GADDH, M.D. — brand share 94.0%
Specialty average (est.)

94% brand-name claims vs 6% generic, on 365 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.

365
Total Claims
$356K
Total Drug Cost
88
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
577
Total Day Supply
16,934
Brand vs Generic
94% brand / 6% generic
Brand Drug Cost
$354K
Generic Drug Cost
$2K

Patient Demographics

Average Patient Age
69.5 years
Avg HCC Risk Score
2.36
Gender Split
63% female / 38% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Eliquis
Apixaban
258
Xarelto
Rivaroxaban
75

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

Hematology (Internal Medicine) Physician Overview

How MANILA GADDH, M.D. fits within the Hematology (Internal Medicine) Physician landscape nationally.

1,436
Hematology (Internal Medicine) Physician Providers in US
50
States with Hematology (Internal Medicine) Physician
693
Avg Claims per Provider

MANILA GADDH, M.D.'s 365 claims are below the specialty average of 693.

Nearby Hematology (Internal Medicine) Physician Providers in Georgia

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

Compare Hematology (Internal Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MANILA GADDH, M.D.'s specialty?
MANILA GADDH, M.D. specializes in Hematology (Internal Medicine) Physician and practices in ATLANTA, Georgia. Credentials: M.D..
How much does MANILA GADDH, M.D. prescribe under Medicare Part D?
In 2023, MANILA GADDH, M.D. wrote 365 Medicare Part D claims totaling $356K in drug costs for 88 beneficiaries.
What is MANILA GADDH, M.D.'s Medicare quality score?
MANILA GADDH, M.D. has a CMS MIPS Final Score of 92.2614/100 (Quality: 73.8353). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MANILA GADDH, M.D. located?
MANILA GADDH, M.D. is located at 1365 CLIFTON RD NE, ATLANTA, GA, 30322. Phone: (404) 778-5871.
What is MANILA GADDH, M.D.'s NPI number?
MANILA GADDH, M.D.'s National Provider Identifier (NPI) is 1598902140, issued on 01/18/2009.
Does MANILA GADDH, M.D. prescribe more brand-name or generic drugs?
MANILA GADDH, M.D.'s prescribing is 94% brand-name and 6% generic drugs by claim count, with $354K in brand drug costs.
How many Hematology (Internal Medicine) Physician providers are there in the US?
There are 1,436 Hematology (Internal Medicine) Physician providers across 50 states in the US. The average Hematology (Internal Medicine) Physician provider writes 693 Medicare Part D claims per year.
What drugs does MANILA GADDH, M.D. prescribe most often?
Based on 2023 Medicare Part D data, MANILA GADDH, M.D.'s most frequently prescribed drugs include Eliquis, Xarelto. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MANILA GADDH, M.D. accept Medicare?
MANILA GADDH, M.D. appears in CMS Medicare data with 365 Part D claims and 88 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MANILA GADDH, M.D.'s credentials?
MANILA GADDH, M.D.'s NPI is 1598902140 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

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