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.
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.
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)Primary specialty
Medicare Part D claims
MIPS final score
Specialty distribution in Georgia
How Hematology (Internal Medicine) Physician compares to other specialties among Georgia providers
Hematology (Internal Medicine) Physician share within Georgia
Hematology (Internal Medicine) Physician is one of the more visible NUCC categories in Georgia
Each bar reflects the share of in-state providers whose primary NUCC taxonomy matches the specialty. Long tail of ~690 NUCC codes folded into "Other" to keep the comparison legible.
Medicare quality performance — MIPS
MANILA GADDH, M.D.'s 2023 MIPS final score plotted against the Hematology (Internal Medicine) Physician national average
- 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
Quality benchmarks
- National MIPS avg 2023 reporting year
- Quality dim CMS Quality category
- Specialty volume Hematology (Internal Medicine) Physician US NPIs
92.2614/100 MIPS final score — 9.2 pts above the 83.1 national average
Quality, Cost, Promoting Interoperability, and Improvement Activities composite score for the 2023 performance year. Specialty: Hematology (Internal Medicine) Physician. Quality dim: 73.8353.
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
Provider Details
| NPI | 1598902140 |
|---|---|
| Specialty | Hematology (Internal Medicine) Physician |
| Credentials | M.D. |
| Gender | Female |
| NPI Issued | 01/18/2009 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm MANILA GADDH, M.D.'s current license status, disciplinary history, and board certifications with the Georgia Composite Medical Board in Georgia before relying on this page for a clinical or care decision.
How we sourced this profile
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
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.
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
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.
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.
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 →
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Frequently Asked Questions
What is MANILA GADDH, M.D.'s specialty? ▼
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What is MANILA GADDH, M.D.'s NPI number? ▼
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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