2026 NPPES data Hematology & Oncology Physician NPI 1255751277 M.D.
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MAYUR MODY, M.D.

Hematology & Oncology Physician in CALHOUN, 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
2K
Medicare Part D claims · 292 beneficiaries · Hematology & Oncology Physician avg: 847
MIPS score
83.0866/100
▼ 0 pts below national avg 83.1 · [object Object]
Industry payments
$2.0K
40 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: MAYUR MODY, M.D. is a Hematology & Oncology Physician ([object Object]) practicing in CALHOUN, Georgia with a Medicare Part D prescribing footprint of 2K claims across 292 beneficiaries . Their CMS MIPS Final Score of 83.0866/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $2.0K across 40 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: MAYUR MODY, M.D. reported a CMS MIPS final score of 83.0866 out of 100, below the 83.1 national average, and filed 1,741 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)

MAYUR MODY, 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).

MAYUR MODY, M.D. at a glance

Near national average

NPI registry status

Active

Issued 04/17/2014

NPI 1255751277

Primary specialty

Hematology & Oncology Physician

Mid-sized

11,215 US NPIs in this specialty

Medicare Part D claims

1,741 106% vs specialty avg

2023 prescription claims

Specialty avg: 847

MIPS final score

83.0866/100 0.013399999999990087% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Georgia

How Hematology & Oncology Physician compares to other specialties among Georgia providers

Georgia providers

Hematology & Oncology Physician share within Georgia

1. Hematology & Oncology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Hematology & Oncology Physician share within Georgia

Medicare quality performance — MIPS

MAYUR MODY, M.D.'s 2023 MIPS final score plotted against the Hematology & Oncology Physician national average

Near national average
MIPS Final Score
83.0866/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Hematology & Oncology Physician) — 83.0866/100 vs national avg 83.1

0%100%National avg83%83.1%
MIPS final score (Hematology & Oncology Physician) — 83.0866/100 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).

MAYUR MODY, M.D. is a Hematology & Oncology Physician provider practicing in CALHOUN, Georgia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1255751277. 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.

MAYUR MODY, M.D. appears in the CMS NPPES registry as a Hematology & Oncology Physician provider holding M.D. credentials at 1035 RED BUD RD NE STE 101, CALHOUN, GA, 30701, with a listed phone of (706) 625-4285. NPI 1255751277 was issued on 04/17/2014. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MODY 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 1,741 prescription claims written by this provider, covering 292 Medicare beneficiaries and totaling roughly $3.8 million in drug spend, with an opioid prescribing rate of 17.7%. 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 83.0866/100 for the 2023 performance year (Quality 68.9068, Cost 69.5763), compared with the national average of 83.1.

Hematology & Oncology Physician is a mid-sized specialty nationwide, with 11,215 enrolled providers across 54 states and an average of 847 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

1035 RED BUD RD NE STE 101
CALHOUN, GA 30701

Provider Details

NPI 1255751277
Specialty Hematology & Oncology Physician
Credentials M.D.
Gender Male
NPI Issued 04/17/2014

CMS Quality Score (MIPS)

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

83.0866
Final Score
Avg: 83.1
68.9068
Quality
69.5763
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where MAYUR MODY, 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.

ADVENTIST HEALTH SYSTEM GEORGIA INC
CALHOUN, 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).

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 MAYUR MODY, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$2.0K

Largest payer

BeiGene USA, Inc.

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.

1,741
Total Claims
$3.8M
Total Drug Cost
292
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,258
Total Day Supply
60,195
Generic Drug Cost
$392K
Opioid Claims
309 (17.7% rate)
Antibiotic Claims
59

Patient Demographics

Average Patient Age
71.2 years
Avg HCC Risk Score
2.21
Gender Split
65% female / 35% male
Age Distribution
<65: 46, 65-74: 141, 75-84: 91, 85+: 14

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Anastrozole
218
Eliquis
Apixaban
73
Oxycodone Hcl
72
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
69
Ondansetron Hcl
63
Morphine Sulfate Er
Morphine Sulfate
62
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
57
Letrozole
50
Gabapentin
40
Alendronate Sodium
39

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

Hematology & Oncology Physician Overview

How MAYUR MODY, M.D. fits within the Hematology & Oncology Physician landscape nationally.

11,215
Hematology & Oncology Physician Providers in US
54
States with Hematology & Oncology Physician
847
Avg Claims per Provider

MAYUR MODY, M.D.'s 1,741 claims are above the specialty average of 847.

Nearby Hematology & Oncology Physician Providers in Georgia

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

Compare Hematology & Oncology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MAYUR MODY, M.D.'s specialty?
MAYUR MODY, M.D. specializes in Hematology & Oncology Physician and practices in CALHOUN, Georgia. Credentials: M.D..
How much does MAYUR MODY, M.D. prescribe under Medicare Part D?
In 2023, MAYUR MODY, M.D. wrote 1,741 Medicare Part D claims totaling $3.8M in drug costs for 292 beneficiaries.
What is MAYUR MODY, M.D.'s Medicare quality score?
MAYUR MODY, M.D. has a CMS MIPS Final Score of 83.0866/100 (Quality: 68.9068, Cost: 69.5763). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MAYUR MODY, M.D. located?
MAYUR MODY, M.D. is located at 1035 RED BUD RD NE STE 101, CALHOUN, GA, 30701. Phone: (706) 625-4285.
What is MAYUR MODY, M.D.'s NPI number?
MAYUR MODY, M.D.'s National Provider Identifier (NPI) is 1255751277, issued on 04/17/2014.
Does MAYUR MODY, M.D. prescribe opioids?
Yes, MAYUR MODY, M.D. had 309 opioid claims in 2023 with an opioid prescribing rate of 17.7%.
How many Hematology & Oncology Physician providers are there in the US?
There are 11,215 Hematology & Oncology Physician providers across 54 states in the US. The average Hematology & Oncology Physician provider writes 847 Medicare Part D claims per year.
What drugs does MAYUR MODY, M.D. prescribe most often?
Based on 2023 Medicare Part D data, MAYUR MODY, M.D.'s most frequently prescribed drugs include Anastrozole, Eliquis, Oxycodone Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MAYUR MODY, M.D. accept Medicare?
MAYUR MODY, M.D. appears in CMS Medicare data with 1,741 Part D claims and 292 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MAYUR MODY, M.D.'s credentials?
MAYUR MODY, M.D.'s NPI is 1255751277 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