2026 NPPES data Hematology (Pathology) Physician NPI 1639396690 M.D.
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Mayur Movalia, M.D.

Hematology (Pathology) Physician in Bangor, Maine.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 747 in Hematology (Pathology) Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
MIPS score
93.7/100
▲ 10 pts above national avg 83.5 · Exceptional

What the federal data shows

Mayur Movalia, M.D. reported a CMS MIPS final score of 93.7/100 - above the 83.5 national average.

93.7/100
MIPS score · +10 vs avg
Likely
board-certified (heuristic)
≥69th
pct among measured MIPS (lower-bound band)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.

Federal trust snapshot

What official records show about Mayur Movalia, M.D.

Federal records show an active NPI with a CMS quality score on file — objective federal reporting, not patient reviews.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1639396690), first enumerated 04/19/2007.

    Source: CMS NPPES

  • Not in federal data

    Medicare Part D participation

    No 2023 Medicare Part D prescribing volume appears in the CMS public file for this NPI (may reflect specialty, new enrollment, or non-prescribing role).

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    Reported a CMS MIPS final score of 93.7/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Reported

    Board certification signal

    Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.

    Source: NUCC taxonomy + CMS participation heuristic

  • Reported

    Hospital affiliations

    1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.

    Source: CMS Care Compare

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

CMS NPPES provider registry desk

NPI 1639396690 · Hematology (Pathology) Physician

NPI-10 · ENUM-MID · TAX-NARROW · MIPS-ELITE · BOOK-THIN · PHOTO-FINISH

  • NPI-10 1639396690
  • ENUM-MID 2007
  • TAX-NARROW 747
  • MIPS-ELITE 93.7/100
  • BOOK-THIN 2 in Maine
  • PHOTO-FINISH Nicholas Milligan · ±0.2

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Mayur Movalia, M.D.'s MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

94 ≥ 69th percentile 69% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). Below this entry. 80–90: 129,887 measured providers (29%). Below this entry. 90+: 189,403 measured providers (42%). This entry sits in this band. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic, not verified)

Mayur Movalia, 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).

What does the federal data show about Mayur Movalia, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 04/19/2007

NPI 1639396690

Primary specialty

Hematology (Pathology) Physician

Niche

747 US NPIs in this specialty

MIPS final score

93.7/100 10.2 pts vs avg

Exceptional band

vs 83.5 national avg

Specialty distribution in Maine

How Hematology (Pathology) Physician compares to other specialties among Maine providers

Maine providers
Clinical Social Worker10.2%Physical Therapist5%Pharmacist4.1%Occupational Therapist3.8%Family Medicine Physician3.5%Speech-Language Pathologist3.5%Hematology (Pathology) Physi…0%
Largest specialties in Maine (% of in-state providers)

Medicare quality performance, MIPS

Mayur Movalia, M.D.'s 2023 MIPS final score plotted against the Hematology (Pathology) Physician national average

High performer (top quartile)
MIPS Final Score
93.7/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%93.7%
MIPS final score (Hematology (Pathology) Physician) - 93.7/100 vs national avg 83.5
How MIPS and board certification work

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).

Practice Address

417 STATE ST
Bangor, ME 04401

Provider Details

NPI 1639396690
Specialty Hematology (Pathology) Physician
Credentials M.D.
Gender Male
NPI Issued 04/19/2007

CMS Quality Score (MIPS)

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

93.6782
Final Score
Measured-score avg: 83.5
81.0018
Quality

Reporting: Group practice

Hospital and facility affiliations

Facilities where Mayur Movalia, 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.

Dahl Chase Pathology Associates PA
Bangor, ME

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Hematology (Pathology) Physician Overview

How Mayur Movalia, M.D. fits within the Hematology (Pathology) Physician landscape nationally.

747
Hematology (Pathology) Physician Providers in US
46
States with Hematology (Pathology) Physician
617
Avg Claims per Provider

Nationwide Hematology (Pathology) Physician peers with similar MIPS or enrollment year

Two federal-record peer sets for Movalia, both outside Maine so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (93.7 here).

Same NPPES enumeration year (2007)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Nearby Hematology (Pathology) Physician Providers in Maine

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

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

Frequently Asked Questions

What is Mayur Movalia, M.D.'s specialty?
Mayur Movalia, M.D. specializes in Hematology (Pathology) Physician and practices in Bangor, Maine. Credentials: M.D..
What is Mayur Movalia, M.D.'s Medicare quality score?
Mayur Movalia, M.D. has a CMS MIPS Final Score of 93.7/100 (Quality: 81). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Mayur Movalia, M.D. located?
Mayur Movalia, M.D. is located at 417 STATE ST, Bangor, ME, 04401. Phone: (207) 941-8200.
What is Mayur Movalia, M.D.'s NPI number?
Mayur Movalia, M.D.'s National Provider Identifier (NPI) is 1639396690, issued on 04/19/2007.
How many Hematology (Pathology) Physician providers are there in the US?
There are 747 Hematology (Pathology) Physician providers across 46 states in the US. The average Hematology (Pathology) Physician provider writes 617 Medicare Part D claims per year.
Does Mayur Movalia, M.D. accept Medicare?
Mayur Movalia, M.D. appears in CMS Medicare data. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Mayur Movalia, M.D.'s credentials?
Mayur Movalia, M.D.'s NPI is 1639396690 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

View source datasets and methodology notes
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.
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

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.