2026 NPPES data Family Medicine Physician NPI 1942653795 M.D.
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MIRZA MAHMOOD, M.D.

Family Medicine Physician in WEST PLAINS, Missouri. 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
4K
Medicare Part D claims · 420 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
85%
generic claims · 15% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
100/100
▲ 17 pts above national avg 83.1 · [object Object]

What the federal data shows

MIRZA MAHMOOD, M.D. reported a CMS MIPS final score of 100/100 — above the 83.1 national average — and filed 4,318 Medicare Part D claims in 2023.

100/100
MIPS score · +17 vs avg
4K
Part D claims, 2023
85%
generic prescribing
Likely
board-certified (heuristic)

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.

MIRZA MAHMOOD, M.D.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

100 Top 7% higher than 93% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored 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.

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

Board certification likely (heuristic — not verified)

MIRZA MAHMOOD, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 3 hospital affiliations — 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 MIRZA MAHMOOD, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 07/18/2016

NPI 1942653795

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

4,318 26% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

MIPS final score

100/100 16.900000000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Missouri

How Family Medicine Physician compares to other specialties among Missouri providers

Missouri providers

Family Medicine Physician share within Missouri

1. Family Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Family Medicine Physician share within Missouri

Medicare quality performance — MIPS

MIRZA MAHMOOD, M.D.'s 2023 MIPS final score plotted against the Family Medicine Physician national average

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

MIPS final score (Family Medicine Physician) — 100/100 vs national avg 83.1

0%100%National avg83%99%
MIPS final score (Family Medicine Physician) — 100/100 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).

MIRZA MAHMOOD, M.D. appears in the CMS NPPES registry as a Family Medicine Physician provider holding M.D. credentials at 1100 N KENTUCKY AVE, WEST PLAINS, MO, 65775, with a listed phone of (417) 257-5800. NPI 1942653795 was issued on 07/18/2016. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MAHMOOD 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 4,318 prescription claims written by this provider, covering 420 Medicare beneficiaries and totaling roughly $396K in drug spend, split 15% brand-name and 85% generic by claim count, with an opioid prescribing rate of 5.4%. 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 100/100 for the 2023 performance year, compared with the national average of 83.1.

Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 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

1100 N KENTUCKY AVE
WEST PLAINS, MO 65775

Provider Details

NPI 1942653795
Specialty Family Medicine Physician
Credentials M.D.
Gender Male
NPI Issued 07/18/2016

CMS Quality Score (MIPS)

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

100
Final Score
Avg: 83.1
98
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where MIRZA MAHMOOD, 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.

CITIZENS MEMORIAL HEALTHCARE
BOLIVAR, MO
IES HSP MISSOURI LLC
WEST PLAINS, MO
OZARKS MEDICAL CENTER
WEST PLAINS, MO

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 · Typical

MIRZA MAHMOOD, M.D. — brand share 15.0%
Specialty average (est.)

15% brand-name claims vs 85% generic, on 4,318 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.

4,318
Total Claims
$396K
Total Drug Cost
420
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
6,313
Total Day Supply
175,254
Brand vs Generic
15% brand / 85% generic
Brand Drug Cost
$315K
Generic Drug Cost
$80K
Opioid Claims
232 (5.4% rate)
Antibiotic Claims
255

Patient Demographics

Average Patient Age
69.9 years
Avg HCC Risk Score
2.03
Gender Split
53% female / 47% male
Age Distribution
<65: 105, 65-74: 185, 75-84: 94, 85+: 36

Top Prescribed Drugs (Medicare Part D)

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

What MIRZA MAHMOOD, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Pantoprazole Sodium
183
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
143
Atorvastatin Calcium
136
Levothyroxine Sodium
136
Lisinopril
124
Furosemide
120
Potassium Chloride
107
Gabapentin
100
Albuterol Sulfate Hfa
Albuterol Sulfate
96
Prednisone
89

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

Family Medicine Physician Overview

How MIRZA MAHMOOD, M.D. fits within the Family Medicine Physician landscape nationally.

147,640
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

MIRZA MAHMOOD, M.D.'s 4,318 claims are above the specialty average of 3,418.

Nearby Family Medicine Physician Providers in Missouri

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

Compare Family Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MIRZA MAHMOOD, M.D.'s specialty?
MIRZA MAHMOOD, M.D. specializes in Family Medicine Physician and practices in WEST PLAINS, Missouri. Credentials: M.D..
How much does MIRZA MAHMOOD, M.D. prescribe under Medicare Part D?
In 2023, MIRZA MAHMOOD, M.D. wrote 4,318 Medicare Part D claims totaling $396K in drug costs for 420 beneficiaries.
What is MIRZA MAHMOOD, M.D.'s Medicare quality score?
MIRZA MAHMOOD, M.D. has a CMS MIPS Final Score of 100/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MIRZA MAHMOOD, M.D. located?
MIRZA MAHMOOD, M.D. is located at 1100 N KENTUCKY AVE, WEST PLAINS, MO, 65775. Phone: (417) 257-5800.
What is MIRZA MAHMOOD, M.D.'s NPI number?
MIRZA MAHMOOD, M.D.'s National Provider Identifier (NPI) is 1942653795, issued on 07/18/2016.
Does MIRZA MAHMOOD, M.D. prescribe more brand-name or generic drugs?
MIRZA MAHMOOD, M.D.'s prescribing is 15% brand-name and 85% generic drugs by claim count, with $315K in brand drug costs.
Does MIRZA MAHMOOD, M.D. prescribe opioids?
Yes, MIRZA MAHMOOD, M.D. had 232 opioid claims in 2023 with an opioid prescribing rate of 5.4%.
How many Family Medicine Physician providers are there in the US?
There are 147,640 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does MIRZA MAHMOOD, M.D. prescribe most often?
Based on 2023 Medicare Part D data, MIRZA MAHMOOD, M.D.'s most frequently prescribed drugs include Pantoprazole Sodium, Hydrocodone-Acetaminophen, Atorvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MIRZA MAHMOOD, M.D. accept Medicare?
MIRZA MAHMOOD, M.D. appears in CMS Medicare data with 4,318 Part D claims and 420 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MIRZA MAHMOOD, M.D.'s credentials?
MIRZA MAHMOOD, M.D.'s NPI is 1942653795 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