2026 NPPES data Hospice and Palliative Medicine (Emergency Medicine) Physician NPI 1255483756 DO
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PAUL DESANDRE, DO

Hospice and Palliative Medicine (Emergency Medicine) Physician in DECATUR, 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
112
Medicare Part D claims · 35 beneficiaries · Hospice and Palliative Medicine (Emergency Medicine) Physician avg: 289
MIPS score
94.5685/100
▲ 11 pts above national avg 83.1 · [object Object]

What the federal data shows

PAUL DESANDRE, DO reported a CMS MIPS final score of 94.5685/100 — above the 83.1 national average — and filed 112 Medicare Part D claims in 2023.

94.5685/100
MIPS score · +11 vs avg
112
Part D claims, 2023
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.

PAUL DESANDRE, DO's MIPS score vs every scored U.S. clinician

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

95 Top 25% higher than 75% 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)

PAUL DESANDRE, DO 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 PAUL DESANDRE, DO?

High performer (top quartile)

NPI registry status

Active

Issued 01/17/2007

NPI 1255483756

Primary specialty

Hospice and Palliative Medicine (Emergency Medicine) Physician

Rare

157 US NPIs in this specialty

Medicare Part D claims

112 61% vs specialty avg

2023 prescription claims

Specialty avg: 289

MIPS final score

94.5685/100 11.468500000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Georgia

How Hospice and Palliative Medicine (Emergency Medicine) Physician compares to other specialties among Georgia providers

Georgia providers

Hospice and Palliative Medicine (Emergency Medicine) Physician share within Georgia

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

Medicare quality performance — MIPS

PAUL DESANDRE, DO's 2023 MIPS final score plotted against the Hospice and Palliative Medicine (Emergency Medicine) Physician national average

High performer (top quartile)
MIPS Final Score
94.5685/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Hospice and Palliative Medicine (Emergency Medicine) Physician) — 94.5685/100 vs national avg 83.1

0%100%National avg83%94.6%
MIPS final score (Hospice and Palliative Medicine (Emergency Medicine) Physician) — 94.5685/100 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).

PAUL DESANDRE, DO appears in the CMS NPPES registry as a Hospice and Palliative Medicine (Emergency Medicine) Physician provider holding DO credentials at 1670 CLAIRMONT RD, DECATUR, GA, 30033, with a listed phone of (404) 321-6111. NPI 1255483756 was issued on 01/17/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what DESANDRE 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 112 prescription claims written by this provider, covering 35 Medicare beneficiaries and totaling roughly $7K in drug spend, with an opioid prescribing rate of 56.3%. 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 94.5685/100 for the 2023 performance year (Quality 78.4959, Cost 75.5403), compared with the national average of 83.1.

Hospice and Palliative Medicine (Emergency Medicine) Physician is a narrow specialty nationwide, with 157 enrolled providers across 40 states and an average of 289 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

1670 CLAIRMONT RD
DECATUR, GA 30033

Provider Details

NPI 1255483756
Specialty Hospice and Palliative Medicine (Emergency Medicine) Physician
Credentials DO
Gender Male
NPI Issued 01/17/2007

CMS Quality Score (MIPS)

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

94.5685
Final Score
Avg: 83.1
78.4959
Quality
75.5403
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where PAUL DESANDRE, DO 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.

EMORY MEDICAL CARE FOUNDATION 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).

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

112
Total Claims
$7K
Total Drug Cost
35
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
126
Total Day Supply
2,912
Generic Drug Cost
$2K
Opioid Claims
63 (56.3% rate)

Patient Demographics

Average Patient Age
66.7 years
Avg HCC Risk Score
3.29
Gender Split
54% female / 46% 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
Oxycodone Hcl
40

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

Hospice and Palliative Medicine (Emergency Medicine) Physician Overview

How PAUL DESANDRE, DO fits within the Hospice and Palliative Medicine (Emergency Medicine) Physician landscape nationally.

157
Hospice and Palliative Medicine (Emergency Medicine) Physician Providers in US
40
States with Hospice and Palliative Medicine (Emergency Medicine) Physician
289
Avg Claims per Provider

PAUL DESANDRE, DO's 112 claims are below the specialty average of 289.

Nearby Hospice and Palliative Medicine (Emergency Medicine) Physician Providers in Georgia

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

Compare Hospice and Palliative Medicine (Emergency Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is PAUL DESANDRE, DO's specialty?
PAUL DESANDRE, DO specializes in Hospice and Palliative Medicine (Emergency Medicine) Physician and practices in DECATUR, Georgia. Credentials: DO.
How much does PAUL DESANDRE, DO prescribe under Medicare Part D?
In 2023, PAUL DESANDRE, DO wrote 112 Medicare Part D claims totaling $7K in drug costs for 35 beneficiaries.
What is PAUL DESANDRE, DO's Medicare quality score?
PAUL DESANDRE, DO has a CMS MIPS Final Score of 94.5685/100 (Quality: 78.4959, Cost: 75.5403). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is PAUL DESANDRE, DO located?
PAUL DESANDRE, DO is located at 1670 CLAIRMONT RD, DECATUR, GA, 30033. Phone: (404) 321-6111.
What is PAUL DESANDRE, DO's NPI number?
PAUL DESANDRE, DO's National Provider Identifier (NPI) is 1255483756, issued on 01/17/2007.
Does PAUL DESANDRE, DO prescribe opioids?
Yes, PAUL DESANDRE, DO had 63 opioid claims in 2023 with an opioid prescribing rate of 56.3%.
How many Hospice and Palliative Medicine (Emergency Medicine) Physician providers are there in the US?
There are 157 Hospice and Palliative Medicine (Emergency Medicine) Physician providers across 40 states in the US. The average Hospice and Palliative Medicine (Emergency Medicine) Physician provider writes 289 Medicare Part D claims per year.
What drugs does PAUL DESANDRE, DO prescribe most often?
Based on 2023 Medicare Part D data, PAUL DESANDRE, DO's most frequently prescribed drugs include Oxycodone Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PAUL DESANDRE, DO accept Medicare?
PAUL DESANDRE, DO appears in CMS Medicare data with 112 Part D claims and 35 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PAUL DESANDRE, DO's credentials?
PAUL DESANDRE, DO's NPI is 1255483756 with credentials DO. 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