2026 NPPES data Neurology Physician NPI 1407111313 M.D.
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PAVAN TUMMALA, M.D.

Neurology Physician in GAINESVILLE, 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
7K
Medicare Part D claims · 813 beneficiaries · Neurology Physician avg: 1K
Generic prescribing
93%
generic claims · 7% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
82.5534/100
▼ 1 pts below national avg 83.1 · [object Object]
Industry payments
$2.0K
84 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

PAVAN TUMMALA, M.D. reported a CMS MIPS final score of 82.5534/100 — below the 83.1 national average — and filed 6,826 Medicare Part D claims in 2023.

82.5534/100
MIPS score · -1 vs avg
7K
Part D claims, 2023
93%
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.

PAVAN TUMMALA, 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

83 39th percentile higher than 39% 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%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. 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)

PAVAN TUMMALA, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 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 PAVAN TUMMALA, M.D.?

Near national average

NPI registry status

Active

Issued 07/06/2012

NPI 1407111313

Primary specialty

Neurology Physician

Mid-sized

19,866 US NPIs in this specialty

Medicare Part D claims

6,826 421% vs specialty avg

2023 prescription claims

Specialty avg: 1,309

MIPS final score

82.5534/100 0.546599999999998% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Georgia

How Neurology Physician compares to other specialties among Georgia providers

Georgia providers

Neurology Physician share within Georgia

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

Medicare quality performance — MIPS

PAVAN TUMMALA, M.D.'s 2023 MIPS final score plotted against the Neurology Physician national average

Near national average
MIPS Final Score
82.5534/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Neurology Physician) — 82.5534/100 vs national avg 83.1

0%100%National avg83%82.6%
MIPS final score (Neurology Physician) — 82.5534/100 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).

PAVAN TUMMALA, M.D. appears in the CMS NPPES registry as a Neurology Physician provider holding M.D. credentials at 1315 JESSE JEWELL PKWY NE STE 300, GAINESVILLE, GA, 30501, with a listed phone of (770) 219-6520. NPI 1407111313 was issued on 07/06/2012. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what TUMMALA 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 6,826 prescription claims written by this provider, covering 813 Medicare beneficiaries and totaling roughly $1.2 million in drug spend, split 7% brand-name and 93% generic by claim count, with an opioid prescribing rate of 0.2%. 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 82.5534/100 for the 2023 performance year (Quality 81.1413, Cost 60.7032), compared with the national average of 83.1.

Neurology Physician is a mid-sized specialty nationwide, with 19,866 enrolled providers across 54 states and an average of 1,309 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

1315 JESSE JEWELL PKWY NE STE 300
GAINESVILLE, GA 30501

Provider Details

NPI 1407111313
Specialty Neurology Physician
Credentials M.D.
Gender Male
NPI Issued 07/06/2012

CMS Quality Score (MIPS)

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

82.5534
Final Score
Avg: 83.1
81.1413
Quality
60.7032
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where PAVAN TUMMALA, 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.

NORTHEAST GEORGIA PHYSICIANS GROUP INC
GAINESVILLE, GA
SCL HEALTH MONTANA
BILLINGS, MT

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 PAVAN TUMMALA, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$2.0K

Largest payer

LivaNova 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.

Brand vs generic prescribing mix · Generic-heavy

PAVAN TUMMALA, M.D. — brand share 7.0%
Specialty average (est.)

7% brand-name claims vs 93% generic, on 6,826 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.

6,826
Total Claims
$1.2M
Total Drug Cost
813
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
10,679
Total Day Supply
308,626
Brand vs Generic
7% brand / 93% generic
Brand Drug Cost
$840K
Generic Drug Cost
$341K
Opioid Claims
11 (0.2% rate)

Patient Demographics

Average Patient Age
66.7 years
Avg HCC Risk Score
1.49
Gender Split
57% female / 43% male
Age Distribution
<65: 280, 65-74: 266, 75-84: 208, 85+: 59

Top Prescribed Drugs (Medicare Part D)

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

What PAVAN TUMMALA, 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
Levetiracetam
587
Gabapentin
539
Lamotrigine
533
Topiramate
381
Memantine Hcl
357
Donepezil Hcl
279
Primidone
229
Carbidopa-Levodopa
Carbidopa/Levodopa
190
Lacosamide
184
Divalproex Sodium
171

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

Neurology Physician Overview

How PAVAN TUMMALA, M.D. fits within the Neurology Physician landscape nationally.

19,866
Neurology Physician Providers in US
54
States with Neurology Physician
1,309
Avg Claims per Provider

PAVAN TUMMALA, M.D.'s 6,826 claims are above the specialty average of 1,309.

Nearby Neurology Physician Providers in Georgia

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

Compare Neurology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is PAVAN TUMMALA, M.D.'s specialty?
PAVAN TUMMALA, M.D. specializes in Neurology Physician and practices in GAINESVILLE, Georgia. Credentials: M.D..
How much does PAVAN TUMMALA, M.D. prescribe under Medicare Part D?
In 2023, PAVAN TUMMALA, M.D. wrote 6,826 Medicare Part D claims totaling $1.2M in drug costs for 813 beneficiaries.
What is PAVAN TUMMALA, M.D.'s Medicare quality score?
PAVAN TUMMALA, M.D. has a CMS MIPS Final Score of 82.5534/100 (Quality: 81.1413, Cost: 60.7032). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is PAVAN TUMMALA, M.D. located?
PAVAN TUMMALA, M.D. is located at 1315 JESSE JEWELL PKWY NE STE 300, GAINESVILLE, GA, 30501. Phone: (770) 219-6520.
What is PAVAN TUMMALA, M.D.'s NPI number?
PAVAN TUMMALA, M.D.'s National Provider Identifier (NPI) is 1407111313, issued on 07/06/2012.
Does PAVAN TUMMALA, M.D. prescribe more brand-name or generic drugs?
PAVAN TUMMALA, M.D.'s prescribing is 7% brand-name and 93% generic drugs by claim count, with $840K in brand drug costs.
Does PAVAN TUMMALA, M.D. prescribe opioids?
Yes, PAVAN TUMMALA, M.D. had 11 opioid claims in 2023 with an opioid prescribing rate of 0.2%.
How many Neurology Physician providers are there in the US?
There are 19,866 Neurology Physician providers across 54 states in the US. The average Neurology Physician provider writes 1,309 Medicare Part D claims per year.
What drugs does PAVAN TUMMALA, M.D. prescribe most often?
Based on 2023 Medicare Part D data, PAVAN TUMMALA, M.D.'s most frequently prescribed drugs include Levetiracetam, Gabapentin, Lamotrigine. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PAVAN TUMMALA, M.D. accept Medicare?
PAVAN TUMMALA, M.D. appears in CMS Medicare data with 6,826 Part D claims and 813 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PAVAN TUMMALA, M.D.'s credentials?
PAVAN TUMMALA, M.D.'s NPI is 1407111313 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