2026 NPPES data Geriatric Psychiatry Physician NPI 1649276437 MD
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PRABHAKAR PISIPATI, MD

Geriatric Psychiatry 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
17
Medicare Part D claims · Geriatric Psychiatry Physician avg: 2K
MIPS score
82.5534/100
▼ 1 pts below national avg 83.1 · [object Object]
Industry payments
$81.81
3 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

PRABHAKAR PISIPATI, MD reported a CMS MIPS final score of 82.5534/100 — below the 83.1 national average — and filed 17 Medicare Part D claims in 2023.

82.5534/100
MIPS score · -1 vs avg
17
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.

PRABHAKAR PISIPATI, MD'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)

PRABHAKAR PISIPATI, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — 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 PRABHAKAR PISIPATI, MD?

Near national average

NPI registry status

Active

Issued 06/26/2005

NPI 1649276437

Primary specialty

Geriatric Psychiatry Physician

Niche

785 US NPIs in this specialty

Medicare Part D claims

17 99% vs specialty avg

2023 prescription claims

Specialty avg: 1,586

MIPS final score

82.5534/100 0.546599999999998% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Georgia

How Geriatric Psychiatry Physician compares to other specialties among Georgia providers

Georgia providers

Geriatric Psychiatry Physician share within Georgia

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

Medicare quality performance — MIPS

PRABHAKAR PISIPATI, MD's 2023 MIPS final score plotted against the Geriatric Psychiatry Physician national average

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

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

0%100%National avg83%82.6%
MIPS final score (Geriatric Psychiatry 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).

PRABHAKAR PISIPATI, MD appears in the CMS NPPES registry as a Geriatric Psychiatry Physician provider holding MD credentials at 1075 JESSE JEWELL PKWY NE STE A, GAINESVILLE, GA, 30501, with a listed phone of (770) 219-5407. NPI 1649276437 was issued on 06/26/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PISIPATI 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 17 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $197 in drug spend. 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.

Geriatric Psychiatry Physician is a narrow specialty nationwide, with 785 enrolled providers across 46 states and an average of 1,586 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

1075 JESSE JEWELL PKWY NE STE A
GAINESVILLE, GA 30501

Provider Details

NPI 1649276437
Specialty Geriatric Psychiatry Physician
Credentials MD
Gender Male
NPI Issued 06/26/2005

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

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 PRABHAKAR PISIPATI, MD. Source: openpaymentsdata.cms.gov.

Total received

$82

Largest payer

Janssen Pharmaceuticals, 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.

17
Total Claims
$197
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
21
Total Day Supply
555
Brand Drug Cost
$0
Generic Drug Cost
$197

Patient Demographics

Average Patient Age
62.4 years
Avg HCC Risk Score
1.10

Geriatric Psychiatry Physician Overview

How PRABHAKAR PISIPATI, MD fits within the Geriatric Psychiatry Physician landscape nationally.

785
Geriatric Psychiatry Physician Providers in US
46
States with Geriatric Psychiatry Physician
1,586
Avg Claims per Provider

PRABHAKAR PISIPATI, MD's 17 claims are below the specialty average of 1,586.

Nearby Geriatric Psychiatry Physician Providers in Georgia

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

Compare Geriatric Psychiatry Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is PRABHAKAR PISIPATI, MD's specialty?
PRABHAKAR PISIPATI, MD specializes in Geriatric Psychiatry Physician and practices in GAINESVILLE, Georgia. Credentials: MD.
How much does PRABHAKAR PISIPATI, MD prescribe under Medicare Part D?
In 2023, PRABHAKAR PISIPATI, MD wrote 17 Medicare Part D claims totaling $197 in drug costs for N/A beneficiaries.
What is PRABHAKAR PISIPATI, MD's Medicare quality score?
PRABHAKAR PISIPATI, MD 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 PRABHAKAR PISIPATI, MD located?
PRABHAKAR PISIPATI, MD is located at 1075 JESSE JEWELL PKWY NE STE A, GAINESVILLE, GA, 30501. Phone: (770) 219-5407.
What is PRABHAKAR PISIPATI, MD's NPI number?
PRABHAKAR PISIPATI, MD's National Provider Identifier (NPI) is 1649276437, issued on 06/26/2005.
How many Geriatric Psychiatry Physician providers are there in the US?
There are 785 Geriatric Psychiatry Physician providers across 46 states in the US. The average Geriatric Psychiatry Physician provider writes 1,586 Medicare Part D claims per year.
Does PRABHAKAR PISIPATI, MD accept Medicare?
PRABHAKAR PISIPATI, MD appears in CMS Medicare data with 17 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PRABHAKAR PISIPATI, MD's credentials?
PRABHAKAR PISIPATI, MD's NPI is 1649276437 with credentials MD. 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