2026 NPPES data Pulmonary Disease Physician NPI 1952643157 M.D.
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RAHIM WOOLEY, M.D.

Pulmonary Disease Physician in FAYETTEVILLE, 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
2K
Medicare Part D claims · 284 beneficiaries · Pulmonary Disease Physician avg: 1K
Generic prescribing
35%
generic claims · 65% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
98.5/100
▲ 15 pts above national avg 83.1 · [object Object]
Industry payments
$779.61
39 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

RAHIM WOOLEY, M.D. reported a CMS MIPS final score of 98.5/100 — above the 83.1 national average — and filed 1,504 Medicare Part D claims in 2023.

98.5/100
MIPS score · +15 vs avg
2K
Part D claims, 2023
35%
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.

RAHIM WOOLEY, 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

99 Top 11% higher than 89% 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)

RAHIM WOOLEY, 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 RAHIM WOOLEY, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 03/26/2013

NPI 1952643157

Primary specialty

Pulmonary Disease Physician

Mid-sized

9,271 US NPIs in this specialty

Medicare Part D claims

1,504 3% vs specialty avg

2023 prescription claims

Specialty avg: 1,457

MIPS final score

98.5/100 15.400000000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Georgia

How Pulmonary Disease Physician compares to other specialties among Georgia providers

Georgia providers

Pulmonary Disease Physician share within Georgia

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

Medicare quality performance — MIPS

RAHIM WOOLEY, M.D.'s 2023 MIPS final score plotted against the Pulmonary Disease Physician national average

High performer (top quartile)
MIPS Final Score
98.5/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pulmonary Disease Physician) — 98.5/100 vs national avg 83.1

0%100%National avg83%98.5%
MIPS final score (Pulmonary Disease Physician) — 98.5/100 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).

RAHIM WOOLEY, M.D. appears in the CMS NPPES registry as a Pulmonary Disease Physician provider holding M.D. credentials at 1265 HIGHWAY 54 W STE 500A, FAYETTEVILLE, GA, 30214, with a listed phone of (770) 716-0051. NPI 1952643157 was issued on 03/26/2013. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what WOOLEY 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 1,504 prescription claims written by this provider, covering 284 Medicare beneficiaries and totaling roughly $599K in drug spend, split 65% brand-name and 35% generic by claim count. 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 98.5/100 for the 2023 performance year, compared with the national average of 83.1.

Pulmonary Disease Physician is a mid-sized specialty nationwide, with 9,271 enrolled providers across 53 states and an average of 1,457 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

1265 HIGHWAY 54 W STE 500A
FAYETTEVILLE, GA 30214

Provider Details

NPI 1952643157
Specialty Pulmonary Disease Physician
Credentials M.D.
Gender Male
NPI Issued 03/26/2013

CMS Quality Score (MIPS)

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

98.5
Final Score
Avg: 83.1
98
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where RAHIM WOOLEY, 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.

PIEDMONT PROVIDERS LLC
FAYETTEVILLE, GA
PIEDMONT SPECIALTY HOSPITAL BILLING LLC
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).

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 RAHIM WOOLEY, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$780

Largest payer

GlaxoSmithKline, LLC.

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 · Brand-heavy

RAHIM WOOLEY, M.D. — brand share 65.0%
Specialty average (est.)

65% brand-name claims vs 35% generic, on 1,504 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.

1,504
Total Claims
$599K
Total Drug Cost
284
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,957
Total Day Supply
53,932
Brand vs Generic
65% brand / 35% generic
Brand Drug Cost
$580K
Antibiotic Claims
49

Patient Demographics

Average Patient Age
73.3 years
Avg HCC Risk Score
1.92
Gender Split
66% female / 34% male
Age Distribution
<65: 25, 65-74: 125, 75-84: 110, 85+: 24

Top Prescribed Drugs (Medicare Part D)

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

What RAHIM WOOLEY, 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
Trelegy Ellipta
Fluticasone/Umeclidin/Vilanter
378
Albuterol Sulfate Hfa
Albuterol Sulfate
273
Prednisone
99
Symbicort
Budesonide/Formoterol Fumarate
85
Omeprazole
42
Stiolto Respimat
Tiotropium Br/Olodaterol Hcl
42
Fluticasone Propionate
40
Breztri Aerosphere
Budesonide/Glycopyr/Formoterol
38
Ipratropium Bromide
38
Montelukast Sodium
37

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

Pulmonary Disease Physician Overview

How RAHIM WOOLEY, M.D. fits within the Pulmonary Disease Physician landscape nationally.

9,271
Pulmonary Disease Physician Providers in US
53
States with Pulmonary Disease Physician
1,457
Avg Claims per Provider

RAHIM WOOLEY, M.D.'s 1,504 claims are above the specialty average of 1,457.

Nearby Pulmonary Disease Physician Providers in Georgia

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

Compare Pulmonary Disease Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is RAHIM WOOLEY, M.D.'s specialty?
RAHIM WOOLEY, M.D. specializes in Pulmonary Disease Physician and practices in FAYETTEVILLE, Georgia. Credentials: M.D..
How much does RAHIM WOOLEY, M.D. prescribe under Medicare Part D?
In 2023, RAHIM WOOLEY, M.D. wrote 1,504 Medicare Part D claims totaling $599K in drug costs for 284 beneficiaries.
What is RAHIM WOOLEY, M.D.'s Medicare quality score?
RAHIM WOOLEY, M.D. has a CMS MIPS Final Score of 98.5/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is RAHIM WOOLEY, M.D. located?
RAHIM WOOLEY, M.D. is located at 1265 HIGHWAY 54 W STE 500A, FAYETTEVILLE, GA, 30214. Phone: (770) 716-0051.
What is RAHIM WOOLEY, M.D.'s NPI number?
RAHIM WOOLEY, M.D.'s National Provider Identifier (NPI) is 1952643157, issued on 03/26/2013.
Does RAHIM WOOLEY, M.D. prescribe more brand-name or generic drugs?
RAHIM WOOLEY, M.D.'s prescribing is 65% brand-name and 35% generic drugs by claim count, with $580K in brand drug costs.
How many Pulmonary Disease Physician providers are there in the US?
There are 9,271 Pulmonary Disease Physician providers across 53 states in the US. The average Pulmonary Disease Physician provider writes 1,457 Medicare Part D claims per year.
What drugs does RAHIM WOOLEY, M.D. prescribe most often?
Based on 2023 Medicare Part D data, RAHIM WOOLEY, M.D.'s most frequently prescribed drugs include Trelegy Ellipta, Albuterol Sulfate Hfa, Prednisone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does RAHIM WOOLEY, M.D. accept Medicare?
RAHIM WOOLEY, M.D. appears in CMS Medicare data with 1,504 Part D claims and 284 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RAHIM WOOLEY, M.D.'s credentials?
RAHIM WOOLEY, M.D.'s NPI is 1952643157 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