2026 NPPES data Nurse Practitioner NPI 1871156414
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SEMHAR ABRAHA

Nurse Practitioner in AUGUSTA, 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
655
Medicare Part D claims · 165 beneficiaries · Nurse Practitioner avg: 1K
Generic prescribing
77%
generic claims · 23% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
91.6015/100
▲ 9 pts above national avg 83.1 · [object Object]
What the federal data reveals: SEMHAR ABRAHA is a Nurse Practitioner ([object Object]) practicing in AUGUSTA, Georgia with a Medicare Part D prescribing footprint of 655 claims across 165 beneficiaries — 23% brand-name prescribing . Their CMS MIPS Final Score of 91.6015/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: SEMHAR ABRAHA reported a CMS MIPS final score of 91.6015 out of 100, above the 83.1 national average, and filed 655 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

SEMHAR ABRAHA at a glance

High performer (top quartile)

NPI registry status

Active

Issued 04/18/2019

NPI 1871156414

Primary specialty

Nurse Practitioner

High-volume

87,227 US NPIs in this specialty

Medicare Part D claims

655 40% vs specialty avg

2023 prescription claims

Specialty avg: 1,084

MIPS final score

91.6015/100 8.501500000000007% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Georgia

How Nurse Practitioner compares to other specialties among Georgia providers

Georgia providers

Nurse Practitioner share within Georgia

1. Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Nurse Practitioner share within Georgia

Medicare quality performance — MIPS

SEMHAR ABRAHA's 2023 MIPS final score plotted against the Nurse Practitioner national average

High performer (top quartile)
MIPS Final Score
91.6015/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Nurse Practitioner) — 91.6015/100 vs national avg 83.1

0%100%National avg83%91.6%
MIPS final score (Nurse Practitioner) — 91.6015/100 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).

SEMHAR ABRAHA is a Nurse Practitioner provider practicing in AUGUSTA, Georgia, according to the CMS National Plan and Provider Enumeration System (NPPES). NPI: 1871156414. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

SEMHAR ABRAHA appears in the CMS NPPES registry as a Nurse Practitioner provider at 1348 WALTON WAY STE 6700, AUGUSTA, GA, 30901, with a listed phone of (706) 774-7855. NPI 1871156414 was issued on 04/18/2019. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ABRAHA 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 655 prescription claims written by this provider, covering 165 Medicare beneficiaries and totaling roughly $138K in drug spend, split 23% brand-name and 77% 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 91.6015/100 for the 2023 performance year (Quality 75.429, Cost 73.0025), compared with the national average of 83.1.

Nurse Practitioner is a high-volume specialty nationwide, with 87,227 enrolled providers across 56 states and an average of 1,084 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

1348 WALTON WAY STE 6700
AUGUSTA, GA 30901

Provider Details

NPI 1871156414
Specialty Nurse Practitioner
Gender Female
NPI Issued 04/18/2019

CMS Quality Score (MIPS)

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

91.6015
Final Score
Avg: 83.1
75.429
Quality
73.0025
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where SEMHAR ABRAHA 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.

GRADY MEMORIAL HOSPITAL CORPORATION
ATLANTA, GA
PIEDMONT CARDIOLOGY OF ATLANTA, LLC
ATLANTA, GA
THE EMORY CLINIC 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).

Brand vs generic prescribing mix · Typical

SEMHAR ABRAHA — brand share 23.0%
Specialty average (est.)

23% brand-name claims vs 77% generic, on 655 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.

655
Total Claims
$138K
Total Drug Cost
165
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,218
Total Day Supply
36,199
Brand vs Generic
23% brand / 77% generic
Brand Drug Cost
$124K
Generic Drug Cost
$14K

Patient Demographics

Average Patient Age
69.0 years
Avg HCC Risk Score
2.95
Gender Split
41% female / 59% male
Age Distribution
<65: 43, 65-74: 71, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Spironolactone
59
Farxiga
Dapagliflozin Propanediol
55
Metoprolol Succinate
54
Entresto
Sacubitril/Valsartan
42
Torsemide
36
Atorvastatin Calcium
35
Furosemide
32
Isosorbide Mononitrate Er
Isosorbide Mononitrate
27
Hydralazine Hcl
25
Warfarin Sodium
23

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

Nurse Practitioner Overview

How SEMHAR ABRAHA fits within the Nurse Practitioner landscape nationally.

87,227
Nurse Practitioner Providers in US
56
States with Nurse Practitioner
1,084
Avg Claims per Provider

SEMHAR ABRAHA's 655 claims are below the specialty average of 1,084.

Nearby Nurse Practitioner Providers in Georgia

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

Compare Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is SEMHAR ABRAHA's specialty?
SEMHAR ABRAHA specializes in Nurse Practitioner and practices in AUGUSTA, Georgia.
How much does SEMHAR ABRAHA prescribe under Medicare Part D?
In 2023, SEMHAR ABRAHA wrote 655 Medicare Part D claims totaling $138K in drug costs for 165 beneficiaries.
What is SEMHAR ABRAHA's Medicare quality score?
SEMHAR ABRAHA has a CMS MIPS Final Score of 91.6015/100 (Quality: 75.429, Cost: 73.0025). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SEMHAR ABRAHA located?
SEMHAR ABRAHA is located at 1348 WALTON WAY STE 6700, AUGUSTA, GA, 30901. Phone: (706) 774-7855.
What is SEMHAR ABRAHA's NPI number?
SEMHAR ABRAHA's National Provider Identifier (NPI) is 1871156414, issued on 04/18/2019.
Does SEMHAR ABRAHA prescribe more brand-name or generic drugs?
SEMHAR ABRAHA's prescribing is 23% brand-name and 77% generic drugs by claim count, with $124K in brand drug costs.
How many Nurse Practitioner providers are there in the US?
There are 87,227 Nurse Practitioner providers across 56 states in the US. The average Nurse Practitioner provider writes 1,084 Medicare Part D claims per year.
What drugs does SEMHAR ABRAHA prescribe most often?
Based on 2023 Medicare Part D data, SEMHAR ABRAHA's most frequently prescribed drugs include Spironolactone, Farxiga, Metoprolol Succinate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SEMHAR ABRAHA accept Medicare?
SEMHAR ABRAHA appears in CMS Medicare data with 655 Part D claims and 165 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SEMHAR ABRAHA's credentials?
SEMHAR ABRAHA's NPI is 1871156414. 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