NPI registry status
Active
2026 NPPES data Pain Medicine (Physical Medicine & Rehabilitation) Physician NPI 1861553216 MD
Verify on CMS → Shereef Girgis, MD
Pain Medicine (Physical Medicine & Rehabilitation) Physician in Rome, Georgia.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,630 in Pain Medicine (Physical Medicine & Rehabilitation) Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
9K
Medicare Part D claims · 1K beneficiaries · Pain Medicine (Physical Medicine & Rehabilitation) Physician avg: 1K
Generic prescribing
95%
generic claims · 5% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
77.5/100
▼ 6 pts below national avg 83.1 · Above neutral
Industry payments
$1.1K
24 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Shereef Girgis, MD reported a CMS MIPS final score of 77.5/100 - below the 83.1 national average - and filed 9,069 Medicare Part D claims in 2023.
- 77.5/100
- MIPS score · -6 vs avg
- 9K
- Part D claims, 2023
- 95%
- 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.
Shereef Girgis, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
78 24th percentile higher than 24% of 477,587 scored providers
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
Where Shereef Girgis, MD sits
This provider among pain medicine (physical medicine & rehabilitation) physician peers
Across the 526 pain medicine (physical medicine & rehabilitation) physician providers who report both Medicare Part D prescribing and a MIPS quality score, Shereef Girgis, MD writes more Part D claims than 97% of them and scores higher on MIPS quality than 51% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one pain medicine (physical medicine & rehabilitation) physician peer from a representative sample of 60; the gold marker is Shereef Girgis, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Shereef Girgis, MD 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 Shereef Girgis, MD?
Below national averagePrimary specialty
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Medicare Part D claims
9,069 6× vs specialty avg
MIPS final score
77.5/100 5.6 pts vs avg
Specialty distribution in Georgia
How Pain Medicine (Physical Medicine & Rehabilitation) Physician compares to other specialties among Georgia providers
Medicare quality performance, MIPS
Shereef Girgis, MD's 2023 MIPS final score plotted against the Pain Medicine (Physical Medicine & Rehabilitation) Physician national average
- MIPS Final Score
- 77.5/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Pain Medicine (Physical Medicine & Rehabilitation) Physician) - 77.5/100 vs national avg 83.1
How MIPS and board certification work
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).
Shereef Girgis, MD appears in the CMS NPPES registry as a Pain Medicine (Physical Medicine & Rehabilitation) Physician provider holding MD credentials at 550 REDMOND RD NW, Rome, GA, 30165, with a listed phone of (706) 233-8514. NPI 1861553216 was issued on 12/12/2006.
Medicare Part D records for calendar year 2023 show 9,069 prescription claims written by this provider, covering 1,235 Medicare beneficiaries and totaling roughly $537K in drug spend, split 5% brand-name and 95% generic by claim count, with an opioid prescribing rate of 85.2%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 77.5/100 for the 2023 performance year (Quality 60.9, Cost 64), compared with the national average of 83.1.
Pain Medicine (Physical Medicine & Rehabilitation) Physician is a narrow specialty nationwide, with 1,630 enrolled providers across 50 states and an average of 1,401 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
Provider Details
| NPI | 1861553216 |
|---|---|
| Specialty | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 12/12/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
77.4511
Final Score
Avg: 83.1
60.8695
Quality
63.9675
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Shereef Girgis, MD 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.
Harbin Clinic LLC
Rome, GA
Physical Medicine Specialists, Inc
Jacksonville, FL
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 Shereef Girgis, MD. Source: openpaymentsdata.cms.gov.
Total received
$1.1K
Largest payer
Nevro Corp.
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
Shereef Girgis, MD - brand share 5.0%
Pain Medicine (Physical Medicine & Rehabilitation) Physician average
5% brand-name claims vs 95% generic, on 9,069 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.
9,069
Total Claims
$537K
Total Drug Cost
1,235
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 9,370
- Total Day Supply
- 274,100
- Brand vs Generic
- 5% brand / 95% generic
- Brand Drug Cost
- $273K
- Generic Drug Cost
- $265K
- Opioid Claims
- 7,731 (85.2% rate)
- Antibiotic Claims
- 11
Patient Demographics
- Average Patient Age
- 67.3 years
- Avg HCC Risk Score
- 1.80
- Gender Split
- 65% female / 35% male
- Age Distribution
- <65: 437, 65-74: 499, 75-84: 243, 85+: 56
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Shereef Girgis, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Hydrocodone-Acetam…
Hydrocodone-Acetaminophen
3,300 claims
- Oxycodone-Acetamin…
Oxycodone-Acetaminophen
1,932 claims
- Oxycodone Hcl 733
Oxycodone Hcl
733 claims
- Morphine Sulfate Er 554
Morphine Sulfate Er
554 claims
- Gabapentin 312
Gabapentin
312 claims
- Methadone Hcl 268
Methadone Hcl
268 claims
- Fentanyl 199
Fentanyl
199 claims
- Xtampza Er 199
Xtampza Er
199 claims
| Drug | Claims |
|---|---|
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 3,300 |
| Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen | 1,932 |
| Oxycodone Hcl | 733 |
| Morphine Sulfate Er Morphine Sulfate | 554 |
| Gabapentin | 312 |
| Methadone Hcl | 268 |
| Fentanyl | 199 |
| Xtampza Er Oxycodone Myristate | 199 |
| Tizanidine Hcl | 176 |
| Tramadol Hcl | 176 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Pain Medicine (Physical Medicine & Rehabilitation) Physician in GA →
All providers in Georgia →
Compare specialties →
Pain Medicine (Physical Medicine & Rehabilitation) Physician Overview
How Shereef Girgis, MD fits within the Pain Medicine (Physical Medicine & Rehabilitation) Physician landscape nationally.
1,630
Pain Medicine (Physical Medicine & Rehabilitation) Physician Providers in US
50
States with Pain Medicine (Physical Medicine & Rehabilitation) Physician
1,401
Avg Claims per Provider
Shereef Girgis, MD's 9,069 claims are above the specialty average of 1,401.
Nearby Pain Medicine (Physical Medicine & Rehabilitation) Physician Providers in Georgia
Other clinicians with the same primary specialty enrolled in Georgia, drawn from the same CMS NPPES roster as Girgis.
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Georgia medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Pain Medicine (Physical Medicine & Rehabilitation) Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
Healthcare Guides
Learn more about finding, verifying, and understanding healthcare providers.
How to Find a Doctor
Step-by-step guide to choosing a provider
Verify Credentials
Check NPI, board certification & license status
Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore Georgia
Frequently Asked Questions
What is Shereef Girgis, MD's specialty? ▼
Shereef Girgis, MD specializes in Pain Medicine (Physical Medicine & Rehabilitation) Physician and practices in Rome, Georgia. Credentials: MD.
How much does Shereef Girgis, MD prescribe under Medicare Part D? ▼
In 2023, Shereef Girgis, MD wrote 9,069 Medicare Part D claims totaling $537K in drug costs for 1,235 beneficiaries.
What is Shereef Girgis, MD's Medicare quality score? ▼
Shereef Girgis, MD has a CMS MIPS Final Score of 77.5/100 (Quality: 60.9, Cost: 64). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Shereef Girgis, MD located? ▼
Shereef Girgis, MD is located at 550 REDMOND RD NW, Rome, GA, 30165. Phone: (706) 233-8514.
What is Shereef Girgis, MD's NPI number? ▼
Shereef Girgis, MD's National Provider Identifier (NPI) is 1861553216, issued on 12/12/2006.
Does Shereef Girgis, MD prescribe more brand-name or generic drugs? ▼
Shereef Girgis, MD's prescribing is 5% brand-name and 95% generic drugs by claim count, with $273K in brand drug costs.
Does Shereef Girgis, MD prescribe opioids? ▼
Yes, Shereef Girgis, MD had 7,731 opioid claims in 2023 with an opioid prescribing rate of 85.2%.
How many Pain Medicine (Physical Medicine & Rehabilitation) Physician providers are there in the US? ▼
There are 1,630 Pain Medicine (Physical Medicine & Rehabilitation) Physician providers across 50 states in the US. The average Pain Medicine (Physical Medicine & Rehabilitation) Physician provider writes 1,401 Medicare Part D claims per year.
What drugs does Shereef Girgis, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Shereef Girgis, MD's most frequently prescribed drugs include Hydrocodone-Acetaminophen, Oxycodone-Acetaminophen, Oxycodone Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Shereef Girgis, MD accept Medicare? ▼
Shereef Girgis, MD appears in CMS Medicare data with 9,069 Part D claims and 1,235 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Shereef Girgis, MD's credentials? ▼
Shereef Girgis, MD's NPI is 1861553216 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
View source datasets and methodology notes
- 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
Compiled from official public sources by the PlainDoctor editorial team.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.