2026 NPPES data Gastroenterology Physician NPI 1861455487 M.D.
Verify on CMS →

THOMAS MCGAHAN, M.D.

Gastroenterology Physician in ATLANTA, 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
330
Medicare Part D claims · 165 beneficiaries · Gastroenterology Physician avg: 833
Generic prescribing
89%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
92.2614/100
▲ 9 pts above national avg 83.1 · [object Object]

What the federal data shows

THOMAS MCGAHAN, M.D. reported a CMS MIPS final score of 92.2614/100 — above the 83.1 national average — and filed 330 Medicare Part D claims in 2023.

92.2614/100
MIPS score · +9 vs avg
330
Part D claims, 2023
89%
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.

THOMAS MCGAHAN, 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

92 Top 32% higher than 68% 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)

THOMAS MCGAHAN, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — 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 THOMAS MCGAHAN, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 04/07/2006

NPI 1861455487

Primary specialty

Gastroenterology Physician

Mid-sized

16,567 US NPIs in this specialty

Medicare Part D claims

330 60% vs specialty avg

2023 prescription claims

Specialty avg: 833

MIPS final score

92.2614/100 9.1614% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Georgia

How Gastroenterology Physician compares to other specialties among Georgia providers

Georgia providers

Gastroenterology Physician share within Georgia

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

Medicare quality performance — MIPS

THOMAS MCGAHAN, M.D.'s 2023 MIPS final score plotted against the Gastroenterology Physician national average

High performer (top quartile)
MIPS Final Score
92.2614/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Gastroenterology Physician) — 92.2614/100 vs national avg 83.1

0%100%National avg83%92.3%
MIPS final score (Gastroenterology Physician) — 92.2614/100 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).

THOMAS MCGAHAN, M.D. appears in the CMS NPPES registry as a Gastroenterology Physician provider holding M.D. credentials at 5669 PEACHTREE DUNWOODY RD NE, ATLANTA, GA, 30342, with a listed phone of (404) 255-4333. NPI 1861455487 was issued on 04/07/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MCGAHAN 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 330 prescription claims written by this provider, covering 165 Medicare beneficiaries and totaling roughly $49K in drug spend, split 11% brand-name and 89% 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 92.2614/100 for the 2023 performance year (Quality 73.8353), compared with the national average of 83.1.

Gastroenterology Physician is a mid-sized specialty nationwide, with 16,567 enrolled providers across 54 states and an average of 833 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

5669 PEACHTREE DUNWOODY RD NE
ATLANTA, GA 30342

Provider Details

NPI 1861455487
Specialty Gastroenterology Physician
Credentials M.D.
Gender Male
NPI Issued 04/07/2006

CMS Quality Score (MIPS)

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

92.2614
Final Score
Avg: 83.1
73.8353
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where THOMAS MCGAHAN, 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.

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

THOMAS MCGAHAN, M.D. — brand share 11.0%
Specialty average (est.)

11% brand-name claims vs 89% generic, on 330 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.

330
Total Claims
$49K
Total Drug Cost
165
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
524
Total Day Supply
11,993
Brand vs Generic
11% brand / 89% generic
Brand Drug Cost
$36K
Generic Drug Cost
$13K

Patient Demographics

Average Patient Age
72.5 years
Avg HCC Risk Score
1.27
Gender Split
50% female / 50% male

Top Prescribed Drugs (Medicare Part D)

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

What THOMAS MCGAHAN, 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
Pantoprazole Sodium
59
Omeprazole
27
Famotidine
20
Diphenoxylate-Atropine
Diphenoxylate Hcl/Atropine
19
Creon
Lipase/Protease/Amylase
18
Budesonide Dr
Budesonide
14
Gavilyte-C
"Peg3350/Sod Sulf
N/A
Gavilyte-G
"Peg3350/Sod Sulf
N/A
Peg-3350 And Electrolytes
"Peg3350/Sod Sulf
N/A
Sod Sulf-Potass Sulf-Mag Sulf
"Sodium
N/A

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

Gastroenterology Physician Overview

How THOMAS MCGAHAN, M.D. fits within the Gastroenterology Physician landscape nationally.

16,567
Gastroenterology Physician Providers in US
54
States with Gastroenterology Physician
833
Avg Claims per Provider

THOMAS MCGAHAN, M.D.'s 330 claims are below the specialty average of 833.

Nearby Gastroenterology Physician Providers in Georgia

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

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

Frequently Asked Questions

What is THOMAS MCGAHAN, M.D.'s specialty?
THOMAS MCGAHAN, M.D. specializes in Gastroenterology Physician and practices in ATLANTA, Georgia. Credentials: M.D..
How much does THOMAS MCGAHAN, M.D. prescribe under Medicare Part D?
In 2023, THOMAS MCGAHAN, M.D. wrote 330 Medicare Part D claims totaling $49K in drug costs for 165 beneficiaries.
What is THOMAS MCGAHAN, M.D.'s Medicare quality score?
THOMAS MCGAHAN, M.D. has a CMS MIPS Final Score of 92.2614/100 (Quality: 73.8353). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is THOMAS MCGAHAN, M.D. located?
THOMAS MCGAHAN, M.D. is located at 5669 PEACHTREE DUNWOODY RD NE, ATLANTA, GA, 30342. Phone: (404) 255-4333.
What is THOMAS MCGAHAN, M.D.'s NPI number?
THOMAS MCGAHAN, M.D.'s National Provider Identifier (NPI) is 1861455487, issued on 04/07/2006.
Does THOMAS MCGAHAN, M.D. prescribe more brand-name or generic drugs?
THOMAS MCGAHAN, M.D.'s prescribing is 11% brand-name and 89% generic drugs by claim count, with $36K in brand drug costs.
How many Gastroenterology Physician providers are there in the US?
There are 16,567 Gastroenterology Physician providers across 54 states in the US. The average Gastroenterology Physician provider writes 833 Medicare Part D claims per year.
What drugs does THOMAS MCGAHAN, M.D. prescribe most often?
Based on 2023 Medicare Part D data, THOMAS MCGAHAN, M.D.'s most frequently prescribed drugs include Pantoprazole Sodium, Omeprazole, Famotidine. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does THOMAS MCGAHAN, M.D. accept Medicare?
THOMAS MCGAHAN, M.D. appears in CMS Medicare data with 330 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 THOMAS MCGAHAN, M.D.'s credentials?
THOMAS MCGAHAN, M.D.'s NPI is 1861455487 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