2026 NPPES data Adult Medicine Physician NPI 1053497123 MD
Verify on CMS →

UMAR GHAFFAR, MD

Adult Medicine Physician in GAINESVILLE, Florida. 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
107
Medicare Part D claims · 43 beneficiaries · Adult Medicine Physician avg: 3K
MIPS score
78.1881/100
▼ 5 pts below national avg 83.1 · [object Object]

What the federal data shows

UMAR GHAFFAR, MD reported a CMS MIPS final score of 78.1881/100 — below the 83.1 national average — and filed 107 Medicare Part D claims in 2023.

78.1881/100
MIPS score · -5 vs avg
107
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.

UMAR GHAFFAR, 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 27th percentile higher than 27% 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%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 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)

UMAR GHAFFAR, MD 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 UMAR GHAFFAR, MD?

Near national average

NPI registry status

Active

Issued 10/31/2006

NPI 1053497123

Primary specialty

Adult Medicine Physician

Niche

2,481 US NPIs in this specialty

Medicare Part D claims

107 96% vs specialty avg

2023 prescription claims

Specialty avg: 2,807

MIPS final score

78.1881/100 4.911899999999989% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Florida

How Adult Medicine Physician compares to other specialties among Florida providers

Florida providers

Adult Medicine Physician share within Florida

1. Adult Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Adult Medicine Physician share within Florida

Medicare quality performance — MIPS

UMAR GHAFFAR, MD's 2023 MIPS final score plotted against the Adult Medicine Physician national average

Near national average
MIPS Final Score
78.1881/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Adult Medicine Physician) — 78.1881/100 vs national avg 83.1

0%100%National avg83%78.2%
MIPS final score (Adult Medicine Physician) — 78.1881/100 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).

UMAR GHAFFAR, MD appears in the CMS NPPES registry as a Adult Medicine Physician provider holding MD credentials at 1600 SW ARCHER RD, GAINESVILLE, FL, 32610, with a listed phone of (386) 758-1709. NPI 1053497123 was issued on 10/31/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GHAFFAR 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 107 prescription claims written by this provider, covering 43 Medicare beneficiaries and totaling roughly $12K 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 78.1881/100 for the 2023 performance year (Quality 72.5473, Cost 54.7463), compared with the national average of 83.1.

Adult Medicine Physician is a narrow specialty nationwide, with 2,481 enrolled providers across 52 states and an average of 2,807 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

1600 SW ARCHER RD
GAINESVILLE, FL 32610

Provider Details

NPI 1053497123
Specialty Adult Medicine Physician
Credentials MD
Gender Male
NPI Issued 10/31/2006

CMS Quality Score (MIPS)

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

78.1881
Final Score
Avg: 83.1
72.5473
Quality
54.7463
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where UMAR GHAFFAR, 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.

FLORIDA CLINICAL PRACTICE ASSOCIATION INC
GAINESVILLE, 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).

License & disciplinary context — Florida FLDOH 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~75K Florida medical licensees in 2023 — they are NOT specific to UMAR GHAFFAR, MD. To verify UMAR GHAFFAR, MD's current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases

FLDOH publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

107
Total Claims
$12K
Total Drug Cost
43
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
121
Total Day Supply
2,647
Generic Drug Cost
$2K
Antibiotic Claims
15

Patient Demographics

Average Patient Age
69.0 years
Avg HCC Risk Score
2.58
Gender Split
47% female / 53% male
Age Distribution
<65: 13, 65-74: 15, 75-84: N/A, 85+: N/A

Adult Medicine Physician Overview

How UMAR GHAFFAR, MD fits within the Adult Medicine Physician landscape nationally.

2,481
Adult Medicine Physician Providers in US
52
States with Adult Medicine Physician
2,807
Avg Claims per Provider

UMAR GHAFFAR, MD's 107 claims are below the specialty average of 2,807.

Nearby Adult Medicine Physician Providers in Florida

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

Compare Adult Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is UMAR GHAFFAR, MD's specialty?
UMAR GHAFFAR, MD specializes in Adult Medicine Physician and practices in GAINESVILLE, Florida. Credentials: MD.
How much does UMAR GHAFFAR, MD prescribe under Medicare Part D?
In 2023, UMAR GHAFFAR, MD wrote 107 Medicare Part D claims totaling $12K in drug costs for 43 beneficiaries.
What is UMAR GHAFFAR, MD's Medicare quality score?
UMAR GHAFFAR, MD has a CMS MIPS Final Score of 78.1881/100 (Quality: 72.5473, Cost: 54.7463). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is UMAR GHAFFAR, MD located?
UMAR GHAFFAR, MD is located at 1600 SW ARCHER RD, GAINESVILLE, FL, 32610. Phone: (386) 758-1709.
What is UMAR GHAFFAR, MD's NPI number?
UMAR GHAFFAR, MD's National Provider Identifier (NPI) is 1053497123, issued on 10/31/2006.
How many Adult Medicine Physician providers are there in the US?
There are 2,481 Adult Medicine Physician providers across 52 states in the US. The average Adult Medicine Physician provider writes 2,807 Medicare Part D claims per year.
Does UMAR GHAFFAR, MD accept Medicare?
UMAR GHAFFAR, MD appears in CMS Medicare data with 107 Part D claims and 43 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify UMAR GHAFFAR, MD's credentials?
UMAR GHAFFAR, MD's NPI is 1053497123 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