NPI registry status
Active
2026 NPPES data Internal Medicine Physician NPI 1316399678 MD
Verify on CMS → Yahya Ahmad, MD
Internal Medicine Physician in Columbus, 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 172,858 in Internal Medicine 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
96
Medicare Part D claims · 23 beneficiaries · Internal Medicine Physician avg: 3K
Generic prescribing
69%
generic claims · 31% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
51.9/100
▼ 31 pts below national avg 83.1 · Mid-tier
Industry payments
$125.27
1 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
Yahya Ahmad, MD reported a CMS MIPS final score of 51.9/100 - below the 83.1 national average - and filed 96 Medicare Part D claims in 2023.
- 51.9/100
- MIPS score · -31 vs avg
- 96
- Part D claims, 2023
- 69%
- 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.
Yahya Ahmad, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
52 4th percentile higher than 4% 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 Yahya Ahmad, MD sits
This provider among internal medicine physician peers
Across the 36,260 internal medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Yahya Ahmad, MD writes more Part D claims than 13% of them and scores higher on MIPS quality than 5% - placing this provider in the lower-volume, lower-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 internal medicine physician peer from a representative sample of 60; the gold marker is Yahya Ahmad, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Yahya Ahmad, 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 Yahya Ahmad, MD?
Below national averagePrimary specialty
Internal Medicine Physician
Medicare Part D claims
96 96% vs specialty avg
MIPS final score
51.9/100 31.2 pts vs avg
Specialty distribution in Georgia
How Internal Medicine Physician compares to other specialties among Georgia providers
Medicare quality performance, MIPS
Yahya Ahmad, MD's 2023 MIPS final score plotted against the Internal Medicine Physician national average
- MIPS Final Score
- 51.9/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Internal Medicine Physician) - 51.9/100 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).
Yahya Ahmad, MD appears in the CMS NPPES registry as a Internal Medicine Physician provider holding MD credentials at 2122 MANCHESTER EXPY, Columbus, GA, 31904, with a listed phone of (706) 596-4000. NPI 1316399678 was issued on 07/11/2016.
Medicare Part D records for calendar year 2023 show 96 prescription claims written by this provider, covering 23 Medicare beneficiaries and totaling roughly $20K in drug spend, split 31% brand-name and 69% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 51.9/100 for the 2023 performance year (Quality 26.2, Cost 41.5), compared with the national average of 83.1.
Internal Medicine Physician is a high-volume specialty nationwide, with 172,858 enrolled providers across 56 states and an average of 2,716 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 | 1316399678 |
|---|---|
| Specialty | Internal Medicine Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 07/11/2016 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
51.8808
Final Score
Avg: 83.1
26.214
Quality
41.5435
Cost
Reporting: Individual
Hospital and facility affiliations
Facilities where Yahya Ahmad, 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.
Southeastern Hospitalist Services PC
Columbus, 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 Yahya Ahmad, MD. Source: openpaymentsdata.cms.gov.
Total received
$125
Largest payer
ABIOMED
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 · Above average
Yahya Ahmad, MD - brand share 31.0%
Internal Medicine Physician average
31% brand-name claims vs 69% generic, on 96 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.
96
Total Claims
$20K
Total Drug Cost
23
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 200
- Total Day Supply
- 5,884
- Brand vs Generic
- 31% brand / 69% generic
- Brand Drug Cost
- $20K
- Generic Drug Cost
- $948
Patient Demographics
- Average Patient Age
- 71.2 years
- Avg HCC Risk Score
- 1.81
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Eliquis Apixaban | 15 |
| Atorvastatin Calcium | 13 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Internal Medicine Physician Overview
How Yahya Ahmad, MD fits within the Internal Medicine Physician landscape nationally.
172,858
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider
Yahya Ahmad, MD's 96 claims are below the specialty average of 2,716.
Nearby Internal Medicine Physician Providers in Georgia
Other clinicians with the same primary specialty enrolled in Georgia, drawn from the same CMS NPPES roster as Ahmad.
Dr. Ugochi Abazie
M.D
Riverdale, GA
Dr. Muhammad Abbasi
M.D.
Covington, GA
Rahat Abbasi
Augusta, GA
Dr. Diane Abby Burr
D.O.
Carrollton, GA
Dr. Bsmah Abdalslam
M.D
Austell, GA
Compare Internal Medicine Physician nationally: see state-by-state distribution →
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 Internal Medicine 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 Yahya Ahmad, MD's specialty? ▼
Yahya Ahmad, MD specializes in Internal Medicine Physician and practices in Columbus, Georgia. Credentials: MD.
How much does Yahya Ahmad, MD prescribe under Medicare Part D? ▼
In 2023, Yahya Ahmad, MD wrote 96 Medicare Part D claims totaling $20K in drug costs for 23 beneficiaries.
What is Yahya Ahmad, MD's Medicare quality score? ▼
Yahya Ahmad, MD has a CMS MIPS Final Score of 51.9/100 (Quality: 26.2, Cost: 41.5). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Yahya Ahmad, MD located? ▼
Yahya Ahmad, MD is located at 2122 MANCHESTER EXPY, Columbus, GA, 31904. Phone: (706) 596-4000.
What is Yahya Ahmad, MD's NPI number? ▼
Yahya Ahmad, MD's National Provider Identifier (NPI) is 1316399678, issued on 07/11/2016.
Does Yahya Ahmad, MD prescribe more brand-name or generic drugs? ▼
Yahya Ahmad, MD's prescribing is 31% brand-name and 69% generic drugs by claim count, with $20K in brand drug costs.
How many Internal Medicine Physician providers are there in the US? ▼
There are 172,858 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
What drugs does Yahya Ahmad, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Yahya Ahmad, MD's most frequently prescribed drugs include Eliquis, Atorvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Yahya Ahmad, MD accept Medicare? ▼
Yahya Ahmad, MD appears in CMS Medicare data with 96 Part D claims and 23 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Yahya Ahmad, MD's credentials? ▼
Yahya Ahmad, MD's NPI is 1316399678 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.