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 174,792 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
43
Medicare Part D claims · 17 beneficiaries · Internal Medicine Physician avg: 3K
MIPS score
51.9/100
▼ 32 pts below national avg 83.5 · Mid-tier
Industry payments
$125.27
1 payments · CMS Open Payments (Sunshine Act)
What the federal data shows
Yahya Ahmad, MD reported a CMS MIPS final score of 51.9/100 - below the 83.5 national average - and filed 43 Medicare Part D claims in 2024.
- 51.9/100
- MIPS score · -32 vs avg
- 43
- Part D claims, 2024
- Likely
- board-certified (heuristic)
- ≥5th
- pct among measured MIPS (lower-bound band)
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.
Federal trust snapshot
What official records show about Yahya Ahmad, MD
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1316399678), first enumerated 07/11/2016.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 43 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 51.9/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
2 CMS Care Compare hospital affiliations on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$125.27 in reported industry payments (1 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1316399678 · Internal Medicine Physician
NPI-10 · ENUM-MID · TAX-MEGA · MIPS-LOW · RX-TRACE · BOOK-LIGHT · PHOTO-FINISH
- NPI-10 1316399678
- ENUM-MID 2016
- TAX-MEGA 175K Internal Medicine
- MIPS-LOW 51.9/100
- RX-TRACE 43
- BOOK-LIGHT 4,653 in Georgia
- PHOTO-FINISH Ali Abedi · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Ahmad · this pro…
Ahmad · this provider
51.9 MIPS pts
- Praveen Belur · …
Praveen Belur
51.9 MIPS pts
- Ali Abedi · near
Ali Abedi
51.9 MIPS pts
- Ahmad Altarawneh…
Ahmad Altarawneh
51.9 MIPS pts
- Bravein Amalakuh…
Bravein Amalakuhan
51.9 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Yahya Ahmad, MD's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
52 ≥ 5th percentile 5% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Yahya Ahmad, MD sits
This provider among internal medicine physician peers
Across the 34,612 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 6% of them and scores higher on MIPS quality than 6% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
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 + 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 Yahya Ahmad, MD?
Below national averagePrimary specialty
Internal Medicine Physician
Medicare Part D claims
43 98% vs specialty avg
MIPS final score
51.9/100 31.6 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 83.5 national avg · 2023 performance year
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).
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
Measured-score avg: 83.5
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
St Francis Physician Practices LLC
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.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2024.
43
Total Claims
$11K
Total Drug Cost
17
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 76.733
- Total Day Supply
- 2,015
- Generic Drug Cost
- $3K
Patient Demographics
- Average Patient Age
- 69.0 years
- Avg HCC Risk Score
- 1.45
Internal Medicine Physician Overview
How Yahya Ahmad, MD fits within the Internal Medicine Physician landscape nationally.
174,792
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,785
Avg Claims per Provider
Yahya Ahmad, MD's 43 claims are below the specialty average of 2,785.
Nationwide Internal Medicine Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Ahmad, both outside Georgia so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (51.9 here).
Same NPPES enumeration year (2016)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
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.
One of 4,653 Internal Medicine Physician providers enrolled in Georgia, 5 are shown here.
Dr. Karam A.alabed
MD
Rome, GA
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
Compare Internal Medicine Physician nationally: see state-by-state distribution →
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 2024, Yahya Ahmad, MD wrote 43 Medicare Part D claims totaling $11K in drug costs for 17 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 average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. 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.
How many Internal Medicine Physician providers are there in the US? ▼
There are 174,792 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,785 Medicare Part D claims per year.
Does Yahya Ahmad, MD accept Medicare? ▼
Yahya Ahmad, MD appears in CMS Medicare data with 43 Part D claims and 17 Medicare beneficiaries in 2024. 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 (2024). 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 August 2026 (NPPES) / 2024 (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
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 August 2026.