2026 NPPES data Cardiovascular Disease Physician NPI 1104874304 MD, PHD
Verify on CMS →

ABDOU ELHENDY, MD, PHD

Cardiovascular Disease Physician in MARSHFIELD, Wisconsin. 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
536
Medicare Part D claims · 167 beneficiaries · Cardiovascular Disease Physician avg: 3K
Generic prescribing
76%
generic claims · 24% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
78.8552/100
▼ 4 pts below national avg 83.1 · [object Object]
What the federal data reveals: ABDOU ELHENDY, MD, PHD is a Cardiovascular Disease Physician ([object Object]) practicing in MARSHFIELD, Wisconsin with a Medicare Part D prescribing footprint of 536 claims across 167 beneficiaries — 24% brand-name prescribing . Their CMS MIPS Final Score of 78.8552/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: ABDOU ELHENDY, MD, PHD reported a CMS MIPS final score of 78.8552 out of 100, below the 83.1 national average, and filed 536 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

ABDOU ELHENDY, MD, PHD 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).

ABDOU ELHENDY, MD, PHD at a glance

Near national average

NPI registry status

Active

Issued 05/04/2006

NPI 1104874304

Primary specialty

Cardiovascular Disease Physician

Mid-sized

24,795 US NPIs in this specialty

Medicare Part D claims

536 82% vs specialty avg

2023 prescription claims

Specialty avg: 3,033

MIPS final score

78.8552/100 4.244799999999998% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Wisconsin

How Cardiovascular Disease Physician compares to other specialties among Wisconsin providers

Wisconsin providers

Cardiovascular Disease Physician share within Wisconsin

1. Cardiovascular Disease Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Cardiovascular Disease Physician share within Wisconsin

Medicare quality performance — MIPS

ABDOU ELHENDY, MD, PHD's 2023 MIPS final score plotted against the Cardiovascular Disease Physician national average

Near national average
MIPS Final Score
78.8552/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Cardiovascular Disease Physician) — 78.8552/100 vs national avg 83.1

0%100%National avg83%78.9%
MIPS final score (Cardiovascular Disease Physician) — 78.8552/100 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).

ABDOU ELHENDY, MD, PHD is a Cardiovascular Disease Physician provider practicing in MARSHFIELD, Wisconsin, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD, PHD. NPI: 1104874304. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

ABDOU ELHENDY, MD, PHD appears in the CMS NPPES registry as a Cardiovascular Disease Physician provider holding MD, PHD credentials at 1000 N OAK AVE, MARSHFIELD, WI, 54449, with a listed phone of (715) 387-5511. NPI 1104874304 was issued on 05/04/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ELHENDY 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 536 prescription claims written by this provider, covering 167 Medicare beneficiaries and totaling roughly $117K in drug spend, split 24% brand-name and 76% 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 78.8552/100 for the 2023 performance year (Quality 66.6851, Cost 54.8733), compared with the national average of 83.1.

Cardiovascular Disease Physician is a mid-sized specialty nationwide, with 24,795 enrolled providers across 54 states and an average of 3,033 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

1000 N OAK AVE
MARSHFIELD, WI 54449

Provider Details

NPI 1104874304
Specialty Cardiovascular Disease Physician
Credentials MD, PHD
Gender Male
NPI Issued 05/04/2006

CMS Quality Score (MIPS)

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

78.8552
Final Score
Avg: 83.1
66.6851
Quality
54.8733
Cost
99
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where ABDOU ELHENDY, MD, PHD 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.

MCHS HOSPITALS INC
MARSHFIELD, WI

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

ABDOU ELHENDY, MD, PHD — brand share 24.0%
Specialty average (est.)

24% brand-name claims vs 76% generic, on 536 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.

536
Total Claims
$117K
Total Drug Cost
167
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,355
Total Day Supply
40,239
Brand vs Generic
24% brand / 76% generic
Brand Drug Cost
$110K
Generic Drug Cost
$7K

Patient Demographics

Average Patient Age
75.9 years
Avg HCC Risk Score
1.59
Gender Split
39% female / 61% male
Age Distribution
<65: 13, 65-74: 60, 75-84: 69, 85+: 25

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Metoprolol Succinate
86
Eliquis
Apixaban
63
Metoprolol Tartrate
34
Atorvastatin Calcium
32
Diltiazem 24hr Er (Cd)
Diltiazem Hcl
31
Isosorbide Mononitrate Er
Isosorbide Mononitrate
28
Clopidogrel
Clopidogrel Bisulfate
26
Hydrochlorothiazide
21
Xarelto
Rivaroxaban
20
Brilinta
Ticagrelor
19

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

Cardiovascular Disease Physician Overview

How ABDOU ELHENDY, MD, PHD fits within the Cardiovascular Disease Physician landscape nationally.

24,795
Cardiovascular Disease Physician Providers in US
54
States with Cardiovascular Disease Physician
3,033
Avg Claims per Provider

ABDOU ELHENDY, MD, PHD's 536 claims are below the specialty average of 3,033.

Nearby Cardiovascular Disease Physician Providers in Wisconsin

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

Compare Cardiovascular Disease Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ABDOU ELHENDY, MD, PHD's specialty?
ABDOU ELHENDY, MD, PHD specializes in Cardiovascular Disease Physician and practices in MARSHFIELD, Wisconsin. Credentials: MD, PHD.
How much does ABDOU ELHENDY, MD, PHD prescribe under Medicare Part D?
In 2023, ABDOU ELHENDY, MD, PHD wrote 536 Medicare Part D claims totaling $117K in drug costs for 167 beneficiaries.
What is ABDOU ELHENDY, MD, PHD's Medicare quality score?
ABDOU ELHENDY, MD, PHD has a CMS MIPS Final Score of 78.8552/100 (Quality: 66.6851, Cost: 54.8733). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ABDOU ELHENDY, MD, PHD located?
ABDOU ELHENDY, MD, PHD is located at 1000 N OAK AVE, MARSHFIELD, WI, 54449. Phone: (715) 387-5511.
What is ABDOU ELHENDY, MD, PHD's NPI number?
ABDOU ELHENDY, MD, PHD's National Provider Identifier (NPI) is 1104874304, issued on 05/04/2006.
Does ABDOU ELHENDY, MD, PHD prescribe more brand-name or generic drugs?
ABDOU ELHENDY, MD, PHD's prescribing is 24% brand-name and 76% generic drugs by claim count, with $110K in brand drug costs.
How many Cardiovascular Disease Physician providers are there in the US?
There are 24,795 Cardiovascular Disease Physician providers across 54 states in the US. The average Cardiovascular Disease Physician provider writes 3,033 Medicare Part D claims per year.
What drugs does ABDOU ELHENDY, MD, PHD prescribe most often?
Based on 2023 Medicare Part D data, ABDOU ELHENDY, MD, PHD's most frequently prescribed drugs include Metoprolol Succinate, Eliquis, Metoprolol Tartrate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ABDOU ELHENDY, MD, PHD accept Medicare?
ABDOU ELHENDY, MD, PHD appears in CMS Medicare data with 536 Part D claims and 167 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ABDOU ELHENDY, MD, PHD's credentials?
ABDOU ELHENDY, MD, PHD's NPI is 1104874304 with credentials MD, PHD. 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