2026 NPPES data Geriatric Medicine (Family Medicine) Physician NPI 1629276803 M.D.
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ABDULRAOUF GHANDOUR, M.D.

Geriatric Medicine (Family Medicine) Physician in SUTTON, Massachusetts. 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
6K
Medicare Part D claims · 375 beneficiaries · Geriatric Medicine (Family Medicine) Physician avg: 5K
Generic prescribing
86%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$85.08
5 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: ABDULRAOUF GHANDOUR, M.D. is a Geriatric Medicine (Family Medicine) Physician ([object Object]) practicing in SUTTON, Massachusetts with a Medicare Part D prescribing footprint of 6K claims across 375 beneficiaries — 14% brand-name prescribing . Industry payments of $85.08 across 5 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: ABDULRAOUF GHANDOUR, M.D. filed 6,207 Medicare Part D claims in 2023 across SUTTON, Massachusetts. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

ABDULRAOUF GHANDOUR, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

ABDULRAOUF GHANDOUR, M.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 07/10/2007

NPI 1629276803

Primary specialty

Geriatric Medicine (Family Medicine) Physician

Niche

1,779 US NPIs in this specialty

Medicare Part D claims

6,207 28% vs specialty avg

2023 prescription claims

Specialty avg: 4,854

Specialty distribution in Massachusetts

How Geriatric Medicine (Family Medicine) Physician compares to other specialties among Massachusetts providers

Massachusetts providers

Geriatric Medicine (Family Medicine) Physician share within Massachusetts

1. Geriatric Medicine (Family Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Geriatric Medicine (Family Medicine) Physician share within Massachusetts

Specialty board-certification context

Estimated specialty board-certified rate — Geriatric Medicine (Family Medicine) Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Geriatric Medicine (Family Medicine) Physician ABMS/AOA estimate

Est. board-certified rate (Geriatric Medicine (Family Medicine) Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Geriatric Medicine (Family Medicine) Physician) — ABMS / AOA estimate

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).

ABDULRAOUF GHANDOUR, M.D. is a Geriatric Medicine (Family Medicine) Physician provider practicing in SUTTON, Massachusetts, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1629276803. 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.

ABDULRAOUF GHANDOUR, M.D. appears in the CMS NPPES registry as a Geriatric Medicine (Family Medicine) Physician provider holding M.D. credentials at 188 WORCESTER PROVIDENCE TPKE, SUTTON, MA, 01590, with a listed phone of (508) 865-3650. NPI 1629276803 was issued on 07/10/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GHANDOUR 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 6,207 prescription claims written by this provider, covering 375 Medicare beneficiaries and totaling roughly $703K in drug spend, split 14% brand-name and 86% generic by claim count, with an opioid prescribing rate of 5.9%. 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.

Geriatric Medicine (Family Medicine) Physician is a narrow specialty nationwide, with 1,779 enrolled providers across 52 states and an average of 4,854 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

188 WORCESTER PROVIDENCE TPKE
SUTTON, MA 01590

Provider Details

NPI 1629276803
Specialty Geriatric Medicine (Family Medicine) Physician
Credentials M.D.
Gender Male
NPI Issued 07/10/2007

Hospital and facility affiliations

Facilities where ABDULRAOUF GHANDOUR, 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.

UMASS MEMORIAL MEDICAL GROUP INC
SUTTON, MA

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 ABDULRAOUF GHANDOUR, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$85

Largest payer

Novo Nordisk Inc

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.

License & disciplinary context — Massachusetts BORIM 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 ~38K Massachusetts medical licensees in 2023 — they are NOT specific to ABDULRAOUF GHANDOUR, M.D.. To verify ABDULRAOUF GHANDOUR, M.D.'s current license status, search the BORIM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

80
Total board actions, Massachusetts 2023
Across 78 cases
2.11
Actions per 1,000 licensees
Massachusetts statewide rate
probation
Most common action type
29 cases

BORIM 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 Massachusetts disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

ABDULRAOUF GHANDOUR, M.D. — brand share 14.0%
Specialty average (est.)

14% brand-name claims vs 86% generic, on 6,207 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.

6,207
Total Claims
$703K
Total Drug Cost
375
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
12,020
Total Day Supply
346,608
Brand vs Generic
14% brand / 86% generic
Brand Drug Cost
$573K
Generic Drug Cost
$128K
Opioid Claims
366 (5.9% rate)
Antibiotic Claims
150

Patient Demographics

Average Patient Age
73.5 years
Avg HCC Risk Score
1.09
Gender Split
46% female / 54% male
Age Distribution
<65: 28, 65-74: 164, 75-84: 148, 85+: 35

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Atorvastatin Calcium
287
Lisinopril
226
Gabapentin
164
Omeprazole
149
Amlodipine Besylate
140
Levothyroxine Sodium
135
Losartan Potassium
126
Simvastatin
121
Oxycodone Hcl
119
Eliquis
Apixaban
112

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

Geriatric Medicine (Family Medicine) Physician Overview

How ABDULRAOUF GHANDOUR, M.D. fits within the Geriatric Medicine (Family Medicine) Physician landscape nationally.

1,779
Geriatric Medicine (Family Medicine) Physician Providers in US
52
States with Geriatric Medicine (Family Medicine) Physician
4,854
Avg Claims per Provider

ABDULRAOUF GHANDOUR, M.D.'s 6,207 claims are above the specialty average of 4,854.

Nearby Geriatric Medicine (Family Medicine) Physician Providers in Massachusetts

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

Compare Geriatric Medicine (Family Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ABDULRAOUF GHANDOUR, M.D.'s specialty?
ABDULRAOUF GHANDOUR, M.D. specializes in Geriatric Medicine (Family Medicine) Physician and practices in SUTTON, Massachusetts. Credentials: M.D..
How much does ABDULRAOUF GHANDOUR, M.D. prescribe under Medicare Part D?
In 2023, ABDULRAOUF GHANDOUR, M.D. wrote 6,207 Medicare Part D claims totaling $703K in drug costs for 375 beneficiaries.
Where is ABDULRAOUF GHANDOUR, M.D. located?
ABDULRAOUF GHANDOUR, M.D. is located at 188 WORCESTER PROVIDENCE TPKE, SUTTON, MA, 01590. Phone: (508) 865-3650.
What is ABDULRAOUF GHANDOUR, M.D.'s NPI number?
ABDULRAOUF GHANDOUR, M.D.'s National Provider Identifier (NPI) is 1629276803, issued on 07/10/2007.
Does ABDULRAOUF GHANDOUR, M.D. prescribe more brand-name or generic drugs?
ABDULRAOUF GHANDOUR, M.D.'s prescribing is 14% brand-name and 86% generic drugs by claim count, with $573K in brand drug costs.
Does ABDULRAOUF GHANDOUR, M.D. prescribe opioids?
Yes, ABDULRAOUF GHANDOUR, M.D. had 366 opioid claims in 2023 with an opioid prescribing rate of 5.9%.
How many Geriatric Medicine (Family Medicine) Physician providers are there in the US?
There are 1,779 Geriatric Medicine (Family Medicine) Physician providers across 52 states in the US. The average Geriatric Medicine (Family Medicine) Physician provider writes 4,854 Medicare Part D claims per year.
What drugs does ABDULRAOUF GHANDOUR, M.D. prescribe most often?
Based on 2023 Medicare Part D data, ABDULRAOUF GHANDOUR, M.D.'s most frequently prescribed drugs include Atorvastatin Calcium, Lisinopril, Gabapentin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ABDULRAOUF GHANDOUR, M.D. accept Medicare?
ABDULRAOUF GHANDOUR, M.D. appears in CMS Medicare data with 6,207 Part D claims and 375 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ABDULRAOUF GHANDOUR, M.D.'s credentials?
ABDULRAOUF GHANDOUR, M.D.'s NPI is 1629276803 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.
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