NPI registry status
Active
2026 NPPES data Surgery Physician NPI 1598056483 M.D., M.B.A.
Verify on CMS → Abid Mogannam, M.D., M.B.A.
Surgery Physician in San Jose, California.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 36,191 in Surgery 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
101
Medicare Part D claims · 53 beneficiaries · Surgery Physician avg: 169
Generic prescribing
89%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
85.7/100
▲ 3 pts above national avg 83.1 · Above neutral
Industry payments
$2.0K
26 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
Abid Mogannam, M.D., M.B.A. reported a CMS MIPS final score of 85.7/100 - above the 83.1 national average - and filed 101 Medicare Part D claims in 2023.
- 85.7/100
- MIPS score · +3 vs avg
- 101
- Part D claims, 2023
- 89%
- 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.
Abid Mogannam, M.D., M.B.A.'s MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
86 49th percentile higher than 49% 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 Abid Mogannam, M.D., M.B.A. sits
This provider among surgery physician peers
Across the 7,525 surgery physician providers who report both Medicare Part D prescribing and a MIPS quality score, Abid Mogannam, M.D., M.B.A. writes more Part D claims than 53% of them and scores higher on MIPS quality than 49% - placing this provider in the high-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 surgery physician peer from a representative sample of 60; the gold marker is Abid Mogannam, M.D., M.B.A.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Abid Mogannam, M.D., M.B.A. 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 Abid Mogannam, M.D., M.B.A.?
High performer (top quartile)Primary specialty
Surgery Physician
Medicare Part D claims
101 40% vs specialty avg
MIPS final score
85.7/100 2.6 pts vs avg
Specialty distribution in California
How Surgery Physician compares to other specialties among California providers
Medicare quality performance, MIPS
Abid Mogannam, M.D., M.B.A.'s 2023 MIPS final score plotted against the Surgery Physician national average
- MIPS Final Score
- 85.7/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Surgery Physician) - 85.7/100 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).
Abid Mogannam, M.D., M.B.A. appears in the CMS NPPES registry as a Surgery Physician provider holding M.D., M.B.A. credentials at 2425 SAMARITAN DR, San Jose, CA, 95124, with a listed phone of (408) 559-2011. NPI 1598056483 was issued on 04/26/2011.
Medicare Part D records for calendar year 2023 show 101 prescription claims written by this provider, covering 53 Medicare beneficiaries and totaling roughly $7K in drug spend, split 11% brand-name and 89% generic by claim count, with an opioid prescribing rate of 34.7%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 85.7/100 for the 2023 performance year (Quality 62.8, Cost 75.4), compared with the national average of 83.1.
Surgery Physician is a mid-sized specialty nationwide, with 36,191 enrolled providers across 56 states and an average of 169 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 | 1598056483 |
|---|---|
| Specialty | Surgery Physician |
| Credentials | M.D., M.B.A. |
| Gender | Male |
| NPI Issued | 04/26/2011 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
85.702
Final Score
Avg: 83.1
62.7542
Quality
75.4193
Cost
77
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Abid Mogannam, M.D., M.B.A. 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.
General Vascular Surgery Medical Group Inc
San Leandro, CA
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 Abid Mogannam, M.D., M.B.A.. Source: openpaymentsdata.cms.gov.
Total received
$2.0K
Largest payer
Boston Scientific Corporation
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 - California MBC 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 ~150K California medical licensees in 2023 - they are NOT specific to Abid Mogannam, M.D., M.B.A.. To verify Abid Mogannam, M.D., M.B.A.'s current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases
MBC 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 California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Typical
Abid Mogannam, M.D., M.B.A. - brand share 11.0%
Surgery Physician average
11% brand-name claims vs 89% generic, on 101 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.
101
Total Claims
$7K
Total Drug Cost
53
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 175
- Total Day Supply
- 3,959
- Brand vs Generic
- 11% brand / 89% generic
- Brand Drug Cost
- $6K
- Generic Drug Cost
- $1K
- Opioid Claims
- 35 (34.7% rate)
Patient Demographics
- Average Patient Age
- 71.3 years
- Avg HCC Risk Score
- 5.98
- Gender Split
- 45% female / 55% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Clopidogrel Clopidogrel Bisulfate | 35 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 30 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Surgery Physician Overview
How Abid Mogannam, M.D., M.B.A. fits within the Surgery Physician landscape nationally.
36,191
Surgery Physician Providers in US
56
States with Surgery Physician
169
Avg Claims per Provider
Abid Mogannam, M.D., M.B.A.'s 101 claims are below the specialty average of 169.
Nearby Surgery Physician Providers in California
Other clinicians with the same primary specialty enrolled in California, drawn from the same CMS NPPES roster as Mogannam.
Dr. Oliver Aalami
M.D.
Stanford, CA
Dr. Shahram Aarabi
MD
Oakland, CA
Dr. Miriam Abaunza
M.D.
Los Angeles, CA
Dr. Benjamin Abbadessa
M.D.
San Diego, CA
Abdul-Rahman Abdel-Reheem
Los Angeles, CA
Compare Surgery 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 California medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Surgery 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.
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Frequently Asked Questions
What is Abid Mogannam, M.D., M.B.A.'s specialty? ▼
Abid Mogannam, M.D., M.B.A. specializes in Surgery Physician and practices in San Jose, California. Credentials: M.D., M.B.A..
How much does Abid Mogannam, M.D., M.B.A. prescribe under Medicare Part D? ▼
In 2023, Abid Mogannam, M.D., M.B.A. wrote 101 Medicare Part D claims totaling $7K in drug costs for 53 beneficiaries.
What is Abid Mogannam, M.D., M.B.A.'s Medicare quality score? ▼
Abid Mogannam, M.D., M.B.A. has a CMS MIPS Final Score of 85.7/100 (Quality: 62.8, Cost: 75.4). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Abid Mogannam, M.D., M.B.A. located? ▼
Abid Mogannam, M.D., M.B.A. is located at 2425 SAMARITAN DR, San Jose, CA, 95124. Phone: (408) 559-2011.
What is Abid Mogannam, M.D., M.B.A.'s NPI number? ▼
Abid Mogannam, M.D., M.B.A.'s National Provider Identifier (NPI) is 1598056483, issued on 04/26/2011.
Does Abid Mogannam, M.D., M.B.A. prescribe more brand-name or generic drugs? ▼
Abid Mogannam, M.D., M.B.A.'s prescribing is 11% brand-name and 89% generic drugs by claim count, with $6K in brand drug costs.
Does Abid Mogannam, M.D., M.B.A. prescribe opioids? ▼
Yes, Abid Mogannam, M.D., M.B.A. had 35 opioid claims in 2023 with an opioid prescribing rate of 34.7%.
How many Surgery Physician providers are there in the US? ▼
There are 36,191 Surgery Physician providers across 56 states in the US. The average Surgery Physician provider writes 169 Medicare Part D claims per year.
What drugs does Abid Mogannam, M.D., M.B.A. prescribe most often? ▼
Based on 2023 Medicare Part D data, Abid Mogannam, M.D., M.B.A.'s most frequently prescribed drugs include Clopidogrel, Hydrocodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Abid Mogannam, M.D., M.B.A. accept Medicare? ▼
Abid Mogannam, M.D., M.B.A. appears in CMS Medicare data with 101 Part D claims and 53 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Abid Mogannam, M.D., M.B.A.'s credentials? ▼
Abid Mogannam, M.D., M.B.A.'s NPI is 1598056483 with credentials M.D., M.B.A.. 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.