2026 NPPES data Internal Medicine Physician NPI 1164876330 M.D.
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AHMAD ALBALBISSI, M.D.

Internal Medicine Physician in BRISTOL, Tennessee. 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
73
Medicare Part D claims · 31 beneficiaries · Internal Medicine Physician avg: 3K
Generic prescribing
52%
generic claims · 48% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$1.2K
50 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: AHMAD ALBALBISSI, M.D. is a Internal Medicine Physician ([object Object]) practicing in BRISTOL, Tennessee with a Medicare Part D prescribing footprint of 73 claims across 31 beneficiaries — 48% brand-name prescribing . Industry payments of $1.2K across 50 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: AHMAD ALBALBISSI, M.D. filed 73 Medicare Part D claims in 2023 across BRISTOL, Tennessee. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

AHMAD ALBALBISSI, 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).

AHMAD ALBALBISSI, M.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 04/14/2016

NPI 1164876330

Primary specialty

Internal Medicine Physician

High-volume

172,858 US NPIs in this specialty

Medicare Part D claims

73 97% vs specialty avg

2023 prescription claims

Specialty avg: 2,716

Specialty distribution in Tennessee

How Internal Medicine Physician compares to other specialties among Tennessee providers

Tennessee providers

Internal Medicine Physician share within Tennessee

1. Internal Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Internal Medicine Physician share within Tennessee

Specialty board-certification context

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

Quality data not reported
Est. board-certified rate
78%
Internal Medicine Physician ABMS/AOA estimate

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

0%100%78%
Est. board-certified rate (Internal 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).

AHMAD ALBALBISSI, M.D. is a Internal Medicine Physician provider practicing in BRISTOL, Tennessee, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1164876330. 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.

AHMAD ALBALBISSI, M.D. appears in the CMS NPPES registry as a Internal Medicine Physician provider holding M.D. credentials at 1 MEDICAL PARK BLVD STE 205E, BRISTOL, TN, 37620, with a listed phone of (423) 844-5520. NPI 1164876330 was issued on 04/14/2016. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ALBALBISSI 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 73 prescription claims written by this provider, covering 31 Medicare beneficiaries and totaling roughly $22K in drug spend, split 48% brand-name and 52% 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.

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

1 MEDICAL PARK BLVD STE 205E
BRISTOL, TN 37620

Provider Details

NPI 1164876330
Specialty Internal Medicine Physician
Credentials M.D.
Gender Male
NPI Issued 04/14/2016

Hospital and facility affiliations

Facilities where AHMAD ALBALBISSI, 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.

WELLMONT MEDICAL ASSOCIATES INC
JOHNSON CITY, TN

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 AHMAD ALBALBISSI, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$1.2K

Largest payer

AstraZeneca Pharmaceuticals LP

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

AHMAD ALBALBISSI, M.D. — brand share 48.0%
Specialty average (est.)

48% brand-name claims vs 52% generic, on 73 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.

73
Total Claims
$22K
Total Drug Cost
31
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
81
Total Day Supply
1,855
Brand vs Generic
48% brand / 52% generic
Brand Drug Cost
$21K
Generic Drug Cost
$1K
Antibiotic Claims
11

Patient Demographics

Average Patient Age
71.1 years
Avg HCC Risk Score
1.84

Internal Medicine Physician Overview

How AHMAD ALBALBISSI, M.D. 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

AHMAD ALBALBISSI, M.D.'s 73 claims are below the specialty average of 2,716.

Nearby Internal Medicine Physician Providers in Tennessee

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

Compare Internal Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is AHMAD ALBALBISSI, M.D.'s specialty?
AHMAD ALBALBISSI, M.D. specializes in Internal Medicine Physician and practices in BRISTOL, Tennessee. Credentials: M.D..
How much does AHMAD ALBALBISSI, M.D. prescribe under Medicare Part D?
In 2023, AHMAD ALBALBISSI, M.D. wrote 73 Medicare Part D claims totaling $22K in drug costs for 31 beneficiaries.
Where is AHMAD ALBALBISSI, M.D. located?
AHMAD ALBALBISSI, M.D. is located at 1 MEDICAL PARK BLVD STE 205E, BRISTOL, TN, 37620. Phone: (423) 844-5520.
What is AHMAD ALBALBISSI, M.D.'s NPI number?
AHMAD ALBALBISSI, M.D.'s National Provider Identifier (NPI) is 1164876330, issued on 04/14/2016.
Does AHMAD ALBALBISSI, M.D. prescribe more brand-name or generic drugs?
AHMAD ALBALBISSI, M.D.'s prescribing is 48% brand-name and 52% generic drugs by claim count, with $21K 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.
Does AHMAD ALBALBISSI, M.D. accept Medicare?
AHMAD ALBALBISSI, M.D. appears in CMS Medicare data with 73 Part D claims and 31 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify AHMAD ALBALBISSI, M.D.'s credentials?
AHMAD ALBALBISSI, M.D.'s NPI is 1164876330 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