2026 NPPES data Critical Care Medicine (Internal Medicine) Physician NPI 1447504402 M.D
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AHMED GHADAI, M.D

Critical Care Medicine (Internal Medicine) Physician in JANESVILLE, 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
126
Medicare Part D claims · 38 beneficiaries · Critical Care Medicine (Internal Medicine) Physician avg: 1K
Generic prescribing
52%
generic claims · 48% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
67.1858/100
▼ 16 pts below national avg 83.1 · [object Object]

What the federal data shows

AHMED GHADAI, M.D reported a CMS MIPS final score of 67.1858/100 — below the 83.1 national average — and filed 126 Medicare Part D claims in 2023.

67.1858/100
MIPS score · -16 vs avg
126
Part D claims, 2023
52%
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.

AHMED GHADAI, M.D's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

67 7th percentile higher than 7% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). This entry sits in this band. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

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

Board certification likely (heuristic — not verified)

AHMED GHADAI, M.D practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 4 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 AHMED GHADAI, M.D?

Below national average

NPI registry status

Active

Issued 10/30/2012

NPI 1447504402

Primary specialty

Critical Care Medicine (Internal Medicine) Physician

Mid-sized

6,631 US NPIs in this specialty

Medicare Part D claims

126 88% vs specialty avg

2023 prescription claims

Specialty avg: 1,069

MIPS final score

67.1858/100 15.914199999999994% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Wisconsin

How Critical Care Medicine (Internal Medicine) Physician compares to other specialties among Wisconsin providers

Wisconsin providers

Critical Care Medicine (Internal Medicine) Physician share within Wisconsin

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

Medicare quality performance — MIPS

AHMED GHADAI, M.D's 2023 MIPS final score plotted against the Critical Care Medicine (Internal Medicine) Physician national average

Below national average
MIPS Final Score
67.1858/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Critical Care Medicine (Internal Medicine) Physician) — 67.1858/100 vs national avg 83.1

0%100%National avg83%67.2%
MIPS final score (Critical Care Medicine (Internal Medicine) Physician) — 67.1858/100 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).

AHMED GHADAI, M.D appears in the CMS NPPES registry as a Critical Care Medicine (Internal Medicine) Physician provider holding M.D credentials at 1000 MINERAL POINT AVE, JANESVILLE, WI, 53548, with a listed phone of (608) 756-6868. NPI 1447504402 was issued on 10/30/2012. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GHADAI 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 126 prescription claims written by this provider, covering 38 Medicare beneficiaries and totaling roughly $31K 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 67.1858/100 for the 2023 performance year (Quality 63.8613, Cost 56.8734), compared with the national average of 83.1.

Critical Care Medicine (Internal Medicine) Physician is a mid-sized specialty nationwide, with 6,631 enrolled providers across 53 states and an average of 1,069 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 MINERAL POINT AVE
JANESVILLE, WI 53548

Provider Details

NPI 1447504402
Specialty Critical Care Medicine (Internal Medicine) Physician
Credentials M.D
Gender Male
NPI Issued 10/30/2012

CMS Quality Score (MIPS)

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

67.1858
Final Score
Avg: 83.1
63.8613
Quality
56.8734
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where AHMED GHADAI, 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.

CENTRAL DUPAGE PHYSICIAN GROUP
DEKALB, IL
INSIGHT CHICAGO INC
CHICAGO, IL
MERCY HEALTH SYSTEM CORPORATION
JANESVILLE, WI
NORTHWESTERN MEDICAL FACULTY FOUNDATION
MCHENRY, IL

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 · Above average

AHMED GHADAI, M.D — brand share 48.0%
Specialty average (est.)

48% brand-name claims vs 52% generic, on 126 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.

126
Total Claims
$31K
Total Drug Cost
38
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
155
Total Day Supply
3,944
Brand vs Generic
48% brand / 52% generic
Brand Drug Cost
$29K
Generic Drug Cost
$1K
Antibiotic Claims
14

Patient Demographics

Average Patient Age
75.2 years
Avg HCC Risk Score
2.25
Gender Split
58% female / 42% 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
Albuterol Sulfate Hfa
Albuterol Sulfate
16
Spiriva Respimat
Tiotropium Bromide
11

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

Critical Care Medicine (Internal Medicine) Physician Overview

How AHMED GHADAI, M.D fits within the Critical Care Medicine (Internal Medicine) Physician landscape nationally.

6,631
Critical Care Medicine (Internal Medicine) Physician Providers in US
53
States with Critical Care Medicine (Internal Medicine) Physician
1,069
Avg Claims per Provider

AHMED GHADAI, M.D's 126 claims are below the specialty average of 1,069.

Nearby Critical Care Medicine (Internal Medicine) Physician Providers in Wisconsin

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

Compare Critical Care Medicine (Internal Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is AHMED GHADAI, M.D's specialty?
AHMED GHADAI, M.D specializes in Critical Care Medicine (Internal Medicine) Physician and practices in JANESVILLE, Wisconsin. Credentials: M.D.
How much does AHMED GHADAI, M.D prescribe under Medicare Part D?
In 2023, AHMED GHADAI, M.D wrote 126 Medicare Part D claims totaling $31K in drug costs for 38 beneficiaries.
What is AHMED GHADAI, M.D's Medicare quality score?
AHMED GHADAI, M.D has a CMS MIPS Final Score of 67.1858/100 (Quality: 63.8613, Cost: 56.8734). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is AHMED GHADAI, M.D located?
AHMED GHADAI, M.D is located at 1000 MINERAL POINT AVE, JANESVILLE, WI, 53548. Phone: (608) 756-6868.
What is AHMED GHADAI, M.D's NPI number?
AHMED GHADAI, M.D's National Provider Identifier (NPI) is 1447504402, issued on 10/30/2012.
Does AHMED GHADAI, M.D prescribe more brand-name or generic drugs?
AHMED GHADAI, M.D's prescribing is 48% brand-name and 52% generic drugs by claim count, with $29K in brand drug costs.
How many Critical Care Medicine (Internal Medicine) Physician providers are there in the US?
There are 6,631 Critical Care Medicine (Internal Medicine) Physician providers across 53 states in the US. The average Critical Care Medicine (Internal Medicine) Physician provider writes 1,069 Medicare Part D claims per year.
What drugs does AHMED GHADAI, M.D prescribe most often?
Based on 2023 Medicare Part D data, AHMED GHADAI, M.D's most frequently prescribed drugs include Albuterol Sulfate Hfa, Spiriva Respimat. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does AHMED GHADAI, M.D accept Medicare?
AHMED GHADAI, M.D appears in CMS Medicare data with 126 Part D claims and 38 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify AHMED GHADAI, M.D's credentials?
AHMED GHADAI, M.D's NPI is 1447504402 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.
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