NPI registry status
Active
2026 NPPES data Surgery Physician NPI 1053382861 MD
Verify on CMS → Ali Ahmadinejad, MD
Surgery Physician in Darby, Pennsylvania.
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
42
Medicare Part D claims · 17 beneficiaries · Surgery Physician avg: 169
MIPS score
100/100
▲ 17 pts above national avg 83.1 · Exceptional
Industry payments
$22.67
1 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Ali Ahmadinejad, MD reported a CMS MIPS final score of 100/100 - above the 83.1 national average - and filed 42 Medicare Part D claims in 2023.
- 100/100
- MIPS score · +17 vs avg
- 42
- Part D claims, 2023
- 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.
Ali Ahmadinejad, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
100 Top 7% higher than 93% 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 Ali Ahmadinejad, MD 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, Ali Ahmadinejad, MD writes more Part D claims than 26% of them and scores higher on MIPS quality than 93% - placing this provider in the lower-volume, high-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 Ali Ahmadinejad, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Ali Ahmadinejad, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting - 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 Ali Ahmadinejad, MD?
High performer (top quartile)Primary specialty
Surgery Physician
Medicare Part D claims
42 75% vs specialty avg
MIPS final score
100/100 16.9 pts vs avg
Specialty distribution in Pennsylvania
How Surgery Physician compares to other specialties among Pennsylvania providers
Medicare quality performance, MIPS
Ali Ahmadinejad, MD's 2023 MIPS final score plotted against the Surgery Physician national average
- MIPS Final Score
- 100/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Surgery Physician) - 100/100 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).
Ali Ahmadinejad, MD appears in the CMS NPPES registry as a Surgery Physician provider holding MD credentials at 1501 LANSDOWNE AVE, Darby, PA, 19023, with a listed phone of (610) 534-6210. NPI 1053382861 was issued on 01/30/2006.
Medicare Part D records for calendar year 2023 show 42 prescription claims written by this provider, covering 17 Medicare beneficiaries and totaling roughly $412 in drug spend. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 100/100 for the 2023 performance year (Quality 91.9), 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 | 1053382861 |
|---|---|
| Specialty | Surgery Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 01/30/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
100
Final Score
Avg: 83.1
91.8877
Quality
Reporting: Group practice
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 Ali Ahmadinejad, MD. Source: openpaymentsdata.cms.gov.
Total received
$23
Largest payer
Amgen 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 - Pennsylvania PA-BOM 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 ~45K Pennsylvania medical licensees in 2023 - they are NOT specific to Ali Ahmadinejad, MD. To verify Ali Ahmadinejad, MD's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases
PA-BOM 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 Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
42
Total Claims
$412
Total Drug Cost
17
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 52
- Total Day Supply
- 1,087
- Generic Drug Cost
- $402
Patient Demographics
- Average Patient Age
- 72.2 years
- Avg HCC Risk Score
- 5.13
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 | 15 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Surgery Physician Overview
How Ali Ahmadinejad, MD fits within the Surgery Physician landscape nationally.
36,191
Surgery Physician Providers in US
56
States with Surgery Physician
169
Avg Claims per Provider
Ali Ahmadinejad, MD's 42 claims are below the specialty average of 169.
Nearby Surgery Physician Providers in Pennsylvania
Other clinicians with the same primary specialty enrolled in Pennsylvania, drawn from the same CMS NPPES roster as Ahmadinejad.
Dr. Darius Abadi
D.O.
Wellsboro, PA
Dr. Babak Abai
MD
Philadelphia, PA
Dr. Ariel Aballay
MD
Pittsburgh, PA
Dr. Philip Abbosh
MDPHD
Philadelphia, PA
Dr. Michael Abboud
M.D.
Reading, PA
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 Pennsylvania 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.
Healthcare Guides
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How to Find a Doctor
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Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore Pennsylvania
Frequently Asked Questions
What is Ali Ahmadinejad, MD's specialty? ▼
Ali Ahmadinejad, MD specializes in Surgery Physician and practices in Darby, Pennsylvania. Credentials: MD.
How much does Ali Ahmadinejad, MD prescribe under Medicare Part D? ▼
In 2023, Ali Ahmadinejad, MD wrote 42 Medicare Part D claims totaling $412 in drug costs for 17 beneficiaries.
What is Ali Ahmadinejad, MD's Medicare quality score? ▼
Ali Ahmadinejad, MD has a CMS MIPS Final Score of 100/100 (Quality: 91.9). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Ali Ahmadinejad, MD located? ▼
Ali Ahmadinejad, MD is located at 1501 LANSDOWNE AVE, Darby, PA, 19023. Phone: (610) 534-6210.
What is Ali Ahmadinejad, MD's NPI number? ▼
Ali Ahmadinejad, MD's National Provider Identifier (NPI) is 1053382861, issued on 01/30/2006.
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 Ali Ahmadinejad, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Ali Ahmadinejad, MD's most frequently prescribed drugs include Clopidogrel. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Ali Ahmadinejad, MD accept Medicare? ▼
Ali Ahmadinejad, MD appears in CMS Medicare data with 42 Part D claims and 17 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Ali Ahmadinejad, MD's credentials? ▼
Ali Ahmadinejad, MD's NPI is 1053382861 with credentials MD. 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.