NPI registry status
Active
2026 NPPES data Student in an Organized Health Care Education/Training Program NPI 1376059717
Verify on CMS → Ali Nadhim
Student in an Organized Health Care Education/Training Program in Edison, New Jersey.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 331,274 in Student in an Organized Health Care Education/Training Program, 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
76
Medicare Part D claims · 30 beneficiaries · Student in an Organized Health Care Education/Training Program avg: 459
Generic prescribing
0%
generic claims · 50% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
66.1/100
▼ 17 pts below national avg 83.5 · Mid-tier
Industry payments
$1.8K
58 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Ali Nadhim reported a CMS MIPS final score of 66.1/100 - below the 83.5 national average - and filed 76 Medicare Part D claims in 2023.
- 66.1/100
- MIPS score · -17 vs avg
- 76
- Part D claims, 2023
- 0%
- generic prescribing
- $1.8K
- industry payments (Sunshine Act)
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 Nadhim's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
66 ≥ 7th percentile 7% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Ali Nadhim sits
This provider among student in an organized health care education/training program peers
Across the 12,177 student in an organized health care education/training program providers who report both Medicare Part D prescribing and a MIPS quality score, Ali Nadhim writes more Part D claims than 21% of them and scores higher on MIPS quality than 4% - placing this provider in the lower-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 student in an organized health care education/training program peer from a representative sample of 60; the gold marker is Ali Nadhim. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Ali Nadhim?
Below national averagePrimary specialty
Student in an Organized Health Care Education/Training Program
Medicare Part D claims
76 83% vs specialty avg
MIPS final score
66.1/100 17.4 pts vs avg
Specialty distribution in New Jersey
How Student in an Organized Health Care Education/Training Program compares to other specialties among New Jersey providers
Medicare quality performance, MIPS
Ali Nadhim's 2023 MIPS final score plotted against the Student in an Organized Health Care Education/Training Program national average
- MIPS Final Score
- 66.1/100
- vs 83.5 national avg · 2023 performance year
MIPS final score (Student in an Organized Health Care Education/Training Program) - 66.1/100 vs national avg 83.5
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 Nadhim appears in the CMS NPPES registry as a Student in an Organized Health Care Education/Training Program provider at 65 JAMES STREET, Edison, NJ, 08820, with a listed phone of (732) 321-7010. NPI 1376059717 was issued on 12/21/2017.
Medicare Part D records for calendar year 2023 show 76 prescription claims written by this provider, covering 30 Medicare beneficiaries and totaling roughly $21K in drug spend, split 50% brand-name and 0% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 66.1/100 for the 2023 performance year (Quality 77.2, Cost 59.2), compared with the 83.5 average among clinicians with a measured score.
Student in an Organized Health Care Education/Training Program is a high-volume specialty nationwide, with 331,274 enrolled providers across 55 states and an average of 459 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 | 1376059717 |
|---|---|
| Specialty | Student in an Organized Health Care Education/Training Program |
| Gender | Male |
| NPI Issued | 12/21/2017 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
66.1024
Final Score
Measured-score avg: 83.5
77.1858
Quality
59.1634
Cost
21
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Ali Nadhim 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.
Shore Pulmonary, PA
Brick, NJ
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 Ali Nadhim. Source: openpaymentsdata.cms.gov.
Total received
$1.8K
Largest payer
GlaxoSmithKline, LLC.
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 · Brand-heavy
Ali Nadhim - brand share 50.0%
Student in an Organized Health Care Education/Training Program average
50% brand-name claims vs 0% generic, on 76 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.
76
Total Claims
$21K
Total Drug Cost
30
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 95
- Total Day Supply
- 2,497
- Brand vs Generic
- 50% brand / 0% generic
- Brand Drug Cost
- $20K
Patient Demographics
- Average Patient Age
- 75.0 years
- Avg HCC Risk Score
- 1.88
- Gender Split
- 57% female / 43% 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 | 21 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Student in an Organized Health Care Education/Training Program in NJ →
All providers in New Jersey →
Compare specialties →
Student in an Organized Health Care Education/Training Program Overview
How Ali Nadhim fits within the Student in an Organized Health Care Education/Training Program landscape nationally.
331,274
Student in an Organized Health Care Education/Training Program Providers in US
55
States with Student in an Organized Health Care Education/Training Program
459
Avg Claims per Provider
Ali Nadhim's 76 claims are below the specialty average of 459.
Nearby Student in an Organized Health Care Education/Training Program Providers in New Jersey
Other clinicians with the same primary specialty enrolled in New Jersey, drawn from the same CMS NPPES roster as Nadhim.
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 New Jersey medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Student in an Organized Health Care Education/Training Program 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 Ali Nadhim's specialty? ▼
Ali Nadhim specializes in Student in an Organized Health Care Education/Training Program and practices in Edison, New Jersey.
How much does Ali Nadhim prescribe under Medicare Part D? ▼
In 2023, Ali Nadhim wrote 76 Medicare Part D claims totaling $21K in drug costs for 30 beneficiaries.
What is Ali Nadhim's Medicare quality score? ▼
Ali Nadhim has a CMS MIPS Final Score of 66.1/100 (Quality: 77.2, Cost: 59.2). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Ali Nadhim located? ▼
Ali Nadhim is located at 65 JAMES STREET, Edison, NJ, 08820. Phone: (732) 321-7010.
What is Ali Nadhim's NPI number? ▼
Ali Nadhim's National Provider Identifier (NPI) is 1376059717, issued on 12/21/2017.
Does Ali Nadhim prescribe more brand-name or generic drugs? ▼
Ali Nadhim's prescribing is 50% brand-name and 0% generic drugs by claim count, with $20K in brand drug costs.
How many Student in an Organized Health Care Education/Training Program providers are there in the US? ▼
There are 331,274 Student in an Organized Health Care Education/Training Program providers across 55 states in the US. The average Student in an Organized Health Care Education/Training Program provider writes 459 Medicare Part D claims per year.
What drugs does Ali Nadhim prescribe most often? ▼
Based on 2023 Medicare Part D data, Ali Nadhim's most frequently prescribed drugs include Albuterol Sulfate Hfa. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Ali Nadhim accept Medicare? ▼
Ali Nadhim appears in CMS Medicare data with 76 Part D claims and 30 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Ali Nadhim's credentials? ▼
Ali Nadhim's NPI is 1376059717. 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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.