2026 NPPES data Internal Medicine Physician NPI 1013295179 MD
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ASHRAF ALQAQA, MD

Internal Medicine Physician in MARTIN, 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
1K
Medicare Part D claims · 223 beneficiaries · Internal Medicine Physician avg: 3K
Generic prescribing
89%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
92.5751/100
▲ 9 pts above national avg 83.1 · [object Object]
What the federal data reveals: ASHRAF ALQAQA, MD is a Internal Medicine Physician ([object Object]) practicing in MARTIN, Tennessee with a Medicare Part D prescribing footprint of 1K claims across 223 beneficiaries — 11% brand-name prescribing . Their CMS MIPS Final Score of 92.5751/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: ASHRAF ALQAQA, MD reported a CMS MIPS final score of 92.5751 out of 100, above the 83.1 national average, and filed 1,498 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

ASHRAF ALQAQA, 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).

ASHRAF ALQAQA, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 07/23/2011

NPI 1013295179

Primary specialty

Internal Medicine Physician

High-volume

172,858 US NPIs in this specialty

Medicare Part D claims

1,498 45% vs specialty avg

2023 prescription claims

Specialty avg: 2,716

MIPS final score

92.5751/100 9.475100000000012% pts

Exceptional band

vs 83.1 national avg

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

Medicare quality performance — MIPS

ASHRAF ALQAQA, MD's 2023 MIPS final score plotted against the Internal Medicine Physician national average

High performer (top quartile)
MIPS Final Score
92.5751/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Internal Medicine Physician) — 92.5751/100 vs national avg 83.1

0%100%National avg83%92.6%
MIPS final score (Internal Medicine Physician) — 92.5751/100 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).

ASHRAF ALQAQA, MD is a Internal Medicine Physician provider practicing in MARTIN, Tennessee, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1013295179. 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.

ASHRAF ALQAQA, MD appears in the CMS NPPES registry as a Internal Medicine Physician provider holding MD credentials at 143 KENNEDY DR, MARTIN, TN, 38237, with a listed phone of (731) 587-5321. NPI 1013295179 was issued on 07/23/2011. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ALQAQA 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 1,498 prescription claims written by this provider, covering 223 Medicare beneficiaries and totaling roughly $143K in drug spend, split 11% brand-name and 89% 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 92.5751/100 for the 2023 performance year (Quality 85.0323), compared with the national average of 83.1.

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

143 KENNEDY DR
MARTIN, TN 38237

Provider Details

NPI 1013295179
Specialty Internal Medicine Physician
Credentials MD
Gender Male
NPI Issued 07/23/2011

CMS Quality Score (MIPS)

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

92.5751
Final Score
Avg: 83.1
85.0323
Quality
88
Promoting Interoperability

Reporting: Alternative Payment Model

Brand vs generic prescribing mix · Typical

ASHRAF ALQAQA, MD — brand share 11.0%
Specialty average (est.)

11% brand-name claims vs 89% generic, on 1,498 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.

1,498
Total Claims
$143K
Total Drug Cost
223
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,414
Total Day Supply
70,596
Brand vs Generic
11% brand / 89% generic
Brand Drug Cost
$126K
Generic Drug Cost
$17K

Patient Demographics

Average Patient Age
71.7 years
Avg HCC Risk Score
1.67
Gender Split
46% female / 54% male
Age Distribution
<65: 35, 65-74: 100, 75-84: 68, 85+: 20

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Metoprolol Succinate
260
Rosuvastatin Calcium
151
Furosemide
134
Atorvastatin Calcium
118
Carvedilol
110
Amlodipine Besylate
82
Eliquis
Apixaban
68
Losartan Potassium
51
Hydrochlorothiazide
45
Isosorbide Mononitrate Er
Isosorbide Mononitrate
38

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

Internal Medicine Physician Overview

How ASHRAF ALQAQA, MD 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

ASHRAF ALQAQA, MD's 1,498 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 ALQAQA.

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

Frequently Asked Questions

What is ASHRAF ALQAQA, MD's specialty?
ASHRAF ALQAQA, MD specializes in Internal Medicine Physician and practices in MARTIN, Tennessee. Credentials: MD.
How much does ASHRAF ALQAQA, MD prescribe under Medicare Part D?
In 2023, ASHRAF ALQAQA, MD wrote 1,498 Medicare Part D claims totaling $143K in drug costs for 223 beneficiaries.
What is ASHRAF ALQAQA, MD's Medicare quality score?
ASHRAF ALQAQA, MD has a CMS MIPS Final Score of 92.5751/100 (Quality: 85.0323). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ASHRAF ALQAQA, MD located?
ASHRAF ALQAQA, MD is located at 143 KENNEDY DR, MARTIN, TN, 38237. Phone: (731) 587-5321.
What is ASHRAF ALQAQA, MD's NPI number?
ASHRAF ALQAQA, MD's National Provider Identifier (NPI) is 1013295179, issued on 07/23/2011.
Does ASHRAF ALQAQA, MD prescribe more brand-name or generic drugs?
ASHRAF ALQAQA, MD's prescribing is 11% brand-name and 89% generic drugs by claim count, with $126K 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.
What drugs does ASHRAF ALQAQA, MD prescribe most often?
Based on 2023 Medicare Part D data, ASHRAF ALQAQA, MD's most frequently prescribed drugs include Metoprolol Succinate, Rosuvastatin Calcium, Furosemide. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ASHRAF ALQAQA, MD accept Medicare?
ASHRAF ALQAQA, MD appears in CMS Medicare data with 1,498 Part D claims and 223 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ASHRAF ALQAQA, MD's credentials?
ASHRAF ALQAQA, MD's NPI is 1013295179 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

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