2026 NPPES data Hospitalist Physician NPI 1740492214 MD
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BADER ABU GHALYOUN, MD

Hospitalist Physician in STOCKTON, California. 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
7K
Medicare Part D claims · 919 beneficiaries · Hospitalist Physician avg: 888
MIPS score
97.1217/100
▲ 14 pts above national avg 83.1 · [object Object]
Industry payments
$1.7K
70 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: BADER ABU GHALYOUN, MD is a Hospitalist Physician ([object Object]) practicing in STOCKTON, California with a Medicare Part D prescribing footprint of 7K claims across 919 beneficiaries . Their CMS MIPS Final Score of 97.1217/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $1.7K across 70 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: BADER ABU GHALYOUN, MD reported a CMS MIPS final score of 97.1217 out of 100, above the 83.1 national average, and filed 7,348 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)

BADER ABU GHALYOUN, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

BADER ABU GHALYOUN, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 05/04/2007

NPI 1740492214

Primary specialty

Hospitalist Physician

Mid-sized

16,825 US NPIs in this specialty

Medicare Part D claims

7,348 727% vs specialty avg

2023 prescription claims

Specialty avg: 888

MIPS final score

97.1217/100 14.02170000000001% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in California

How Hospitalist Physician compares to other specialties among California providers

California providers

Hospitalist Physician share within California

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

Medicare quality performance — MIPS

BADER ABU GHALYOUN, MD's 2023 MIPS final score plotted against the Hospitalist Physician national average

High performer (top quartile)
MIPS Final Score
97.1217/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Hospitalist Physician) — 97.1217/100 vs national avg 83.1

0%100%National avg83%97.1%
MIPS final score (Hospitalist Physician) — 97.1217/100 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).

BADER ABU GHALYOUN, MD is a Hospitalist Physician provider practicing in STOCKTON, California, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1740492214. 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.

BADER ABU GHALYOUN, MD appears in the CMS NPPES registry as a Hospitalist Physician provider holding MD credentials at 1801 E MARCH LN, STOCKTON, CA, 95210, with a listed phone of (209) 464-3615. NPI 1740492214 was issued on 05/04/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ABU GHALYOUN 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 7,348 prescription claims written by this provider, covering 919 Medicare beneficiaries and totaling roughly $1.3 million in drug spend. 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 97.1217/100 for the 2023 performance year (Quality 84.2434), compared with the national average of 83.1.

Hospitalist Physician is a mid-sized specialty nationwide, with 16,825 enrolled providers across 54 states and an average of 888 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

1801 E MARCH LN
STOCKTON, CA 95210

Provider Details

NPI 1740492214
Specialty Hospitalist Physician
Credentials MD
Gender Male
NPI Issued 05/04/2007

CMS Quality Score (MIPS)

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

97.1217
Final Score
Avg: 83.1
84.2434
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where BADER ABU GHALYOUN, MD 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.

ADVENTIST HEALTH PHYSICIANS NETWORK
HANFORD, CA
LODI MEMORIAL HOSPITAL ASSOCIATION INC
LODI, CA

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 BADER ABU GHALYOUN, MD. Source: openpaymentsdata.cms.gov.

Total received

$1.7K

Largest payer

ABIOMED

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 — California MBC 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 ~150K California medical licensees in 2023 — they are NOT specific to BADER ABU GHALYOUN, MD. To verify BADER ABU GHALYOUN, MD's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC 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 California 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.

7,348
Total Claims
$1.3M
Total Drug Cost
919
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
15,916
Total Day Supply
473,536
Generic Drug Cost
$136K
Antibiotic Claims
16

Patient Demographics

Average Patient Age
74.0 years
Avg HCC Risk Score
1.74
Gender Split
51% female / 49% male
Age Distribution
<65: 83, 65-74: 428, 75-84: 288, 85+: 120

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Atorvastatin Calcium
852
Carvedilol
737
Amlodipine Besylate
569
Metoprolol Succinate
507
Entresto
Sacubitril/Valsartan
425
Furosemide
423
Losartan Potassium
349
Xarelto
Rivaroxaban
276
Lisinopril
269
Metoprolol Tartrate
239

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

Hospitalist Physician Overview

How BADER ABU GHALYOUN, MD fits within the Hospitalist Physician landscape nationally.

16,825
Hospitalist Physician Providers in US
54
States with Hospitalist Physician
888
Avg Claims per Provider

BADER ABU GHALYOUN, MD's 7,348 claims are above the specialty average of 888.

Nearby Hospitalist Physician Providers in California

Other clinicians with the same primary specialty enrolled in California, drawn from the same CMS NPPES roster as ABU GHALYOUN.

Compare Hospitalist Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is BADER ABU GHALYOUN, MD's specialty?
BADER ABU GHALYOUN, MD specializes in Hospitalist Physician and practices in STOCKTON, California. Credentials: MD.
How much does BADER ABU GHALYOUN, MD prescribe under Medicare Part D?
In 2023, BADER ABU GHALYOUN, MD wrote 7,348 Medicare Part D claims totaling $1.3M in drug costs for 919 beneficiaries.
What is BADER ABU GHALYOUN, MD's Medicare quality score?
BADER ABU GHALYOUN, MD has a CMS MIPS Final Score of 97.1217/100 (Quality: 84.2434). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is BADER ABU GHALYOUN, MD located?
BADER ABU GHALYOUN, MD is located at 1801 E MARCH LN, STOCKTON, CA, 95210. Phone: (209) 464-3615.
What is BADER ABU GHALYOUN, MD's NPI number?
BADER ABU GHALYOUN, MD's National Provider Identifier (NPI) is 1740492214, issued on 05/04/2007.
How many Hospitalist Physician providers are there in the US?
There are 16,825 Hospitalist Physician providers across 54 states in the US. The average Hospitalist Physician provider writes 888 Medicare Part D claims per year.
What drugs does BADER ABU GHALYOUN, MD prescribe most often?
Based on 2023 Medicare Part D data, BADER ABU GHALYOUN, MD's most frequently prescribed drugs include Atorvastatin Calcium, Carvedilol, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does BADER ABU GHALYOUN, MD accept Medicare?
BADER ABU GHALYOUN, MD appears in CMS Medicare data with 7,348 Part D claims and 919 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify BADER ABU GHALYOUN, MD's credentials?
BADER ABU GHALYOUN, MD's NPI is 1740492214 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