NPI registry status
Active
2026 NPPES data Hospitalist Physician NPI 1164489803 M.D.
Verify on CMS → Benson Zoghlin, M.D.
Hospitalist Physician in Hilton, New York.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 16,938 in Hospitalist 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
14K
Medicare Part D claims · 948 beneficiaries · Hospitalist Physician avg: 888
Generic prescribing
90%
generic claims · 9% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
95.2/100
▲ 12 pts above national avg 83.5 · Exceptional
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Benson Zoghlin, M.D. reported a CMS MIPS final score of 95.2/100 - above the 83.5 national average - and filed 13,559 Medicare Part D claims in 2023.
- 95.2/100
- MIPS score · +12 vs avg
- 14K
- Part D claims, 2023
- 90%
- 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.
Benson Zoghlin, M.D.'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.
95 ≥ 78th percentile 78% 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 Benson Zoghlin, M.D. sits
This provider among hospitalist physician peers
Across the 4,317 hospitalist physician providers who report both Medicare Part D prescribing and a MIPS quality score, Benson Zoghlin, M.D. writes more Part D claims than 99% of them and scores higher on MIPS quality than 75% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one hospitalist physician peer from a representative sample of 60; the gold marker is Benson Zoghlin, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Benson Zoghlin, M.D. 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 Benson Zoghlin, M.D.?
High performer (top quartile)Primary specialty
Hospitalist Physician
Medicare Part D claims
13,559 15× vs specialty avg
MIPS final score
95.2/100 11.7 pts vs avg
Specialty distribution in New York
How Hospitalist Physician compares to other specialties among New York providers
Medicare quality performance, MIPS
Benson Zoghlin, M.D.'s 2023 MIPS final score plotted against the Hospitalist Physician national average
- MIPS Final Score
- 95.2/100
- vs 83.5 national avg · 2023 performance year
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).
Benson Zoghlin, M.D. appears in the CMS NPPES registry as a Hospitalist Physician provider holding M.D. credentials at 279 EAST AVE, Hilton, NY, 14468, with a listed phone of (585) 392-9100. NPI 1164489803 was issued on 04/27/2006.
Medicare Part D records for calendar year 2023 show 13,559 prescription claims written by this provider, covering 948 Medicare beneficiaries and totaling roughly $1.2 million in drug spend, split 9% brand-name and 90% generic by claim count, with an opioid prescribing rate of 8.0%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 95.2/100 for the 2023 performance year (Quality 70.6), compared with the 83.5 average among clinicians with a measured score.
Hospitalist Physician is a mid-sized specialty nationwide, with 16,938 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
Provider Details
| NPI | 1164489803 |
|---|---|
| Specialty | Hospitalist Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 04/27/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
95.1965
Final Score
Measured-score avg: 83.5
70.6225
Quality
100
Promoting Interoperability
Reporting: Alternative Payment Model
License & disciplinary context - New York NYSBPMC 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 ~100K New York medical licensees in 2023 - they are NOT specific to Benson Zoghlin, M.D.. To verify Benson Zoghlin, M.D.'s current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases
NYSBPMC 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 New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Generic-heavy
Benson Zoghlin, M.D. - brand share 9.0%
Hospitalist Physician average
9% brand-name claims vs 90% generic, on 13,559 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.
13,559
Total Claims
$1.2M
Total Drug Cost
948
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 26,174
- Total Day Supply
- 763,593
- Brand vs Generic
- 9% brand / 90% generic
- Brand Drug Cost
- $817K
- Generic Drug Cost
- $361K
- Opioid Claims
- 1,086 (8.0% rate)
- Antibiotic Claims
- 251
Patient Demographics
- Average Patient Age
- 73.0 years
- Avg HCC Risk Score
- 0.97
- Gender Split
- 52% female / 48% male
- Age Distribution
- <65: 87, 65-74: 468, 75-84: 299, 85+: 94
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Benson Zoghlin, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Levothyroxine Sodium
Levothyroxine Sodium
591 claims
- Amlodipine Besylate
Amlodipine Besylate
485 claims
- Omeprazole
Omeprazole
415 claims
- Lisinopril
Lisinopril
404 claims
- Atorvastatin Calcium
Atorvastatin Calcium
390 claims
- Hydrocodone-Acetam…
Hydrocodone-Acetaminophen
322 claims
- Oxycodone Hcl
Oxycodone Hcl
304 claims
- Losartan Potassium
Losartan Potassium
294 claims
| Drug | Claims |
|---|---|
| Levothyroxine Sodium | 591 |
| Amlodipine Besylate | 485 |
| Omeprazole | 415 |
| Lisinopril | 404 |
| Atorvastatin Calcium | 390 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 322 |
| Oxycodone Hcl | 304 |
| Losartan Potassium | 294 |
| Alprazolam | 290 |
| Simvastatin | 269 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Hospitalist Physician Overview
How Benson Zoghlin, M.D. fits within the Hospitalist Physician landscape nationally.
16,938
Hospitalist Physician Providers in US
54
States with Hospitalist Physician
888
Avg Claims per Provider
Benson Zoghlin, M.D.'s 13,559 claims are above the specialty average of 888.
Nearby Hospitalist Physician Providers in New York
Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as Zoghlin.
Dr. Farrukh Abbas
MD
Rochester, NY
Dr. Hassan Abbas
M.D.
Rochester, NY
Dr. Suhail Abbasi
MD,FACP,FHM,FRCP
Batavia, NY
Fatmaalzahraa Abdelqader
New York, NY
Dr. Abdullah Abdullah
MD
Rochester, NY
Compare Hospitalist 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 New York medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Hospitalist 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.
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Frequently Asked Questions
What is Benson Zoghlin, M.D.'s specialty? ▼
Benson Zoghlin, M.D. specializes in Hospitalist Physician and practices in Hilton, New York. Credentials: M.D..
How much does Benson Zoghlin, M.D. prescribe under Medicare Part D? ▼
In 2023, Benson Zoghlin, M.D. wrote 13,559 Medicare Part D claims totaling $1.2M in drug costs for 948 beneficiaries.
What is Benson Zoghlin, M.D.'s Medicare quality score? ▼
Benson Zoghlin, M.D. has a CMS MIPS Final Score of 95.2/100 (Quality: 70.6). 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 Benson Zoghlin, M.D. located? ▼
Benson Zoghlin, M.D. is located at 279 EAST AVE, Hilton, NY, 14468. Phone: (585) 392-9100.
What is Benson Zoghlin, M.D.'s NPI number? ▼
Benson Zoghlin, M.D.'s National Provider Identifier (NPI) is 1164489803, issued on 04/27/2006.
Does Benson Zoghlin, M.D. prescribe more brand-name or generic drugs? ▼
Benson Zoghlin, M.D.'s prescribing is 9% brand-name and 90% generic drugs by claim count, with $817K in brand drug costs.
Does Benson Zoghlin, M.D. prescribe opioids? ▼
Yes, Benson Zoghlin, M.D. had 1,086 opioid claims in 2023 with an opioid prescribing rate of 8.0%.
How many Hospitalist Physician providers are there in the US? ▼
There are 16,938 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 Benson Zoghlin, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Benson Zoghlin, M.D.'s most frequently prescribed drugs include Levothyroxine Sodium, Amlodipine Besylate, Omeprazole. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Benson Zoghlin, M.D. accept Medicare? ▼
Benson Zoghlin, M.D. appears in CMS Medicare data with 13,559 Part D claims and 948 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Benson Zoghlin, M.D.'s credentials? ▼
Benson Zoghlin, M.D.'s NPI is 1164489803 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
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.