2026 NPPES data Critical Care Medicine (Internal Medicine) Physician NPI 1265967343 MD
Verify on CMS →

BILAL BANGASH, MD

Critical Care Medicine (Internal Medicine) Physician in DOVER, Delaware. 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
144
Medicare Part D claims · 54 beneficiaries · Critical Care Medicine (Internal Medicine) Physician avg: 1K
Generic prescribing
38%
generic claims · 62% brand-name · higher generic rates reduce patient out-of-pocket costs
What the federal data reveals: BILAL BANGASH, MD is a Critical Care Medicine (Internal Medicine) Physician ([object Object]) practicing in DOVER, Delaware with a Medicare Part D prescribing footprint of 144 claims across 54 beneficiaries — 62% brand-name prescribing .

What stands out: BILAL BANGASH, MD filed 144 Medicare Part D claims in 2023 across DOVER, Delaware. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

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

BILAL BANGASH, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 04/26/2017

NPI 1265967343

Primary specialty

Critical Care Medicine (Internal Medicine) Physician

Mid-sized

6,631 US NPIs in this specialty

Medicare Part D claims

144 87% vs specialty avg

2023 prescription claims

Specialty avg: 1,069

Specialty distribution in Delaware

How Critical Care Medicine (Internal Medicine) Physician compares to other specialties among Delaware providers

Delaware providers

Critical Care Medicine (Internal Medicine) Physician share within Delaware

1. Critical Care Medicine (Internal Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Critical Care Medicine (Internal Medicine) Physician share within Delaware

Specialty board-certification context

Estimated specialty board-certified rate — Critical Care Medicine (Internal Medicine) Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Critical Care Medicine (Internal Medicine) Physician ABMS/AOA estimate

Est. board-certified rate (Critical Care Medicine (Internal Medicine) Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Critical Care Medicine (Internal Medicine) Physician) — ABMS / AOA estimate

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).

BILAL BANGASH, MD is a Critical Care Medicine (Internal Medicine) Physician provider practicing in DOVER, Delaware, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1265967343. 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.

BILAL BANGASH, MD appears in the CMS NPPES registry as a Critical Care Medicine (Internal Medicine) Physician provider holding MD credentials at 530 S STATE ST STE 107, DOVER, DE, 19901, with a listed phone of (302) 608-5299. NPI 1265967343 was issued on 04/26/2017. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BANGASH 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 144 prescription claims written by this provider, covering 54 Medicare beneficiaries and totaling roughly $74K in drug spend, split 62% brand-name and 38% 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.

Critical Care Medicine (Internal Medicine) Physician is a mid-sized specialty nationwide, with 6,631 enrolled providers across 53 states and an average of 1,069 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

530 S STATE ST STE 107
DOVER, DE 19901

Provider Details

NPI 1265967343
Specialty Critical Care Medicine (Internal Medicine) Physician
Credentials MD
Gender Male
NPI Issued 04/26/2017

Hospital and facility affiliations

Facilities where BILAL BANGASH, 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.

BAYHEALTH MEDICAL CENTER, INC
DOVER, DE
HOSPITALIST MEDICINE PHYSICIANS OF DELAWARE, PA
DOVER, DE

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Brand vs generic prescribing mix · Brand-heavy

BILAL BANGASH, MD — brand share 62.0%
Specialty average (est.)

62% brand-name claims vs 38% generic, on 144 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.

144
Total Claims
$74K
Total Drug Cost
54
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
216
Total Day Supply
6,185
Brand vs Generic
62% brand / 38% generic
Brand Drug Cost
$60K
Generic Drug Cost
$13K

Patient Demographics

Average Patient Age
69.8 years
Avg HCC Risk Score
1.50
Gender Split
52% female / 48% 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
22
Anoro Ellipta
Umeclidinium Brm/Vilanterol Tr
20
Symbicort
Budesonide/Formoterol Fumarate
18
Trelegy Ellipta
Fluticasone/Umeclidin/Vilanter
15

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

Critical Care Medicine (Internal Medicine) Physician Overview

How BILAL BANGASH, MD fits within the Critical Care Medicine (Internal Medicine) Physician landscape nationally.

6,631
Critical Care Medicine (Internal Medicine) Physician Providers in US
53
States with Critical Care Medicine (Internal Medicine) Physician
1,069
Avg Claims per Provider

BILAL BANGASH, MD's 144 claims are below the specialty average of 1,069.

Nearby Critical Care Medicine (Internal Medicine) Physician Providers in Delaware

Other clinicians with the same primary specialty enrolled in Delaware, drawn from the same CMS NPPES roster as BANGASH.

Compare Critical Care Medicine (Internal Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is BILAL BANGASH, MD's specialty?
BILAL BANGASH, MD specializes in Critical Care Medicine (Internal Medicine) Physician and practices in DOVER, Delaware. Credentials: MD.
How much does BILAL BANGASH, MD prescribe under Medicare Part D?
In 2023, BILAL BANGASH, MD wrote 144 Medicare Part D claims totaling $74K in drug costs for 54 beneficiaries.
Where is BILAL BANGASH, MD located?
BILAL BANGASH, MD is located at 530 S STATE ST STE 107, DOVER, DE, 19901. Phone: (302) 608-5299.
What is BILAL BANGASH, MD's NPI number?
BILAL BANGASH, MD's National Provider Identifier (NPI) is 1265967343, issued on 04/26/2017.
Does BILAL BANGASH, MD prescribe more brand-name or generic drugs?
BILAL BANGASH, MD's prescribing is 62% brand-name and 38% generic drugs by claim count, with $60K in brand drug costs.
How many Critical Care Medicine (Internal Medicine) Physician providers are there in the US?
There are 6,631 Critical Care Medicine (Internal Medicine) Physician providers across 53 states in the US. The average Critical Care Medicine (Internal Medicine) Physician provider writes 1,069 Medicare Part D claims per year.
What drugs does BILAL BANGASH, MD prescribe most often?
Based on 2023 Medicare Part D data, BILAL BANGASH, MD's most frequently prescribed drugs include Albuterol Sulfate Hfa, Anoro Ellipta, Symbicort. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does BILAL BANGASH, MD accept Medicare?
BILAL BANGASH, MD appears in CMS Medicare data with 144 Part D claims and 54 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify BILAL BANGASH, MD's credentials?
BILAL BANGASH, MD's NPI is 1265967343 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.
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