2026 NPPES data Family Medicine Physician NPI 1053532655 M.D.
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Dalai Zhou, M.D.

Family Medicine Physician in Flushing, 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 147,640 in Family Medicine 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
5K
Medicare Part D claims · 240 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
85%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Dalai Zhou, M.D. filed 4,934 Medicare Part D claims in 2023 as a Family Medicine Physician in Flushing, New York, prescribing 85% generic.

5K
Part D claims, 2023
85%
generic prescribing

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.

Dalai Zhou, M.D.'s Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

4,934 Top 6% higher than 94% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). Below this entry. 2,000–2,200: 213,991 prescribers (16%). This entry sits in this band. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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.

Source CMS Medicare Part D Prescriber Public Use File · 2023

Board-eligible specialty (heuristic — not verified)

Dalai Zhou, M.D. practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about Dalai Zhou, M.D.?

Quality data not reported

NPI registry status

Active

Issued 05/01/2007

NPI 1053532655

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

4,934 44% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

Specialty distribution in New York

How Family Medicine Physician compares to other specialties among New York providers

New York providers

Largest specialties in New York (% of in-state providers)

Student in an Organized Health Care Education/Training Program — 7.8%Student in an Organized Health Care Education/Training Program7.8%Registered Nurse — 5.2%Registered Nurse5.2%Clinical Social Worker — 4.9%Clinical Social Worker4.9%Social Worker — 4.5%Social Worker4.5%Speech-Language Pathologist — 4.5%Speech-Language Pathologist4.5%Licensed Practical Nurse — 4.3%Licensed Practical Nurse4.3%Family Medicine Physician — 1.1%Family Medicine Physician1.1%
Largest specialties in New York (% of in-state providers)

Specialty board-certification context

Estimated specialty board-certified rate — Family Medicine Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Family Medicine Physician ABMS/AOA estimate

Est. board-certified rate (Family Medicine Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Family 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).

Dalai Zhou, M.D. appears in the CMS NPPES registry as a Family Medicine Physician provider holding M.D. credentials at 136-20 38TH AVE, Flushing, NY, 11354, with a listed phone of (718) 886-8299. NPI 1053532655 was issued on 05/01/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Zhou 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 4,934 prescription claims written by this provider, covering 240 Medicare beneficiaries and totaling roughly $581K in drug spend, split 13% brand-name and 85% 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.

Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 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

136-20 38TH AVE
Flushing, NY 11354

Provider Details

NPI 1053532655
Specialty Family Medicine Physician
Credentials M.D.
Gender Female
NPI Issued 05/01/2007

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 Dalai Zhou, M.D.. To verify Dalai Zhou, 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 · Typical

Dalai Zhou, M.D. — brand share 13.0%
Family Medicine Physician average

13% brand-name claims vs 85% generic, on 4,934 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.

4,934
Total Claims
$581K
Total Drug Cost
240
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
8,900
Total Day Supply
260,403
Brand vs Generic
13% brand / 85% generic
Brand Drug Cost
$438K
Generic Drug Cost
$142K
Antibiotic Claims
83

Patient Demographics

Average Patient Age
71.7 years
Avg HCC Risk Score
0.94
Gender Split
58% female / 42% male

Top Prescribed Drugs (Medicare Part D)

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

What Dalai Zhou, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Losartan Potassium
370
Simvastatin
307
Alendronate Sodium
245
Amlodipine Besylate
233
Atorvastatin Calcium
211
Levothyroxine Sodium
168
Omeprazole
161
Ammonium Lactate
143
Atenolol
135
Metformin Hcl
127

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

Family Medicine Physician Overview

How Dalai Zhou, M.D. fits within the Family Medicine Physician landscape nationally.

147,640
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

Dalai Zhou, M.D.'s 4,934 claims are above the specialty average of 3,418.

Nearby Family Medicine Physician Providers in New York

Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as Zhou.

Compare Family Medicine 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 Family Medicine 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.

Frequently Asked Questions

What is Dalai Zhou, M.D.'s specialty?
Dalai Zhou, M.D. specializes in Family Medicine Physician and practices in Flushing, New York. Credentials: M.D..
How much does Dalai Zhou, M.D. prescribe under Medicare Part D?
In 2023, Dalai Zhou, M.D. wrote 4,934 Medicare Part D claims totaling $581K in drug costs for 240 beneficiaries.
Where is Dalai Zhou, M.D. located?
Dalai Zhou, M.D. is located at 136-20 38TH AVE, Flushing, NY, 11354. Phone: (718) 886-8299.
What is Dalai Zhou, M.D.'s NPI number?
Dalai Zhou, M.D.'s National Provider Identifier (NPI) is 1053532655, issued on 05/01/2007.
Does Dalai Zhou, M.D. prescribe more brand-name or generic drugs?
Dalai Zhou, M.D.'s prescribing is 13% brand-name and 85% generic drugs by claim count, with $438K in brand drug costs.
How many Family Medicine Physician providers are there in the US?
There are 147,640 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does Dalai Zhou, M.D. prescribe most often?
Based on 2023 Medicare Part D data, Dalai Zhou, M.D.'s most frequently prescribed drugs include Losartan Potassium, Simvastatin, Alendronate Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Dalai Zhou, M.D. accept Medicare?
Dalai Zhou, M.D. appears in CMS Medicare data with 4,934 Part D claims and 240 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Dalai Zhou, M.D.'s credentials?
Dalai Zhou, M.D.'s NPI is 1053532655 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

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

Compiled from official public sources by the PlainDoctor editorial team.