NPI registry status
Active
2026 NPPES data Family Medicine Physician NPI 1538225610 MD
Verify on CMS → Effat Banikarim, MD
Family Medicine Physician in Alamogordo, New Mexico.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 147,760 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
14K
Medicare Part D claims · 905 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
86%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
79.4/100
▼ 4 pts below national avg 83.1 · Above neutral
Industry payments
$124.4
5 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Effat Banikarim, MD reported a CMS MIPS final score of 79.4/100 - below the 83.1 national average - and filed 14,281 Medicare Part D claims in 2023.
- 79.4/100
- MIPS score · -4 vs avg
- 14K
- Part D claims, 2023
- 86%
- 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.
Effat Banikarim, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
79 30th percentile higher than 30% of 477,587 scored providers
Each bar is a band; taller bars hold more scored 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.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Effat Banikarim, MD sits
This provider among family medicine physician peers
Across the 22,040 family medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Effat Banikarim, MD writes more Part D claims than 95% of them and scores higher on MIPS quality than 30% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one family medicine physician peer from a representative sample of 60; the gold marker is Effat Banikarim, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Effat Banikarim, 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).
What does the federal data show about Effat Banikarim, MD?
Near national averagePrimary specialty
Family Medicine Physician
Medicare Part D claims
14,281 318% vs specialty avg
MIPS final score
79.4/100 3.7 pts vs avg
Specialty distribution in New Mexico
How Family Medicine Physician compares to other specialties among New Mexico providers
Medicare quality performance, MIPS
Effat Banikarim, MD's 2023 MIPS final score plotted against the Family Medicine Physician national average
- MIPS Final Score
- 79.4/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Family Medicine Physician) - 79.4/100 vs national avg 83.1
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).
Effat Banikarim, MD appears in the CMS NPPES registry as a Family Medicine Physician provider holding MD credentials at 2474 INDIAN WELLS RD, Alamogordo, NM, 88310, with a listed phone of (505) 443-0339. NPI 1538225610 was issued on 12/31/2006.
Medicare Part D records for calendar year 2023 show 14,281 prescription claims written by this provider, covering 905 Medicare beneficiaries and totaling roughly $788K in drug spend, split 13% brand-name and 86% generic by claim count, with an opioid prescribing rate of 0.5%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 79.4/100 for the 2023 performance year (Quality 100, Cost 31.5), compared with the national average of 83.1.
Family Medicine Physician is a high-volume specialty nationwide, with 147,760 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
Provider Details
| NPI | 1538225610 |
|---|---|
| Specialty | Family Medicine Physician |
| Credentials | MD |
| Gender | Female |
| NPI Issued | 12/31/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
79.4494
Final Score
Avg: 83.1
100
Quality
31.4981
Cost
Reporting: Group practice
Hospital and facility affiliations
Facilities where Effat Banikarim, 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.
Cura Healthcare
Albuquerque, NM
Dan Moezzi MD PC
Alamogordo, NM
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 Effat Banikarim, MD. Source: openpaymentsdata.cms.gov.
Total received
$124
Largest payer
AstraZeneca Pharmaceuticals LP
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.
Brand vs generic prescribing mix · Typical
Effat Banikarim, MD - brand share 13.0%
Family Medicine Physician average
13% brand-name claims vs 86% generic, on 14,281 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.
14,281
Total Claims
$788K
Total Drug Cost
905
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 22,937
- Total Day Supply
- 629,169
- Brand vs Generic
- 13% brand / 86% generic
- Brand Drug Cost
- $560K
- Generic Drug Cost
- $224K
- Opioid Claims
- 69 (0.5% rate)
- Antibiotic Claims
- 884
Patient Demographics
- Average Patient Age
- 71.7 years
- Avg HCC Risk Score
- 1.09
- Gender Split
- 71% female / 29% male
- Age Distribution
- <65: 150, 65-74: 401, 75-84: 251, 85+: 103
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Effat Banikarim, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Levothyroxine Sodium
Levothyroxine Sodium
1,226 claims
- Lisinopril
Lisinopril
691 claims
- Atorvastatin Calcium
Atorvastatin Calcium
570 claims
- Amlodipine Besylate 460
Amlodipine Besylate
460 claims
- Gabapentin 439
Gabapentin
439 claims
- Metformin Hcl 354
Metformin Hcl
354 claims
- Montelukast Sodium 290
Montelukast Sodium
290 claims
- Azithromycin 285
Azithromycin
285 claims
| Drug | Claims |
|---|---|
| Levothyroxine Sodium | 1,226 |
| Lisinopril | 691 |
| Atorvastatin Calcium | 570 |
| Amlodipine Besylate | 460 |
| Gabapentin | 439 |
| Metformin Hcl | 354 |
| Montelukast Sodium | 290 |
| Azithromycin | 285 |
| Pantoprazole Sodium | 269 |
| Eliquis Apixaban | 257 |
* 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 Effat Banikarim, MD fits within the Family Medicine Physician landscape nationally.
147,760
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider
Effat Banikarim, MD's 14,281 claims are above the specialty average of 3,418.
Nearby Family Medicine Physician Providers in New Mexico
Other clinicians with the same primary specialty enrolled in New Mexico, drawn from the same CMS NPPES roster as Banikarim.
Dr. Denise Aamodt
MD
Rio Rancho, NM
Dr. Jorge Abalos
DO
Artesia, NM
Dr. Holly Abernethy
M.D.
Farmington, NM
Dr. Sarah Abla
DO
Albuquerque, NM
Dr. Mustapha Abouda
MD
Espanola, NM
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 Mexico 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.
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Frequently Asked Questions
What is Effat Banikarim, MD's specialty? ▼
Effat Banikarim, MD specializes in Family Medicine Physician and practices in Alamogordo, New Mexico. Credentials: MD.
How much does Effat Banikarim, MD prescribe under Medicare Part D? ▼
In 2023, Effat Banikarim, MD wrote 14,281 Medicare Part D claims totaling $788K in drug costs for 905 beneficiaries.
What is Effat Banikarim, MD's Medicare quality score? ▼
Effat Banikarim, MD has a CMS MIPS Final Score of 79.4/100 (Quality: 100, Cost: 31.5). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Effat Banikarim, MD located? ▼
Effat Banikarim, MD is located at 2474 INDIAN WELLS RD, Alamogordo, NM, 88310. Phone: (505) 443-0339.
What is Effat Banikarim, MD's NPI number? ▼
Effat Banikarim, MD's National Provider Identifier (NPI) is 1538225610, issued on 12/31/2006.
Does Effat Banikarim, MD prescribe more brand-name or generic drugs? ▼
Effat Banikarim, MD's prescribing is 13% brand-name and 86% generic drugs by claim count, with $560K in brand drug costs.
Does Effat Banikarim, MD prescribe opioids? ▼
Yes, Effat Banikarim, MD had 69 opioid claims in 2023 with an opioid prescribing rate of 0.5%.
How many Family Medicine Physician providers are there in the US? ▼
There are 147,760 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 Effat Banikarim, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Effat Banikarim, MD's most frequently prescribed drugs include Levothyroxine Sodium, Lisinopril, Atorvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Effat Banikarim, MD accept Medicare? ▼
Effat Banikarim, MD appears in CMS Medicare data with 14,281 Part D claims and 905 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Effat Banikarim, MD's credentials? ▼
Effat Banikarim, MD's NPI is 1538225610 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
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
Compiled from official public sources by the PlainDoctor editorial team.
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.