NPI registry status
Active
2026 NPPES data Nephrology Physician NPI 1164643490 MD
Verify on CMS → Elie El-Charabaty, MD
Nephrology Physician in Toms River, New Jersey.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 10,569 in Nephrology 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
770
Medicare Part D claims · 133 beneficiaries · Nephrology Physician avg: 1K
MIPS score
87.6/100
▲ 4 pts above national avg 83.1 · Above neutral
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Elie El-Charabaty, MD reported a CMS MIPS final score of 87.6/100 - above the 83.1 national average - and filed 770 Medicare Part D claims in 2023.
- 87.6/100
- MIPS score · +4 vs avg
- 770
- Part D claims, 2023
- 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.
Elie El-Charabaty, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
88 Top 46% higher than 54% 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 Elie El-Charabaty, MD sits
This provider among nephrology physician peers
Across the 2,476 nephrology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Elie El-Charabaty, MD writes more Part D claims than 37% of them and scores higher on MIPS quality than 63% - placing this provider in the lower-volume, high-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 nephrology physician peer from a representative sample of 60; the gold marker is Elie El-Charabaty, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Elie El-Charabaty, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 3 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 Elie El-Charabaty, MD?
High performer (top quartile)Primary specialty
Nephrology Physician
Medicare Part D claims
770 47% vs specialty avg
MIPS final score
87.6/100 4.5 pts vs avg
Specialty distribution in New Jersey
How Nephrology Physician compares to other specialties among New Jersey providers
Medicare quality performance, MIPS
Elie El-Charabaty, MD's 2023 MIPS final score plotted against the Nephrology Physician national average
- MIPS Final Score
- 87.6/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Nephrology Physician) - 87.6/100 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).
Elie El-Charabaty, MD appears in the CMS NPPES registry as a Nephrology Physician provider holding MD credentials at 20 HOSPITAL DR STE 18, Toms River, NJ, 08755, with a listed phone of (732) 569-6166. NPI 1164643490 was issued on 05/02/2007.
Medicare Part D records for calendar year 2023 show 770 prescription claims written by this provider, covering 133 Medicare beneficiaries and totaling roughly $74K in drug spend. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 87.6/100 for the 2023 performance year (Quality 100, Cost 25.2), compared with the national average of 83.1.
Nephrology Physician is a mid-sized specialty nationwide, with 10,569 enrolled providers across 55 states and an average of 1,454 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 | 1164643490 |
|---|---|
| Specialty | Nephrology Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 05/02/2007 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
87.5549
Final Score
Avg: 83.1
100
Quality
25.183
Cost
Reporting: Individual
Hospital and facility affiliations
Facilities where Elie El-Charabaty, 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.
According to CMS billing records, Elie El-Charabaty, MD is affiliated with 3 Medicare-billing facilities across 2 states.
Hope Medical Services
Toms River, NJ
Island Nephrology Services PC
Staten Island, NY
North Shore-Lij Medical PC
Staten Island, NY
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
770
Total Claims
$74K
Total Drug Cost
133
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 1,134
- Total Day Supply
- 33,005
- Generic Drug Cost
- $27K
- Antibiotic Claims
- 15
Patient Demographics
- Average Patient Age
- 72.1 years
- Avg HCC Risk Score
- 3.26
- Gender Split
- 45% female / 55% male
- Age Distribution
- <65: 21, 65-74: 51, 75-84: 46, 85+: 15
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Elie El-Charabaty, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Amlodipine Besylate
Amlodipine Besylate
65 claims
- Nifedipine Er
Nifedipine Er
63 claims
- Hydralazine Hcl
Hydralazine Hcl
45 claims
- Furosemide
Furosemide
37 claims
- Potassium Citrate Er
Potassium Citrate Er
36 claims
- Carvedilol
Carvedilol
33 claims
- Chlorthalidone
Chlorthalidone
32 claims
- Sevelamer Carbonate
Sevelamer Carbonate
30 claims
| Drug | Claims |
|---|---|
| Amlodipine Besylate | 65 |
| Nifedipine Er Nifedipine | 63 |
| Hydralazine Hcl | 45 |
| Furosemide | 37 |
| Potassium Citrate Er Potassium Citrate | 36 |
| Carvedilol | 33 |
| Chlorthalidone | 32 |
| Sevelamer Carbonate | 30 |
| Hydrochlorothiazide | 24 |
| Lisinopril | 23 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Nephrology Physician Overview
How Elie El-Charabaty, MD fits within the Nephrology Physician landscape nationally.
10,569
Nephrology Physician Providers in US
55
States with Nephrology Physician
1,454
Avg Claims per Provider
Elie El-Charabaty, MD's 770 claims are below the specialty average of 1,454.
Nearby Nephrology Physician Providers in New Jersey
Other clinicians with the same primary specialty enrolled in New Jersey, drawn from the same CMS NPPES roster as El-Charabaty.
Dr. Arshia Abbasi
MD
Paramus, NJ
Dr. Khaled Abdel-Kader
M.D.
Freehold, NJ
Dr. Zeinab Abdulrahman
MD
Neptune Twp, NJ
Dr. Mirel Abramovici
M.D.
Englewood, NJ
Dr. Prasad Acharya
M.D.
Hainesport, NJ
Compare Nephrology 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 Jersey medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Nephrology 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.
Healthcare Guides
Learn more about finding, verifying, and understanding healthcare providers.
How to Find a Doctor
Step-by-step guide to choosing a provider
Verify Credentials
Check NPI, board certification & license status
Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore New Jersey
Frequently Asked Questions
What is Elie El-Charabaty, MD's specialty? ▼
Elie El-Charabaty, MD specializes in Nephrology Physician and practices in Toms River, New Jersey. Credentials: MD.
How much does Elie El-Charabaty, MD prescribe under Medicare Part D? ▼
In 2023, Elie El-Charabaty, MD wrote 770 Medicare Part D claims totaling $74K in drug costs for 133 beneficiaries.
What is Elie El-Charabaty, MD's Medicare quality score? ▼
Elie El-Charabaty, MD has a CMS MIPS Final Score of 87.6/100 (Quality: 100, Cost: 25.2). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Elie El-Charabaty, MD located? ▼
Elie El-Charabaty, MD is located at 20 HOSPITAL DR STE 18, Toms River, NJ, 08755. Phone: (732) 569-6166.
What is Elie El-Charabaty, MD's NPI number? ▼
Elie El-Charabaty, MD's National Provider Identifier (NPI) is 1164643490, issued on 05/02/2007.
How many Nephrology Physician providers are there in the US? ▼
There are 10,569 Nephrology Physician providers across 55 states in the US. The average Nephrology Physician provider writes 1,454 Medicare Part D claims per year.
What drugs does Elie El-Charabaty, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Elie El-Charabaty, MD's most frequently prescribed drugs include Amlodipine Besylate, Nifedipine Er, Hydralazine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Elie El-Charabaty, MD accept Medicare? ▼
Elie El-Charabaty, MD appears in CMS Medicare data with 770 Part D claims and 133 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Elie El-Charabaty, MD's credentials? ▼
Elie El-Charabaty, MD's NPI is 1164643490 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.