2026 NPPES data Internal Medicine Physician NPI 1619067238 MD
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EVAN ABEL, MD

Internal Medicine Physician in SANTA MONICA, California. 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.
MIPS score
86.1025/100
▲ 3 pts above national avg 83.1 · [object Object]
Industry payments
$97.73
1 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: EVAN ABEL, MD is a Internal Medicine Physician ([object Object]) practicing in SANTA MONICA, California . Their CMS MIPS Final Score of 86.1025/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $97.73 across 1 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: EVAN ABEL, MD reported a CMS MIPS final score of 86.1025 out of 100, above the 83.1 national average. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

EVAN ABEL, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

EVAN ABEL, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 10/13/2006

NPI 1619067238

Primary specialty

Internal Medicine Physician

High-volume

172,858 US NPIs in this specialty

MIPS final score

86.1025/100 3.002500000000012% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in California

How Internal Medicine Physician compares to other specialties among California providers

California providers

Internal Medicine Physician share within California

1. Internal Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Internal Medicine Physician share within California

Medicare quality performance — MIPS

EVAN ABEL, MD's 2023 MIPS final score plotted against the Internal Medicine Physician national average

High performer (top quartile)
MIPS Final Score
86.1025/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Internal Medicine Physician) — 86.1025/100 vs national avg 83.1

0%100%National avg83%86.1%
MIPS final score (Internal Medicine Physician) — 86.1025/100 vs national avg 83.1

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).

EVAN ABEL, MD is a Internal Medicine Physician provider practicing in SANTA MONICA, California, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1619067238. 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.

EVAN ABEL, MD appears in the CMS NPPES registry as a Internal Medicine Physician provider holding MD credentials at 1245 16TH ST, SANTA MONICA, CA, 90404, with a listed phone of (310) 899-7633. NPI 1619067238 was issued on 10/13/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ABEL 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 prescribing data is not currently published for this NPI, which typically means the provider either wrote fewer than 11 Part D claims in the most recent reporting year, does not participate in Medicare, or practices in a specialty that rarely prescribes outpatient drugs. Absence of prescribing data is not a quality signal — many Internal Medicine Physician providers operate outside Part D entirely. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 86.1025/100 for the 2023 performance year (Quality 82.938, Cost 66.7384), compared with the national average of 83.1.

Internal Medicine Physician is a high-volume specialty nationwide, with 172,858 enrolled providers across 56 states and an average of 2,716 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

1245 16TH ST
SANTA MONICA, CA 90404

Provider Details

NPI 1619067238
Specialty Internal Medicine Physician
Credentials MD
Gender Male
NPI Issued 10/13/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

86.1025
Final Score
Avg: 83.1
82.938
Quality
66.7384
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where EVAN ABEL, 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.

THE REGENTS OF THE UNIVERSITY OF CALIFORNIA
SANTA MONICA, CA

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 EVAN ABEL, MD. Source: openpaymentsdata.cms.gov.

Total received

$98

Largest payer

Madrigal Pharmaceuticals

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.

License & disciplinary context — California MBC 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 ~150K California medical licensees in 2023 — they are NOT specific to EVAN ABEL, MD. To verify EVAN ABEL, MD's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC 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 California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Internal Medicine Physician Overview

How EVAN ABEL, MD fits within the Internal Medicine Physician landscape nationally.

172,858
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider

Nearby Internal Medicine Physician Providers in California

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

Compare Internal Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is EVAN ABEL, MD's specialty?
EVAN ABEL, MD specializes in Internal Medicine Physician and practices in SANTA MONICA, California. Credentials: MD.
What is EVAN ABEL, MD's Medicare quality score?
EVAN ABEL, MD has a CMS MIPS Final Score of 86.1025/100 (Quality: 82.938, Cost: 66.7384). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is EVAN ABEL, MD located?
EVAN ABEL, MD is located at 1245 16TH ST, SANTA MONICA, CA, 90404. Phone: (310) 899-7633.
What is EVAN ABEL, MD's NPI number?
EVAN ABEL, MD's National Provider Identifier (NPI) is 1619067238, issued on 10/13/2006.
How many Internal Medicine Physician providers are there in the US?
There are 172,858 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
Does EVAN ABEL, MD accept Medicare?
EVAN ABEL, MD appears in CMS Medicare data. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify EVAN ABEL, MD's credentials?
EVAN ABEL, MD's NPI is 1619067238 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.
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