2026 NPPES data Otolaryngology Physician NPI 1053516765 MD
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EVELYNE KALYOUSSEF, MD

Otolaryngology Physician in NEWARK, New Jersey. 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
386
Medicare Part D claims · 89 beneficiaries · Otolaryngology Physician avg: 509
Generic prescribing
95%
generic claims · 5% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
73.2773/100
▼ 10 pts below national avg 83.1 · [object Object]
Industry payments
$312.64
4 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: EVELYNE KALYOUSSEF, MD is a Otolaryngology Physician ([object Object]) practicing in NEWARK, New Jersey with a Medicare Part D prescribing footprint of 386 claims across 89 beneficiaries — 5% brand-name prescribing . Their CMS MIPS Final Score of 73.2773/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $312.64 across 4 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: EVELYNE KALYOUSSEF, MD reported a CMS MIPS final score of 73.2773 out of 100, below the 83.1 national average, and filed 386 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

EVELYNE KALYOUSSEF, 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).

EVELYNE KALYOUSSEF, MD at a glance

Below national average

NPI registry status

Active

Issued 06/21/2007

NPI 1053516765

Primary specialty

Otolaryngology Physician

Mid-sized

10,895 US NPIs in this specialty

Medicare Part D claims

386 24% vs specialty avg

2023 prescription claims

Specialty avg: 509

MIPS final score

73.2773/100 9.822699999999998% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in New Jersey

How Otolaryngology Physician compares to other specialties among New Jersey providers

New Jersey providers

Otolaryngology Physician share within New Jersey

1. Otolaryngology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Otolaryngology Physician share within New Jersey

Medicare quality performance — MIPS

EVELYNE KALYOUSSEF, MD's 2023 MIPS final score plotted against the Otolaryngology Physician national average

Below national average
MIPS Final Score
73.2773/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Otolaryngology Physician) — 73.2773/100 vs national avg 83.1

0%100%National avg83%73.3%
MIPS final score (Otolaryngology Physician) — 73.2773/100 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).

EVELYNE KALYOUSSEF, MD is a Otolaryngology Physician provider practicing in NEWARK, New Jersey, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1053516765. 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.

EVELYNE KALYOUSSEF, MD appears in the CMS NPPES registry as a Otolaryngology Physician provider holding MD credentials at 90 BERGEN STREET, NEWARK, NJ, 07103, with a listed phone of (973) 972-4588. NPI 1053516765 was issued on 06/21/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what KALYOUSSEF 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 386 prescription claims written by this provider, covering 89 Medicare beneficiaries and totaling roughly $18K in drug spend, split 5% brand-name and 95% 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 73.2773/100 for the 2023 performance year (Quality 44.8928, Cost 47.6995), compared with the national average of 83.1.

Otolaryngology Physician is a mid-sized specialty nationwide, with 10,895 enrolled providers across 54 states and an average of 509 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

90 BERGEN STREET
NEWARK, NJ 07103

Provider Details

NPI 1053516765
Specialty Otolaryngology Physician
Credentials MD
Gender Female
NPI Issued 06/21/2007

CMS Quality Score (MIPS)

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

73.2773
Final Score
Avg: 83.1
44.8928
Quality
47.6995
Cost
83
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where EVELYNE KALYOUSSEF, 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.

UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC
NEWARK, NJ

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 EVELYNE KALYOUSSEF, MD. Source: openpaymentsdata.cms.gov.

Total received

$313

Largest payer

Stryker Corporation

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 · Generic-heavy

EVELYNE KALYOUSSEF, MD — brand share 5.0%
Specialty average (est.)

5% brand-name claims vs 95% generic, on 386 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.

386
Total Claims
$18K
Total Drug Cost
89
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
500
Total Day Supply
12,892
Brand vs Generic
5% brand / 95% generic
Brand Drug Cost
$11K
Generic Drug Cost
$7K
Antibiotic Claims
28

Patient Demographics

Average Patient Age
70.6 years
Avg HCC Risk Score
1.73
Gender Split
67% female / 33% 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
Montelukast Sodium
141
Fluticasone Propionate
55
Chlorhexidine Gluconate
23
Esomeprazole Magnesium
18
Fluocinolone Acetonide Oil
13
Nexium
Esomeprazole Magnesium
12
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
11
Levothyroxine Sodium
11

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

Otolaryngology Physician Overview

How EVELYNE KALYOUSSEF, MD fits within the Otolaryngology Physician landscape nationally.

10,895
Otolaryngology Physician Providers in US
54
States with Otolaryngology Physician
509
Avg Claims per Provider

EVELYNE KALYOUSSEF, MD's 386 claims are below the specialty average of 509.

Nearby Otolaryngology Physician Providers in New Jersey

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

Compare Otolaryngology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is EVELYNE KALYOUSSEF, MD's specialty?
EVELYNE KALYOUSSEF, MD specializes in Otolaryngology Physician and practices in NEWARK, New Jersey. Credentials: MD.
How much does EVELYNE KALYOUSSEF, MD prescribe under Medicare Part D?
In 2023, EVELYNE KALYOUSSEF, MD wrote 386 Medicare Part D claims totaling $18K in drug costs for 89 beneficiaries.
What is EVELYNE KALYOUSSEF, MD's Medicare quality score?
EVELYNE KALYOUSSEF, MD has a CMS MIPS Final Score of 73.2773/100 (Quality: 44.8928, Cost: 47.6995). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is EVELYNE KALYOUSSEF, MD located?
EVELYNE KALYOUSSEF, MD is located at 90 BERGEN STREET, NEWARK, NJ, 07103. Phone: (973) 972-4588.
What is EVELYNE KALYOUSSEF, MD's NPI number?
EVELYNE KALYOUSSEF, MD's National Provider Identifier (NPI) is 1053516765, issued on 06/21/2007.
Does EVELYNE KALYOUSSEF, MD prescribe more brand-name or generic drugs?
EVELYNE KALYOUSSEF, MD's prescribing is 5% brand-name and 95% generic drugs by claim count, with $11K in brand drug costs.
How many Otolaryngology Physician providers are there in the US?
There are 10,895 Otolaryngology Physician providers across 54 states in the US. The average Otolaryngology Physician provider writes 509 Medicare Part D claims per year.
What drugs does EVELYNE KALYOUSSEF, MD prescribe most often?
Based on 2023 Medicare Part D data, EVELYNE KALYOUSSEF, MD's most frequently prescribed drugs include Montelukast Sodium, Fluticasone Propionate, Chlorhexidine Gluconate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does EVELYNE KALYOUSSEF, MD accept Medicare?
EVELYNE KALYOUSSEF, MD appears in CMS Medicare data with 386 Part D claims and 89 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify EVELYNE KALYOUSSEF, MD's credentials?
EVELYNE KALYOUSSEF, MD's NPI is 1053516765 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.
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