Eyad Ali, MD
Gastroenterology Physician in Hampton Bays, 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 16,567 in Gastroenterology 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.
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Eyad Ali, MD reported a CMS MIPS final score of 91.3/100 - above the 83.1 national average - and filed 907 Medicare Part D claims in 2023.
- 91.3/100
- MIPS score · +8 vs avg
- 907
- Part D claims, 2023
- 75%
- 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.
Eyad Ali, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
91 Top 37% higher than 63% 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 Eyad Ali, MD sits
This provider among gastroenterology physician peers
Across the 5,957 gastroenterology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Eyad Ali, MD writes more Part D claims than 56% of them and scores higher on MIPS quality than 67% - placing this provider in the high-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 gastroenterology physician peer from a representative sample of 60; the gold marker is Eyad Ali, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
Eyad Ali, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting - 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 Eyad Ali, MD?
High performer (top quartile)Primary specialty
Medicare Part D claims
MIPS final score
Specialty distribution in New York
How Gastroenterology Physician compares to other specialties among New York providers
Gastroenterology Physician ranks #55 among New York's specialties (0.3% of in-state providers)
Each bar is a specialty's share of the New York provider total, by primary NUCC taxonomy. The highlighted bar is Gastroenterology Physician; the long tail of smaller specialties is omitted for legibility.
Medicare quality performance, MIPS
Eyad Ali, MD's 2023 MIPS final score plotted against the Gastroenterology Physician national average
- MIPS Final Score
- 91.3/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Gastroenterology Physician) - 91.3/100 vs national avg 83.1
Quality benchmarks
- National MIPS avg 2023 reporting year
- Quality dim CMS Quality category
- Specialty volume Gastroenterology Physician US NPIs
91.3/100 MIPS final score - 8.2 pts above the 83.1 national average
Quality, Cost, Promoting Interoperability, and Improvement Activities composite score for the 2023 performance year. Specialty: Gastroenterology Physician. Quality dim: 74.9.
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).
Eyad Ali, MD appears in the CMS NPPES registry as a Gastroenterology Physician provider holding MD credentials at 332 W MONTAUK HWY, Hampton Bays, NY, 11946, with a listed phone of (631) 723-0600. NPI 1184653776 was issued on 07/03/2006.
Medicare Part D records for calendar year 2023 show 907 prescription claims written by this provider, covering 213 Medicare beneficiaries and totaling roughly $325K in drug spend, split 25% brand-name and 75% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 91.3/100 for the 2023 performance year (Quality 74.9), compared with the national average of 83.1.
Gastroenterology Physician is a mid-sized specialty nationwide, with 16,567 enrolled providers across 54 states and an average of 833 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 | 1184653776 |
|---|---|
| Specialty | Gastroenterology Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 07/03/2006 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm Eyad Ali, MD's current license status, disciplinary history, and board certifications with the New York State Education Department, Office of the Professions in New York before relying on this page for a clinical or care decision.
How we sourced this profile
Profile fields combine the CMS NPPES monthly snapshot (provider directory, taxonomy, and address) with calendar-year 2023 Medicare Part D and MIPS public-use files when records are present. NPI 1184653776 is the unique 10-digit identifier CMS uses to link Ali across every Medicare, Medicaid, and HIPAA-covered transaction. Read full methodology →
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
Reporting: Alternative Payment Model
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 Eyad Ali, MD. To verify Eyad Ali, MD's current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
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 · Above average
25% brand-name claims vs 75% generic, on 907 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.
Prescribing Breakdown
- 30-Day Fills
- 1,814
- Total Day Supply
- 52,904
- Brand vs Generic
- 25% brand / 75% generic
- Brand Drug Cost
- $275K
- Generic Drug Cost
- $49K
- Antibiotic Claims
- 59
Patient Demographics
- Average Patient Age
- 73.5 years
- Avg HCC Risk Score
- 0.97
- Gender Split
- 66% female / 34% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Eyad Ali, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Omeprazole
Omeprazole
330 claims
- Famotidine 69
Famotidine
69 claims
- Pantoprazole Sodium 52
Pantoprazole Sodium
52 claims
- Xifaxan 50
Xifaxan
50 claims
- Dexlansoprazole Dr 37
Dexlansoprazole Dr
37 claims
- Linzess 34
Linzess
34 claims
- Rabeprazole Sodium 32
Rabeprazole Sodium
32 claims
- Sutab 32
Sutab
32 claims
| Drug | Claims |
|---|---|
| Omeprazole | 330 |
| Famotidine | 69 |
| Pantoprazole Sodium | 52 |
| Xifaxan Rifaximin | 50 |
| Dexlansoprazole Dr Dexlansoprazole | 37 |
| Linzess Linaclotide | 34 |
| Rabeprazole Sodium | 32 |
| Sutab Sod Sulf/Pot Chloride/Mag Sulf | 32 |
| Mesalamine | 24 |
| Zenpep Lipase/Protease/Amylase | 19 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Gastroenterology Physician Overview
How Eyad Ali, MD fits within the Gastroenterology Physician landscape nationally.
Eyad Ali, MD's 907 claims are above the specialty average of 833.
Nearby Gastroenterology Physician Providers in New York
Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as Ali.
Compare Gastroenterology 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 Gastroenterology 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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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