2026 NPPES data Nephrology Physician NPI 1134434210 M.D.
Verify on CMS →

Fatima Khalid, M.D.

Nephrology Physician in Worcester, Massachusetts. 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
318
Medicare Part D claims · 68 beneficiaries · Nephrology Physician avg: 1K
Generic prescribing
80%
generic claims · 20% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
97/100
▲ 14 pts above national avg 83.1 · [object Object]

What the federal data shows

Fatima Khalid, M.D. reported a CMS MIPS final score of 97/100 — above the 83.1 national average — and filed 318 Medicare Part D claims in 2023.

97/100
MIPS score · +14 vs avg
318
Part D claims, 2023
80%
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.

Fatima Khalid, M.D.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

97 Top 15% higher than 85% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

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

Board certification likely (heuristic — not verified)

Fatima Khalid, M.D. 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).

What does the federal data show about Fatima Khalid, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 08/12/2010

NPI 1134434210

Primary specialty

Nephrology Physician

Mid-sized

10,534 US NPIs in this specialty

Medicare Part D claims

318 78% vs specialty avg

2023 prescription claims

Specialty avg: 1,454

MIPS final score

97/100 13.9 pts vs avg

Exceptional band

vs 83.1 national avg

Specialty distribution in Massachusetts

How Nephrology Physician compares to other specialties among Massachusetts providers

Massachusetts providers

Nephrology Physician share within Massachusetts

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

Medicare quality performance — MIPS

Fatima Khalid, M.D.'s 2023 MIPS final score plotted against the Nephrology Physician national average

High performer (top quartile)
MIPS Final Score
97/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Nephrology Physician) — 97/100 vs national avg 83.1

0%100%National avg83%97%
MIPS final score (Nephrology Physician) — 97/100 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).

Fatima Khalid, M.D. appears in the CMS NPPES registry as a Nephrology Physician provider holding M.D. credentials at 55 LAKE AVE N, Worcester, MA, 01655, with a listed phone of (508) 856-3155. NPI 1134434210 was issued on 08/12/2010. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Khalid 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 318 prescription claims written by this provider, covering 68 Medicare beneficiaries and totaling roughly $74K in drug spend, split 20% brand-name and 80% 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 97/100 for the 2023 performance year (Quality 78.1), compared with the national average of 83.1.

Nephrology Physician is a mid-sized specialty nationwide, with 10,534 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

55 LAKE AVE N
Worcester, MA 01655

Provider Details

NPI 1134434210
Specialty Nephrology Physician
Credentials M.D.
Gender Female
NPI Issued 08/12/2010

CMS Quality Score (MIPS)

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

97.0218
Final Score
Avg: 83.1
78.0983
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where Fatima Khalid, M.D. 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.

Kidney And Hypertension Consultants OF Houston PA
Houston, TX

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

License & disciplinary context — Massachusetts BORIM 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 ~38K Massachusetts medical licensees in 2023 — they are NOT specific to Fatima Khalid, M.D.. To verify Fatima Khalid, M.D.'s current license status, search the BORIM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

80
Total board actions, Massachusetts 2023
Across 78 cases
2.11
Actions per 1,000 licensees
Massachusetts statewide rate
probation
Most common action type
29 cases

BORIM 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 Massachusetts disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

Fatima Khalid, M.D. — brand share 20.0%
Specialty average (est.)

20% brand-name claims vs 80% generic, on 318 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.

318
Total Claims
$74K
Total Drug Cost
68
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
594
Total Day Supply
17,308
Brand vs Generic
20% brand / 80% generic
Brand Drug Cost
$64K
Generic Drug Cost
$10K

Patient Demographics

Average Patient Age
74.3 years
Avg HCC Risk Score
3.84
Gender Split
51% female / 49% male
Age Distribution
<65: 11, 65-74: 20, 75-84: 24, 85+: 13

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What Fatima Khalid, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Furosemide
37
Calcium Acetate
26
Auryxia
Ferric Citrate
20
Hydralazine Hcl
20
Lisinopril
20
Metoprolol Succinate
19
Sevelamer Carbonate
18
Calcitriol
17
Amlodipine Besylate
16
Labetalol Hcl
11

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

Nephrology Physician Overview

How Fatima Khalid, M.D. fits within the Nephrology Physician landscape nationally.

10,534
Nephrology Physician Providers in US
55
States with Nephrology Physician
1,454
Avg Claims per Provider

Fatima Khalid, M.D.'s 318 claims are below the specialty average of 1,454.

Nearby Nephrology Physician Providers in Massachusetts

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

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 Massachusetts 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.

Frequently Asked Questions

What is Fatima Khalid, M.D.'s specialty?
Fatima Khalid, M.D. specializes in Nephrology Physician and practices in Worcester, Massachusetts. Credentials: M.D..
How much does Fatima Khalid, M.D. prescribe under Medicare Part D?
In 2023, Fatima Khalid, M.D. wrote 318 Medicare Part D claims totaling $74K in drug costs for 68 beneficiaries.
What is Fatima Khalid, M.D.'s Medicare quality score?
Fatima Khalid, M.D. has a CMS MIPS Final Score of 97/100 (Quality: 78.1). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Fatima Khalid, M.D. located?
Fatima Khalid, M.D. is located at 55 LAKE AVE N, Worcester, MA, 01655. Phone: (508) 856-3155.
What is Fatima Khalid, M.D.'s NPI number?
Fatima Khalid, M.D.'s National Provider Identifier (NPI) is 1134434210, issued on 08/12/2010.
Does Fatima Khalid, M.D. prescribe more brand-name or generic drugs?
Fatima Khalid, M.D.'s prescribing is 20% brand-name and 80% generic drugs by claim count, with $64K in brand drug costs.
How many Nephrology Physician providers are there in the US?
There are 10,534 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 Fatima Khalid, M.D. prescribe most often?
Based on 2023 Medicare Part D data, Fatima Khalid, M.D.'s most frequently prescribed drugs include Furosemide, Calcium Acetate, Auryxia. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Fatima Khalid, M.D. accept Medicare?
Fatima Khalid, M.D. appears in CMS Medicare data with 318 Part D claims and 68 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Fatima Khalid, M.D.'s credentials?
Fatima Khalid, M.D.'s NPI is 1134434210 with credentials M.D.. 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