2026 NPPES data Infectious Disease Physician NPI 1013145887 M.D
Verify on CMS →

FISSEHA GHIDEY, M.D

Infectious Disease Physician in HYATTSVILLE, Maryland. 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
608
Medicare Part D claims · 145 beneficiaries · Infectious Disease Physician avg: 816
Generic prescribing
76%
generic claims · 24% brand-name · higher generic rates reduce patient out-of-pocket costs
What the federal data reveals: FISSEHA GHIDEY, M.D is a Infectious Disease Physician ([object Object]) practicing in HYATTSVILLE, Maryland with a Medicare Part D prescribing footprint of 608 claims across 145 beneficiaries — 24% brand-name prescribing .

What stands out: FISSEHA GHIDEY, M.D filed 608 Medicare Part D claims in 2023 across HYATTSVILLE, Maryland. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

FISSEHA GHIDEY, M.D practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 4 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

FISSEHA GHIDEY, M.D at a glance

Quality data not reported

NPI registry status

Active

Issued 06/30/2009

NPI 1013145887

Primary specialty

Infectious Disease Physician

Mid-sized

8,292 US NPIs in this specialty

Medicare Part D claims

608 25% vs specialty avg

2023 prescription claims

Specialty avg: 816

Specialty distribution in Maryland

How Infectious Disease Physician compares to other specialties among Maryland providers

Maryland providers

Infectious Disease Physician share within Maryland

1. Infectious Disease Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Infectious Disease Physician share within Maryland

Specialty board-certification context

Estimated specialty board-certified rate — Infectious Disease Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Infectious Disease Physician ABMS/AOA estimate

Est. board-certified rate (Infectious Disease Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Infectious Disease Physician) — ABMS / AOA estimate

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).

FISSEHA GHIDEY, M.D is a Infectious Disease Physician provider practicing in HYATTSVILLE, Maryland, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D. NPI: 1013145887. 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.

FISSEHA GHIDEY, M.D appears in the CMS NPPES registry as a Infectious Disease Physician provider holding M.D credentials at 4509 GARFIELD ST, HYATTSVILLE, MD, 20781, with a listed phone of (718) 710-1813. NPI 1013145887 was issued on 06/30/2009. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GHIDEY 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 608 prescription claims written by this provider, covering 145 Medicare beneficiaries and totaling roughly $384K in drug spend, split 24% brand-name and 76% 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.

Infectious Disease Physician is a mid-sized specialty nationwide, with 8,292 enrolled providers across 54 states and an average of 816 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

4509 GARFIELD ST
HYATTSVILLE, MD 20781

Provider Details

NPI 1013145887
Specialty Infectious Disease Physician
Credentials M.D
Gender Male
NPI Issued 06/30/2009

Hospital and facility affiliations

Facilities where FISSEHA GHIDEY, 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.

ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC
MILWAUKEE, WI
AURORA MEDICAL GROUP, INC.
GRAFTON, WI
COLUMBIA ST MARYS HOSPITAL MILWAUKEE INC
MILWAUKEE, WI
VIGILIAS LLC
OSHKOSH, WI

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

Brand vs generic prescribing mix · Typical

FISSEHA GHIDEY, M.D — brand share 24.0%
Specialty average (est.)

24% brand-name claims vs 76% generic, on 608 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.

608
Total Claims
$384K
Total Drug Cost
145
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
714
Total Day Supply
16,370
Brand vs Generic
24% brand / 76% generic
Brand Drug Cost
$326K
Generic Drug Cost
$58K
Antibiotic Claims
382

Patient Demographics

Average Patient Age
69.4 years
Avg HCC Risk Score
2.11
Gender Split
50% female / 50% 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
Cephalexin
49
Amoxicillin
46
Cefadroxil
33
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
31
Biktarvy
Bictegrav/Emtricit/Tenofov Ala
30
Fosfomycin Tromethamine
27
Ceftriaxone
Ceftriaxone Sodium
25
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
24
Descovy
Emtricitabine/Tenofov Alafenam
22
Doxycycline Hyclate
22

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

Infectious Disease Physician Overview

How FISSEHA GHIDEY, M.D fits within the Infectious Disease Physician landscape nationally.

8,292
Infectious Disease Physician Providers in US
54
States with Infectious Disease Physician
816
Avg Claims per Provider

FISSEHA GHIDEY, M.D's 608 claims are below the specialty average of 816.

Nearby Infectious Disease Physician Providers in Maryland

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

Compare Infectious Disease Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is FISSEHA GHIDEY, M.D's specialty?
FISSEHA GHIDEY, M.D specializes in Infectious Disease Physician and practices in HYATTSVILLE, Maryland. Credentials: M.D.
How much does FISSEHA GHIDEY, M.D prescribe under Medicare Part D?
In 2023, FISSEHA GHIDEY, M.D wrote 608 Medicare Part D claims totaling $384K in drug costs for 145 beneficiaries.
Where is FISSEHA GHIDEY, M.D located?
FISSEHA GHIDEY, M.D is located at 4509 GARFIELD ST, HYATTSVILLE, MD, 20781. Phone: (718) 710-1813.
What is FISSEHA GHIDEY, M.D's NPI number?
FISSEHA GHIDEY, M.D's National Provider Identifier (NPI) is 1013145887, issued on 06/30/2009.
Does FISSEHA GHIDEY, M.D prescribe more brand-name or generic drugs?
FISSEHA GHIDEY, M.D's prescribing is 24% brand-name and 76% generic drugs by claim count, with $326K in brand drug costs.
How many Infectious Disease Physician providers are there in the US?
There are 8,292 Infectious Disease Physician providers across 54 states in the US. The average Infectious Disease Physician provider writes 816 Medicare Part D claims per year.
What drugs does FISSEHA GHIDEY, M.D prescribe most often?
Based on 2023 Medicare Part D data, FISSEHA GHIDEY, M.D's most frequently prescribed drugs include Cephalexin, Amoxicillin, Cefadroxil. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does FISSEHA GHIDEY, M.D accept Medicare?
FISSEHA GHIDEY, M.D appears in CMS Medicare data with 608 Part D claims and 145 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify FISSEHA GHIDEY, M.D's credentials?
FISSEHA GHIDEY, M.D's NPI is 1013145887 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.
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