NPI registry status
Active
2026 NPPES data Pediatric Urology Physician NPI 1689092728 M.D.
Verify on CMS → Fuad Elkhoury, M.D.
Pediatric Urology Physician in Santa Monica, California.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 349 in Pediatric Urology 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.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
2K
Medicare Part D claims · 542 beneficiaries · Pediatric Urology Physician avg: 654
MIPS score
98.9/100
▲ 15 pts above national avg 83.5 · Exceptional
Industry payments
$7.4K
23 payments · CMS Open Payments (Sunshine Act)
What the federal data shows
Fuad Elkhoury, M.D. reported a CMS MIPS final score of 98.9/100 - above the 83.5 national average - and filed 1,746 Medicare Part D claims in 2023.
- 98.9/100
- MIPS score · +15 vs avg
- 2K
- Part D claims, 2023
- Likely
- board-certified (heuristic)
- ≥89th
- pct among measured MIPS (lower-bound band)
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.
CMS NPPES provider registry desk
NPI 1689092728 · Pediatric Urology Physician
NPI-10 · ENUM-MID · TAX-TRACE · MIPS-ELITE · RX-MID · BOOK-THIN · PHOTO-FINISH
- NPI-10 1689092728
- ENUM-MID 2014
- TAX-TRACE 349
- MIPS-ELITE 98.9/100
- RX-MID 1,746
- BOOK-THIN 37 in California
- PHOTO-FINISH Rachel Davis · ±0.4
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Casey Seideman ·…
Casey Seideman
97.8 MIPS pts
- David Chalmers ·…
David Chalmers
98.1 MIPS pts
- Lily Wang · near
Lily Wang
98.1 MIPS pts
- Rachel Davis · n…
Rachel Davis
98.5 MIPS pts
- Elkhoury · this …
Elkhoury · this provider
98.9 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Fuad Elkhoury, M.D.'s MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
99 ≥ 89th percentile 89% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Fuad Elkhoury, M.D. sits
This provider among pediatric urology physician peers
Across the 21 pediatric urology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Fuad Elkhoury, M.D. writes more Part D claims than 76% of them and scores higher on MIPS quality than 76% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one pediatric urology physician peer from a representative sample of 20; the gold marker is Fuad Elkhoury, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Fuad Elkhoury, 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 Fuad Elkhoury, M.D.?
High performer (top quartile)Primary specialty
Pediatric Urology Physician
Medicare Part D claims
1,746 167% vs specialty avg
MIPS final score
98.9/100 15.4 pts vs avg
Specialty distribution in California
How Pediatric Urology Physician compares to other specialties among California providers
Medicare quality performance, MIPS
Fuad Elkhoury, M.D.'s 2023 MIPS final score plotted against the Pediatric Urology Physician national average
- MIPS Final Score
- 98.9/100
- vs 83.5 national avg · 2023 performance year
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).
Practice Address
Provider Details
| NPI | 1689092728 |
|---|---|
| Specialty | Pediatric Urology Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 04/05/2014 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
98.8557
Final Score
Measured-score avg: 83.5
97.7114
Quality
Reporting: Group practice
Hospital and facility affiliations
Facilities where Fuad Elkhoury, 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.
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 Fuad Elkhoury, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$7.4K
Largest payer
Ethicon Inc.
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 Fuad Elkhoury, M.D.. To verify Fuad Elkhoury, M.D.'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.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
1,746
Total Claims
$153K
Total Drug Cost
542
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 2,856
- Total Day Supply
- 74,511
- Generic Drug Cost
- $42K
- Opioid Claims
- 20 (1.1% rate)
- Antibiotic Claims
- 329
Patient Demographics
- Average Patient Age
- 75.0 years
- Avg HCC Risk Score
- 1.37
- Gender Split
- 17% female / 83% male
- Age Distribution
- <65: 16, 65-74: 262, 75-84: 205, 85+: 59
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Fuad Elkhoury, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Tamsulosin Hcl
Tamsulosin Hcl
519 claims
- Finasteride
Finasteride
221 claims
- Cephalexin 140
Cephalexin
140 claims
- Diclofenac Sodium 116
Diclofenac Sodium
116 claims
- Myrbetriq 78
Myrbetriq
78 claims
- Oxybutynin Chlorid… 68
Oxybutynin Chloride Er
68 claims
- Sulfamethoxazole-T… 67
Sulfamethoxazole-Trimethoprim
67 claims
- Trospium Chloride Er 54
Trospium Chloride Er
54 claims
| Drug | Claims |
|---|---|
| Tamsulosin Hcl | 519 |
| Finasteride | 221 |
| Cephalexin | 140 |
| Diclofenac Sodium | 116 |
| Myrbetriq Mirabegron | 78 |
| Oxybutynin Chloride Er Oxybutynin Chloride | 68 |
| Sulfamethoxazole-Trimethoprim Sulfamethoxazole/Trimethoprim | 67 |
| Trospium Chloride Er Trospium Chloride | 54 |
| Potassium Citrate Er Potassium Citrate | 53 |
| Nitrofurantoin Mono-Macro Nitrofurantoin Monohyd/M-Cryst | 52 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Pediatric Urology Physician Overview
How Fuad Elkhoury, M.D. fits within the Pediatric Urology Physician landscape nationally.
349
Pediatric Urology Physician Providers in US
44
States with Pediatric Urology Physician
654
Avg Claims per Provider
Fuad Elkhoury, M.D.'s 1,746 claims are above the specialty average of 654.
Nationwide Pediatric Urology Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Elkhoury, both outside California so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (98.9 here).
Same NPPES enumeration year (2014)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Pediatric Urology Physician Providers in California
Other clinicians with the same primary specialty enrolled in California, drawn from the same CMS NPPES roster as Elkhoury.
One of 37 Pediatric Urology Physician providers enrolled in California, 5 are shown here.
Dr. Alireza Alam
M.D.
Long Beach, CA
Dr. Shumyle Alam
M.D.
Madera, CA
Dr. Babak Bamshad
M.D.
Los Angeles, CA
Dr. Michael Bishai
MD
Pasadena, CA
Dr. Joshua Chamberlin
M.D.
Loma Linda, CA
Compare Pediatric Urology Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Fuad Elkhoury, M.D.'s specialty? ▼
Fuad Elkhoury, M.D. specializes in Pediatric Urology Physician and practices in Santa Monica, California. Credentials: M.D..
How much does Fuad Elkhoury, M.D. prescribe under Medicare Part D? ▼
In 2023, Fuad Elkhoury, M.D. wrote 1,746 Medicare Part D claims totaling $153K in drug costs for 542 beneficiaries.
What is Fuad Elkhoury, M.D.'s Medicare quality score? ▼
Fuad Elkhoury, M.D. has a CMS MIPS Final Score of 98.9/100 (Quality: 97.7). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Fuad Elkhoury, M.D. located? ▼
Fuad Elkhoury, M.D. is located at 1260 15TH ST STE 1200, Santa Monica, CA, 90404. Phone: (310) 794-7700.
What is Fuad Elkhoury, M.D.'s NPI number? ▼
Fuad Elkhoury, M.D.'s National Provider Identifier (NPI) is 1689092728, issued on 04/05/2014.
Does Fuad Elkhoury, M.D. prescribe opioids? ▼
Yes, Fuad Elkhoury, M.D. had 20 opioid claims in 2023 with an opioid prescribing rate of 1.1%.
How many Pediatric Urology Physician providers are there in the US? ▼
There are 349 Pediatric Urology Physician providers across 44 states in the US. The average Pediatric Urology Physician provider writes 654 Medicare Part D claims per year.
What drugs does Fuad Elkhoury, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Fuad Elkhoury, M.D.'s most frequently prescribed drugs include Tamsulosin Hcl, Finasteride, Cephalexin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Fuad Elkhoury, M.D. accept Medicare? ▼
Fuad Elkhoury, M.D. appears in CMS Medicare data with 1,746 Part D claims and 542 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Fuad Elkhoury, M.D.'s credentials? ▼
Fuad Elkhoury, M.D.'s NPI is 1689092728 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
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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.