2026 NPPES data Student in an Organized Health Care Education/Training Program NPI 1225470701 M.D.
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GHADA METWALLY AHMED ELSAYED, M.D.

Student in an Organized Health Care Education/Training Program in BLAIRSVILLE, Pennsylvania. 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
5K
Medicare Part D claims · 655 beneficiaries · Student in an Organized Health Care Education/Training Program avg: 459
Generic prescribing
90%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
95.8139/100
▲ 13 pts above national avg 83.1 · [object Object]
Industry payments
$33.92
2 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

GHADA METWALLY AHMED ELSAYED, M.D. reported a CMS MIPS final score of 95.8139/100 — above the 83.1 national average — and filed 4,559 Medicare Part D claims in 2023.

95.8139/100
MIPS score · +13 vs avg
5K
Part D claims, 2023
90%
generic prescribing
$33.92
industry payments (Sunshine Act)

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.

GHADA METWALLY AHMED ELSAYED, 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

96 Top 21% higher than 79% 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

What does the federal data show about GHADA METWALLY AHMED ELSAYED, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 07/24/2013

NPI 1225470701

Primary specialty

Student in an Organized Health Care Education/Training Program

High-volume

331,761 US NPIs in this specialty

Medicare Part D claims

4,559 893% vs specialty avg

2023 prescription claims

Specialty avg: 459

MIPS final score

95.8139/100 12.71390000000001% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Pennsylvania

How Student in an Organized Health Care Education/Training Program compares to other specialties among Pennsylvania providers

Pennsylvania providers

Student in an Organized Health Care Education/Training Program share within Pennsylvania

1. Student in an Organized Health Care Education/Training Program42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Student in an Organized Health Care Education/Training Program share within Pennsylvania

Medicare quality performance — MIPS

GHADA METWALLY AHMED ELSAYED, M.D.'s 2023 MIPS final score plotted against the Student in an Organized Health Care Education/Training Program national average

High performer (top quartile)
MIPS Final Score
95.8139/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Student in an Organized Health Care Education/Training Program) — 95.8139/100 vs national avg 83.1

0%100%National avg83%95.8%
MIPS final score (Student in an Organized Health Care Education/Training Program) — 95.8139/100 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).

GHADA METWALLY AHMED ELSAYED, M.D. appears in the CMS NPPES registry as a Student in an Organized Health Care Education/Training Program provider holding M.D. credentials at 25 COLONY BLVD STE 109, BLAIRSVILLE, PA, 15717, with a listed phone of (724) 427-2762. NPI 1225470701 was issued on 07/24/2013. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what AHMED ELSAYED 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 4,559 prescription claims written by this provider, covering 655 Medicare beneficiaries and totaling roughly $2.7 million in drug spend, split 10% brand-name and 90% generic by claim count, with an opioid prescribing rate of 13.1%. 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 95.8139/100 for the 2023 performance year (Quality 100), compared with the national average of 83.1.

Student in an Organized Health Care Education/Training Program is a high-volume specialty nationwide, with 331,761 enrolled providers across 55 states and an average of 459 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

25 COLONY BLVD STE 109
BLAIRSVILLE, PA 15717

Provider Details

NPI 1225470701
Specialty Student in an Organized Health Care Education/Training Program
Credentials M.D.
Gender Female
NPI Issued 07/24/2013

CMS Quality Score (MIPS)

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

95.8139
Final Score
Avg: 83.1
100
Quality
81
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where GHADA METWALLY AHMED ELSAYED, 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.

INDIANA HEALTHCARE PHYSICIAN SERVICES INC
INDIANA, PA
PIEDMONT PROVIDERS LLC
PEACHTREE CITY, GA

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 GHADA METWALLY AHMED ELSAYED, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$34

Largest payer

Medline Industries LP

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 — Pennsylvania PA-BOM 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 ~45K Pennsylvania medical licensees in 2023 — they are NOT specific to GHADA METWALLY AHMED ELSAYED, M.D.. To verify GHADA METWALLY AHMED ELSAYED, M.D.'s current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases

PA-BOM 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 Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

GHADA METWALLY AHMED ELSAYED, M.D. — brand share 10.0%
Specialty average (est.)

10% brand-name claims vs 90% generic, on 4,559 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.

4,559
Total Claims
$2.7M
Total Drug Cost
655
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
7,755
Total Day Supply
224,523
Brand vs Generic
10% brand / 90% generic
Brand Drug Cost
$2.5M
Generic Drug Cost
$158K
Opioid Claims
595 (13.1% rate)
Antibiotic Claims
13

Patient Demographics

Average Patient Age
69.7 years
Avg HCC Risk Score
1.53
Gender Split
79% female / 21% male
Age Distribution
<65: 151, 65-74: 289, 75-84: 185, 85+: 30

Top Prescribed Drugs (Medicare Part D)

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

What GHADA METWALLY AHMED ELSAYED, 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
Hydroxychloroquine Sulfate
570
Prednisone
548
Methotrexate
Methotrexate Sodium
444
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
237
Tramadol Hcl
196
Gabapentin
193
Cyclobenzaprine Hcl
172
Pregabalin
168
Leflunomide
152
Duloxetine Hcl
127

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

Student in an Organized Health Care Education/Training Program Overview

How GHADA METWALLY AHMED ELSAYED, M.D. fits within the Student in an Organized Health Care Education/Training Program landscape nationally.

331,761
Student in an Organized Health Care Education/Training Program Providers in US
55
States with Student in an Organized Health Care Education/Training Program
459
Avg Claims per Provider

GHADA METWALLY AHMED ELSAYED, M.D.'s 4,559 claims are above the specialty average of 459.

Nearby Student in an Organized Health Care Education/Training Program Providers in Pennsylvania

Other clinicians with the same primary specialty enrolled in Pennsylvania, drawn from the same CMS NPPES roster as AHMED ELSAYED.

Compare Student in an Organized Health Care Education/Training Program nationally: see state-by-state distribution →

Frequently Asked Questions

What is GHADA METWALLY AHMED ELSAYED, M.D.'s specialty?
GHADA METWALLY AHMED ELSAYED, M.D. specializes in Student in an Organized Health Care Education/Training Program and practices in BLAIRSVILLE, Pennsylvania. Credentials: M.D..
How much does GHADA METWALLY AHMED ELSAYED, M.D. prescribe under Medicare Part D?
In 2023, GHADA METWALLY AHMED ELSAYED, M.D. wrote 4,559 Medicare Part D claims totaling $2.7M in drug costs for 655 beneficiaries.
What is GHADA METWALLY AHMED ELSAYED, M.D.'s Medicare quality score?
GHADA METWALLY AHMED ELSAYED, M.D. has a CMS MIPS Final Score of 95.8139/100 (Quality: 100). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is GHADA METWALLY AHMED ELSAYED, M.D. located?
GHADA METWALLY AHMED ELSAYED, M.D. is located at 25 COLONY BLVD STE 109, BLAIRSVILLE, PA, 15717. Phone: (724) 427-2762.
What is GHADA METWALLY AHMED ELSAYED, M.D.'s NPI number?
GHADA METWALLY AHMED ELSAYED, M.D.'s National Provider Identifier (NPI) is 1225470701, issued on 07/24/2013.
Does GHADA METWALLY AHMED ELSAYED, M.D. prescribe more brand-name or generic drugs?
GHADA METWALLY AHMED ELSAYED, M.D.'s prescribing is 10% brand-name and 90% generic drugs by claim count, with $2.5M in brand drug costs.
Does GHADA METWALLY AHMED ELSAYED, M.D. prescribe opioids?
Yes, GHADA METWALLY AHMED ELSAYED, M.D. had 595 opioid claims in 2023 with an opioid prescribing rate of 13.1%.
How many Student in an Organized Health Care Education/Training Program providers are there in the US?
There are 331,761 Student in an Organized Health Care Education/Training Program providers across 55 states in the US. The average Student in an Organized Health Care Education/Training Program provider writes 459 Medicare Part D claims per year.
What drugs does GHADA METWALLY AHMED ELSAYED, M.D. prescribe most often?
Based on 2023 Medicare Part D data, GHADA METWALLY AHMED ELSAYED, M.D.'s most frequently prescribed drugs include Hydroxychloroquine Sulfate, Prednisone, Methotrexate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does GHADA METWALLY AHMED ELSAYED, M.D. accept Medicare?
GHADA METWALLY AHMED ELSAYED, M.D. appears in CMS Medicare data with 4,559 Part D claims and 655 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify GHADA METWALLY AHMED ELSAYED, M.D.'s credentials?
GHADA METWALLY AHMED ELSAYED, M.D.'s NPI is 1225470701 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