2026 NPPES data Pulmonary Disease Physician NPI 1386096378
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HALA BOKTOR

Pulmonary Disease Physician in NEWARK, New Jersey. 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
293
Medicare Part D claims · 37 beneficiaries · Pulmonary Disease Physician avg: 1K
Generic prescribing
80%
generic claims · 20% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
73.2773/100
▼ 10 pts below national avg 83.1 · [object Object]
Industry payments
$279.96
3 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: HALA BOKTOR is a Pulmonary Disease Physician ([object Object]) practicing in NEWARK, New Jersey with a Medicare Part D prescribing footprint of 293 claims across 37 beneficiaries — 20% brand-name prescribing . Their CMS MIPS Final Score of 73.2773/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $279.96 across 3 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: HALA BOKTOR reported a CMS MIPS final score of 73.2773 out of 100, below the 83.1 national average, and filed 293 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

HALA BOKTOR 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).

HALA BOKTOR at a glance

Below national average

NPI registry status

Active

Issued 07/01/2016

NPI 1386096378

Primary specialty

Pulmonary Disease Physician

Mid-sized

9,271 US NPIs in this specialty

Medicare Part D claims

293 80% vs specialty avg

2023 prescription claims

Specialty avg: 1,457

MIPS final score

73.2773/100 9.822699999999998% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in New Jersey

How Pulmonary Disease Physician compares to other specialties among New Jersey providers

New Jersey providers

Pulmonary Disease Physician share within New Jersey

1. Pulmonary Disease Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pulmonary Disease Physician share within New Jersey

Medicare quality performance — MIPS

HALA BOKTOR's 2023 MIPS final score plotted against the Pulmonary Disease Physician national average

Below national average
MIPS Final Score
73.2773/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pulmonary Disease Physician) — 73.2773/100 vs national avg 83.1

0%100%National avg83%73.3%
MIPS final score (Pulmonary Disease Physician) — 73.2773/100 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).

HALA BOKTOR is a Pulmonary Disease Physician provider practicing in NEWARK, New Jersey, according to the CMS National Plan and Provider Enumeration System (NPPES). NPI: 1386096378. 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.

HALA BOKTOR appears in the CMS NPPES registry as a Pulmonary Disease Physician provider at 150 BERGEN ST # UHH245, NEWARK, NJ, 07103, with a listed phone of (973) 972-5672. NPI 1386096378 was issued on 07/01/2016. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BOKTOR 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 293 prescription claims written by this provider, covering 37 Medicare beneficiaries and totaling roughly $26K 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 73.2773/100 for the 2023 performance year (Quality 44.8928, Cost 47.6995), compared with the national average of 83.1.

Pulmonary Disease Physician is a mid-sized specialty nationwide, with 9,271 enrolled providers across 53 states and an average of 1,457 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

150 BERGEN ST # UHH245
NEWARK, NJ 07103

Provider Details

NPI 1386096378
Specialty Pulmonary Disease Physician
Gender Female
NPI Issued 07/01/2016

CMS Quality Score (MIPS)

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

73.2773
Final Score
Avg: 83.1
44.8928
Quality
47.6995
Cost
83
Promoting Interoperability

Reporting: Group practice

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 HALA BOKTOR. Source: openpaymentsdata.cms.gov.

Total received

$280

Largest payer

Actelion Pharmaceuticals US, 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.

Brand vs generic prescribing mix · Typical

HALA BOKTOR — brand share 20.0%
Specialty average (est.)

20% brand-name claims vs 80% generic, on 293 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.

293
Total Claims
$26K
Total Drug Cost
37
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
381
Total Day Supply
10,477
Brand vs Generic
20% brand / 80% generic
Brand Drug Cost
$22K
Generic Drug Cost
$4K

Patient Demographics

Average Patient Age
73.7 years
Avg HCC Risk Score
3.67
Gender Split
59% female / 41% 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
Nifedipine Er
Nifedipine
16
Carvedilol
15
Tamsulosin Hcl
14
Famotidine
13
Metoprolol Succinate
13
Eliquis
Apixaban
12
Pantoprazole Sodium
11

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

Pulmonary Disease Physician Overview

How HALA BOKTOR fits within the Pulmonary Disease Physician landscape nationally.

9,271
Pulmonary Disease Physician Providers in US
53
States with Pulmonary Disease Physician
1,457
Avg Claims per Provider

HALA BOKTOR's 293 claims are below the specialty average of 1,457.

Nearby Pulmonary Disease Physician Providers in New Jersey

Other clinicians with the same primary specialty enrolled in New Jersey, drawn from the same CMS NPPES roster as BOKTOR.

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

Frequently Asked Questions

What is HALA BOKTOR's specialty?
HALA BOKTOR specializes in Pulmonary Disease Physician and practices in NEWARK, New Jersey.
How much does HALA BOKTOR prescribe under Medicare Part D?
In 2023, HALA BOKTOR wrote 293 Medicare Part D claims totaling $26K in drug costs for 37 beneficiaries.
What is HALA BOKTOR's Medicare quality score?
HALA BOKTOR has a CMS MIPS Final Score of 73.2773/100 (Quality: 44.8928, Cost: 47.6995). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is HALA BOKTOR located?
HALA BOKTOR is located at 150 BERGEN ST # UHH245, NEWARK, NJ, 07103. Phone: (973) 972-5672.
What is HALA BOKTOR's NPI number?
HALA BOKTOR's National Provider Identifier (NPI) is 1386096378, issued on 07/01/2016.
Does HALA BOKTOR prescribe more brand-name or generic drugs?
HALA BOKTOR's prescribing is 20% brand-name and 80% generic drugs by claim count, with $22K in brand drug costs.
How many Pulmonary Disease Physician providers are there in the US?
There are 9,271 Pulmonary Disease Physician providers across 53 states in the US. The average Pulmonary Disease Physician provider writes 1,457 Medicare Part D claims per year.
What drugs does HALA BOKTOR prescribe most often?
Based on 2023 Medicare Part D data, HALA BOKTOR's most frequently prescribed drugs include Nifedipine Er, Carvedilol, Tamsulosin Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does HALA BOKTOR accept Medicare?
HALA BOKTOR appears in CMS Medicare data with 293 Part D claims and 37 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify HALA BOKTOR's credentials?
HALA BOKTOR's NPI is 1386096378. 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