NPI registry status
Active
2026 NPPES data Pulmonary Disease Physician NPI 1578905048 M,D,
Verify on CMS → Halim El Hage, M,D,
Pulmonary Disease Physician in Meadowbrook, Pennsylvania.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 9,323 in Pulmonary Disease 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 · 292 beneficiaries · Pulmonary Disease Physician avg: 1K
Generic prescribing
34%
generic claims · 66% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
91.3/100
▲ 8 pts above national avg 83.1 · Exceptional
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Halim El Hage, M,D, reported a CMS MIPS final score of 91.3/100 - above the 83.1 national average - and filed 1,728 Medicare Part D claims in 2023.
- 91.3/100
- MIPS score · +8 vs avg
- 2K
- Part D claims, 2023
- 34%
- 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.
Halim El Hage, 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
91 Top 37% higher than 63% of 477,587 scored providers
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
Where Halim El Hage, M,D, sits
This provider among pulmonary disease physician peers
Across the 2,676 pulmonary disease physician providers who report both Medicare Part D prescribing and a MIPS quality score, Halim El Hage, M,D, writes more Part D claims than 66% of them and scores higher on MIPS quality than 65% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one pulmonary disease physician peer from a representative sample of 60; the gold marker is Halim El Hage, M,D,. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Halim El Hage, 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 Halim El Hage, M,D,?
High performer (top quartile)Primary specialty
Pulmonary Disease Physician
Medicare Part D claims
1,728 19% vs specialty avg
MIPS final score
91.3/100 8.2 pts vs avg
Specialty distribution in Pennsylvania
How Pulmonary Disease Physician compares to other specialties among Pennsylvania providers
Medicare quality performance, MIPS
Halim El Hage, M,D,'s 2023 MIPS final score plotted against the Pulmonary Disease Physician national average
- MIPS Final Score
- 91.3/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Pulmonary Disease Physician) - 91.3/100 vs national avg 83.1
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).
Halim El Hage, M,D, appears in the CMS NPPES registry as a Pulmonary Disease Physician provider holding M,D, credentials at 1650 HUNTINGDON PIKE STE 252, Meadowbrook, PA, 19046, with a listed phone of (215) 947-6404. NPI 1578905048 was issued on 07/24/2013.
Medicare Part D records for calendar year 2023 show 1,728 prescription claims written by this provider, covering 292 Medicare beneficiaries and totaling roughly $617K in drug spend, split 66% brand-name and 34% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 91.3/100 for the 2023 performance year (Quality 74.9), compared with the national average of 83.1.
Pulmonary Disease Physician is a mid-sized specialty nationwide, with 9,323 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
Provider Details
| NPI | 1578905048 |
|---|---|
| Specialty | Pulmonary Disease Physician |
| Credentials | M,D, |
| Gender | Male |
| NPI Issued | 07/24/2013 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
91.2532
Final Score
Avg: 83.1
74.9203
Quality
91.6794
Promoting Interoperability
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where Halim El Hage, 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.
North Shore-Lij Medical PC
New Hyde Park, NY
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 - 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 Halim El Hage, M,D,. To verify Halim El Hage, 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 · Brand-heavy
Halim El Hage, M,D, - brand share 66.0%
Pulmonary Disease Physician average
66% brand-name claims vs 34% generic, on 1,728 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.
1,728
Total Claims
$617K
Total Drug Cost
292
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 1,927
- Total Day Supply
- 53,754
- Brand vs Generic
- 66% brand / 34% generic
- Brand Drug Cost
- $580K
- Generic Drug Cost
- $37K
- Antibiotic Claims
- 34
Patient Demographics
- Average Patient Age
- 70.5 years
- Avg HCC Risk Score
- 1.93
- Gender Split
- 62% female / 38% male
- Age Distribution
- <65: 63, 65-74: 127, 75-84: 83, 85+: 19
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Halim El Hage, M,D, prescribes most
Top Medicare Part D drugs by claim count, 2023
- Albuterol Sulfate …
Albuterol Sulfate Hfa
395 claims
- Symbicort
Symbicort
198 claims
- Trelegy Ellipta
Trelegy Ellipta
180 claims
- Spiriva Respimat 139
Spiriva Respimat
139 claims
- Incruse Ellipta 92
Incruse Ellipta
92 claims
- Azelastine Hcl 88
Azelastine Hcl
88 claims
- Breo Ellipta 81
Breo Ellipta
81 claims
- Montelukast Sodium 81
Montelukast Sodium
81 claims
| Drug | Claims |
|---|---|
| Albuterol Sulfate Hfa Albuterol Sulfate | 395 |
| Symbicort Budesonide/Formoterol Fumarate | 198 |
| Trelegy Ellipta Fluticasone/Umeclidin/Vilanter | 180 |
| Spiriva Respimat Tiotropium Bromide | 139 |
| Incruse Ellipta Umeclidinium Bromide | 92 |
| Azelastine Hcl | 88 |
| Breo Ellipta Fluticasone/Vilanterol | 81 |
| Montelukast Sodium | 81 |
| Prednisone | 80 |
| Anoro Ellipta Umeclidinium Brm/Vilanterol Tr | 78 |
* 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 Halim El Hage, M,D, fits within the Pulmonary Disease Physician landscape nationally.
9,323
Pulmonary Disease Physician Providers in US
53
States with Pulmonary Disease Physician
1,457
Avg Claims per Provider
Halim El Hage, M,D,'s 1,728 claims are above the specialty average of 1,457.
Nearby Pulmonary Disease Physician Providers in Pennsylvania
Other clinicians with the same primary specialty enrolled in Pennsylvania, drawn from the same CMS NPPES roster as El Hage.
Dr. Gary Aaronson
DO
Philadelphia, PA
Dr. Joseph Abboud
M.D.
Bryn Mawr, PA
Amgad Abdu
Franklin, PA
Dr. Jason Ackrivo
MD
Philadelphia, PA
Dr. Michael Ader
M.D.
Hanover, PA
Compare Pulmonary Disease 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 Pennsylvania medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Pulmonary Disease 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.
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Frequently Asked Questions
What is Halim El Hage, M,D,'s specialty? ▼
Halim El Hage, M,D, specializes in Pulmonary Disease Physician and practices in Meadowbrook, Pennsylvania. Credentials: M,D,.
How much does Halim El Hage, M,D, prescribe under Medicare Part D? ▼
In 2023, Halim El Hage, M,D, wrote 1,728 Medicare Part D claims totaling $617K in drug costs for 292 beneficiaries.
What is Halim El Hage, M,D,'s Medicare quality score? ▼
Halim El Hage, M,D, has a CMS MIPS Final Score of 91.3/100 (Quality: 74.9). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Halim El Hage, M,D, located? ▼
Halim El Hage, M,D, is located at 1650 HUNTINGDON PIKE STE 252, Meadowbrook, PA, 19046. Phone: (215) 947-6404.
What is Halim El Hage, M,D,'s NPI number? ▼
Halim El Hage, M,D,'s National Provider Identifier (NPI) is 1578905048, issued on 07/24/2013.
Does Halim El Hage, M,D, prescribe more brand-name or generic drugs? ▼
Halim El Hage, M,D,'s prescribing is 66% brand-name and 34% generic drugs by claim count, with $580K in brand drug costs.
How many Pulmonary Disease Physician providers are there in the US? ▼
There are 9,323 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 Halim El Hage, M,D, prescribe most often? ▼
Based on 2023 Medicare Part D data, Halim El Hage, M,D,'s most frequently prescribed drugs include Albuterol Sulfate Hfa, Symbicort, Trelegy Ellipta. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Halim El Hage, M,D, accept Medicare? ▼
Halim El Hage, M,D, appears in CMS Medicare data with 1,728 Part D claims and 292 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Halim El Hage, M,D,'s credentials? ▼
Halim El Hage, M,D,'s NPI is 1578905048 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
Compiled from official public sources by the PlainDoctor editorial team.
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.