2026 NPPES data Student in an Organized Health Care Education/Training Program NPI 1861855876 M.D.
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Halime El-Hajmoussa, M.D.

Student in an Organized Health Care Education/Training Program in Mount Pocono, 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 · 433 beneficiaries · Student in an Organized Health Care Education/Training Program avg: 459
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

Halime El-Hajmoussa, M.D. filed 4,954 Medicare Part D claims in 2023 as a Student in an Organized Health Care Education/Training Program in Mount Pocono, Pennsylvania, prescribing 88% generic.

5K
Part D claims, 2023
88%
generic prescribing

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.

Halime El-Hajmoussa, M.D.'s Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

4,954 Top 6% higher than 94% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). Below this entry. 2,000–2,200: 213,991 prescribers (16%). This entry sits in this band. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023

What does the federal data show about Halime El-Hajmoussa, M.D.?

Quality data not reported

NPI registry status

Active

Issued 03/29/2016

NPI 1861855876

Primary specialty

Student in an Organized Health Care Education/Training Program

High-volume

331,761 US NPIs in this specialty

Medicare Part D claims

4,954 11× vs specialty avg

2023 prescription claims

Specialty avg: 459

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

Specialty board-certification context

Estimated specialty board-certified rate — Student in an Organized Health Care Education/Training Program (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Student in an Organized Health Care Education/Training Program ABMS/AOA estimate

Est. board-certified rate (Student in an Organized Health Care Education/Training Program) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Student in an Organized Health Care Education/Training Program) — 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).

Halime El-Hajmoussa, 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 126 MARKET WAY, Mount Pocono, PA, 18344, with a listed phone of (570) 839-3633. NPI 1861855876 was issued on 03/29/2016. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what El-Hajmoussa 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 4,954 prescription claims written by this provider, covering 433 Medicare beneficiaries and totaling roughly $544K in drug spend, split 12% brand-name and 88% generic by claim count, with an opioid prescribing rate of 0.4%. 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.

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

126 MARKET WAY
Mount Pocono, PA 18344

Provider Details

NPI 1861855876
Specialty Student in an Organized Health Care Education/Training Program
Credentials M.D.
Gender Female
NPI Issued 03/29/2016

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 Halime El-Hajmoussa, M.D.. To verify Halime El-Hajmoussa, 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

Halime El-Hajmoussa, M.D. — brand share 12.0%
Specialty average (est.)

12% brand-name claims vs 88% generic, on 4,954 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.

4,954
Total Claims
$544K
Total Drug Cost
433
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
11,882
Total Day Supply
348,303
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$455K
Generic Drug Cost
$86K
Opioid Claims
22 (0.4% rate)
Antibiotic Claims
82

Patient Demographics

Average Patient Age
72.0 years
Avg HCC Risk Score
1.23
Gender Split
69% female / 31% male
Age Distribution
<65: 64, 65-74: 202, 75-84: 128, 85+: 39

Top Prescribed Drugs (Medicare Part D)

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

What Halime El-Hajmoussa, 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
Atorvastatin Calcium
374
Levothyroxine Sodium
242
Amlodipine Besylate
190
Lisinopril
184
Rosuvastatin Calcium
149
Pantoprazole Sodium
131
Montelukast Sodium
122
Gabapentin
97
Hydrochlorothiazide
97
Losartan Potassium
95

* 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 Halime El-Hajmoussa, 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

Halime El-Hajmoussa, M.D.'s 4,954 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 El-Hajmoussa.

Compare Student in an Organized Health Care Education/Training Program 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 Student in an Organized Health Care Education/Training Program 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.

Frequently Asked Questions

What is Halime El-Hajmoussa, M.D.'s specialty?
Halime El-Hajmoussa, M.D. specializes in Student in an Organized Health Care Education/Training Program and practices in Mount Pocono, Pennsylvania. Credentials: M.D..
How much does Halime El-Hajmoussa, M.D. prescribe under Medicare Part D?
In 2023, Halime El-Hajmoussa, M.D. wrote 4,954 Medicare Part D claims totaling $544K in drug costs for 433 beneficiaries.
Where is Halime El-Hajmoussa, M.D. located?
Halime El-Hajmoussa, M.D. is located at 126 MARKET WAY, Mount Pocono, PA, 18344. Phone: (570) 839-3633.
What is Halime El-Hajmoussa, M.D.'s NPI number?
Halime El-Hajmoussa, M.D.'s National Provider Identifier (NPI) is 1861855876, issued on 03/29/2016.
Does Halime El-Hajmoussa, M.D. prescribe more brand-name or generic drugs?
Halime El-Hajmoussa, M.D.'s prescribing is 12% brand-name and 88% generic drugs by claim count, with $455K in brand drug costs.
Does Halime El-Hajmoussa, M.D. prescribe opioids?
Yes, Halime El-Hajmoussa, M.D. had 22 opioid claims in 2023 with an opioid prescribing rate of 0.4%.
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 Halime El-Hajmoussa, M.D. prescribe most often?
Based on 2023 Medicare Part D data, Halime El-Hajmoussa, M.D.'s most frequently prescribed drugs include Atorvastatin Calcium, Levothyroxine Sodium, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Halime El-Hajmoussa, M.D. accept Medicare?
Halime El-Hajmoussa, M.D. appears in CMS Medicare data with 4,954 Part D claims and 433 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Halime El-Hajmoussa, M.D.'s credentials?
Halime El-Hajmoussa, M.D.'s NPI is 1861855876 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