2026 NPPES data Adult Medicine Physician NPI 1669624813 MD
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HANI ALBOUSHI, MD

Adult Medicine Physician in SHEBOYGAN, Wisconsin. 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
13K
Medicare Part D claims · 1K beneficiaries · Adult Medicine Physician avg: 3K
Generic prescribing
89%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
What the federal data reveals: HANI ALBOUSHI, MD is a Adult Medicine Physician ([object Object]) practicing in SHEBOYGAN, Wisconsin with a Medicare Part D prescribing footprint of 13K claims across 1K beneficiaries — 11% brand-name prescribing .

What stands out: HANI ALBOUSHI, MD filed 12,564 Medicare Part D claims in 2023 across SHEBOYGAN, Wisconsin. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

HANI ALBOUSHI, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

HANI ALBOUSHI, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 10/21/2008

NPI 1669624813

Primary specialty

Adult Medicine Physician

Niche

2,481 US NPIs in this specialty

Medicare Part D claims

12,564 348% vs specialty avg

2023 prescription claims

Specialty avg: 2,807

Specialty distribution in Wisconsin

How Adult Medicine Physician compares to other specialties among Wisconsin providers

Wisconsin providers

Adult Medicine Physician share within Wisconsin

1. Adult Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Adult Medicine Physician share within Wisconsin

Specialty board-certification context

Estimated specialty board-certified rate — Adult Medicine Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Adult Medicine Physician ABMS/AOA estimate

Est. board-certified rate (Adult Medicine Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Adult Medicine Physician) — 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).

HANI ALBOUSHI, MD is a Adult Medicine Physician provider practicing in SHEBOYGAN, Wisconsin, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1669624813. 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.

HANI ALBOUSHI, MD appears in the CMS NPPES registry as a Adult Medicine Physician provider holding MD credentials at 2414 KOHLER MEMORIAL DR, SHEBOYGAN, WI, 53081, with a listed phone of (920) 457-4467. NPI 1669624813 was issued on 10/21/2008. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ALBOUSHI 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 12,564 prescription claims written by this provider, covering 1,045 Medicare beneficiaries and totaling roughly $1.1 million in drug spend, split 11% brand-name and 89% generic by claim count, with an opioid prescribing rate of 0.8%. 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.

Adult Medicine Physician is a narrow specialty nationwide, with 2,481 enrolled providers across 52 states and an average of 2,807 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

2414 KOHLER MEMORIAL DR
SHEBOYGAN, WI 53081

Provider Details

NPI 1669624813
Specialty Adult Medicine Physician
Credentials MD
Gender Male
NPI Issued 10/21/2008

Hospital and facility affiliations

Facilities where HANI ALBOUSHI, MD 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.

HONORHEALTH MEDICAL GROUP, LLC
SCOTTSDALE, AZ

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Brand vs generic prescribing mix · Typical

HANI ALBOUSHI, MD — brand share 11.0%
Specialty average (est.)

11% brand-name claims vs 89% generic, on 12,564 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.

12,564
Total Claims
$1.1M
Total Drug Cost
1,045
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
26,640
Total Day Supply
780,149
Brand vs Generic
11% brand / 89% generic
Brand Drug Cost
$834K
Generic Drug Cost
$223K
Opioid Claims
97 (0.8% rate)
Antibiotic Claims
142

Patient Demographics

Average Patient Age
71.7 years
Avg HCC Risk Score
1.33
Gender Split
48% female / 52% male
Age Distribution
<65: 149, 65-74: 498, 75-84: 294, 85+: 104

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Atorvastatin Calcium
930
Simvastatin
459
Amlodipine Besylate
446
Pantoprazole Sodium
431
Lisinopril
430
Metoprolol Succinate
395
Metformin Hcl Er
Metformin Hcl
358
Levothyroxine Sodium
345
Omeprazole
338
Metformin Hcl
326

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

Adult Medicine Physician Overview

How HANI ALBOUSHI, MD fits within the Adult Medicine Physician landscape nationally.

2,481
Adult Medicine Physician Providers in US
52
States with Adult Medicine Physician
2,807
Avg Claims per Provider

HANI ALBOUSHI, MD's 12,564 claims are above the specialty average of 2,807.

Nearby Adult Medicine Physician Providers in Wisconsin

Other clinicians with the same primary specialty enrolled in Wisconsin, drawn from the same CMS NPPES roster as ALBOUSHI.

Compare Adult Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is HANI ALBOUSHI, MD's specialty?
HANI ALBOUSHI, MD specializes in Adult Medicine Physician and practices in SHEBOYGAN, Wisconsin. Credentials: MD.
How much does HANI ALBOUSHI, MD prescribe under Medicare Part D?
In 2023, HANI ALBOUSHI, MD wrote 12,564 Medicare Part D claims totaling $1.1M in drug costs for 1,045 beneficiaries.
Where is HANI ALBOUSHI, MD located?
HANI ALBOUSHI, MD is located at 2414 KOHLER MEMORIAL DR, SHEBOYGAN, WI, 53081. Phone: (920) 457-4467.
What is HANI ALBOUSHI, MD's NPI number?
HANI ALBOUSHI, MD's National Provider Identifier (NPI) is 1669624813, issued on 10/21/2008.
Does HANI ALBOUSHI, MD prescribe more brand-name or generic drugs?
HANI ALBOUSHI, MD's prescribing is 11% brand-name and 89% generic drugs by claim count, with $834K in brand drug costs.
Does HANI ALBOUSHI, MD prescribe opioids?
Yes, HANI ALBOUSHI, MD had 97 opioid claims in 2023 with an opioid prescribing rate of 0.8%.
How many Adult Medicine Physician providers are there in the US?
There are 2,481 Adult Medicine Physician providers across 52 states in the US. The average Adult Medicine Physician provider writes 2,807 Medicare Part D claims per year.
What drugs does HANI ALBOUSHI, MD prescribe most often?
Based on 2023 Medicare Part D data, HANI ALBOUSHI, MD's most frequently prescribed drugs include Atorvastatin Calcium, Simvastatin, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does HANI ALBOUSHI, MD accept Medicare?
HANI ALBOUSHI, MD appears in CMS Medicare data with 12,564 Part D claims and 1,045 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify HANI ALBOUSHI, MD's credentials?
HANI ALBOUSHI, MD's NPI is 1669624813 with credentials MD. 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