NPI registry status
Active
2026 NPPES data Cardiovascular Disease Physician NPI 1922073949 MD
Verify on CMS → Hani Douedi, MD
Cardiovascular Disease Physician in Toms River, New Jersey.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 25,298 in Cardiovascular 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
9K
Medicare Part D claims · 1K beneficiaries · Cardiovascular Disease Physician avg: 3K
Generic prescribing
81%
generic claims · 19% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
62.4/100
▼ 21 pts below national avg 83.5 · Mid-tier
Industry payments
$9.3K
129 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Hani Douedi, MD reported a CMS MIPS final score of 62.4/100 - below the 83.5 national average - and filed 8,992 Medicare Part D claims in 2024.
- 62.4/100
- MIPS score · -21 vs avg
- 9K
- Part D claims, 2024
- 81%
- 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.
Federal trust snapshot
What official records show about Hani Douedi, MD
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1922073949), first enumerated 02/22/2006.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 8,992 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 62.4/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$9.3K in reported industry payments (129 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1922073949 · Cardiovascular Disease Physician
NPI-10 · ENUM-LEGACY · TAX-MID · MIPS-LOW · RX-MID · BOOK-LIGHT · PHOTO-FINISH
- NPI-10 1922073949
- ENUM-LEGACY 2006
- TAX-MID 25K Cardiovascular Disease
- MIPS-LOW 62.4/100
- RX-MID 8,992
- BOOK-LIGHT 1,006 in New Jersey
- PHOTO-FINISH Gerald Koppes · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Kathleen Ward · …
Kathleen Ward
62.2 MIPS pts
- Douedi · this pr…
Douedi · this provider
62.4 MIPS pts
- Gerald Koppes · …
Gerald Koppes
62.4 MIPS pts
- Jay Penafiel · n…
Jay Penafiel
62.5 MIPS pts
- Kenneth Wool · h…
Kenneth Wool
62.6 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Hani Douedi, MD's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
62 ≥ 6th percentile 6% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Hani Douedi, MD sits
This provider among cardiovascular disease physician peers
Across the 7,999 cardiovascular disease physician providers who report both Medicare Part D prescribing and a MIPS quality score, Hani Douedi, MD writes more Part D claims than 94% of them and scores higher on MIPS quality than 7% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one cardiovascular disease physician peer from a representative sample of 60; the gold marker is Hani Douedi, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Hani Douedi, MD 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 Hani Douedi, MD?
Below national averagePrimary specialty
Cardiovascular Disease Physician
Medicare Part D claims
8,992 186% vs specialty avg
MIPS final score
62.4/100 21.1 pts vs avg
Specialty distribution in New Jersey
How Cardiovascular Disease Physician compares to other specialties among New Jersey providers
Medicare quality performance, MIPS
Hani Douedi, MD's 2023 MIPS final score plotted against the Cardiovascular Disease Physician national average
- MIPS Final Score
- 62.4/100
- vs 83.5 national avg · 2023 performance year
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).
Practice Address
Provider Details
| NPI | 1922073949 |
|---|---|
| Specialty | Cardiovascular Disease Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 02/22/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
62.4076
Final Score
Measured-score avg: 83.5
12.8426
Quality
80.2763
Cost
Reporting: Group practice
Hospital and facility affiliations
Facilities where Hani Douedi, 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.
Dover Cardiology Center, LLC
Toms River, NJ
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 Hani Douedi, MD. Source: openpaymentsdata.cms.gov.
Total received
$9.3K
Largest payer
Janssen Pharmaceuticals, 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
Hani Douedi, MD - brand share 19.0%
Cardiovascular Disease Physician average
19% brand-name claims vs 81% generic, on 8,992 2024 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 2024.
8,992
Total Claims
$2.1M
Total Drug Cost
1,020
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 22,988.033
- Total Day Supply
- 688,131
- Brand vs Generic
- 19% brand / 81% generic
- Brand Drug Cost
- $1.9M
- Generic Drug Cost
- $160K
- Antibiotic Claims
- 15
Patient Demographics
- Average Patient Age
- 77.3 years
- Avg HCC Risk Score
- 1.46
- Gender Split
- 59% female / 41% male
- Age Distribution
- <65: 41, 65-74: 347, 75-84: 426, 85+: 206
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Hani Douedi, MD prescribes most
Top Medicare Part D drugs by claim count, 2024
- Metoprolol Succinate
Metoprolol Succinate
789 claims
- Eliquis
Eliquis
741 claims
- Amlodipine Besylate
Amlodipine Besylate
658 claims
- Atorvastatin Calcium
Atorvastatin Calcium
599 claims
- Rosuvastatin Calcium
Rosuvastatin Calcium
574 claims
- Losartan Potassium
Losartan Potassium
533 claims
- Furosemide
Furosemide
382 claims
- Xarelto
Xarelto
377 claims
| Drug | Claims |
|---|---|
| Metoprolol Succinate | 789 |
| Eliquis Apixaban | 741 |
| Amlodipine Besylate | 658 |
| Atorvastatin Calcium | 599 |
| Rosuvastatin Calcium | 574 |
| Losartan Potassium | 533 |
| Furosemide | 382 |
| Xarelto Rivaroxaban | 377 |
| Carvedilol | 346 |
| Metoprolol Tartrate | 329 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Cardiovascular Disease Physician Overview
How Hani Douedi, MD fits within the Cardiovascular Disease Physician landscape nationally.
25,298
Cardiovascular Disease Physician Providers in US
54
States with Cardiovascular Disease Physician
3,149
Avg Claims per Provider
Hani Douedi, MD's 8,992 claims are above the specialty average of 3,149.
Nationwide Cardiovascular Disease Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Douedi, both outside New Jersey so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (62.4 here).
Same NPPES enumeration year (2006)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Cardiovascular 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 Douedi.
One of 1,006 Cardiovascular Disease Physician providers enrolled in New Jersey, 5 are shown here.
Dr. Kariann Abbate
MD
Ridgewood, NJ
Dr. Rachel Abboud
DO
Paterson, NJ
Dr. Mary Abed
M.D.
Jersey City, NJ
Dr. Andrew Adelsheimer
MD
New Providence, NJ
Dr. Baback Adibi
M.D.
Teaneck, NJ
Compare Cardiovascular Disease Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Hani Douedi, MD's specialty? ▼
Hani Douedi, MD specializes in Cardiovascular Disease Physician and practices in Toms River, New Jersey. Credentials: MD.
How much does Hani Douedi, MD prescribe under Medicare Part D? ▼
In 2024, Hani Douedi, MD wrote 8,992 Medicare Part D claims totaling $2.1M in drug costs for 1,020 beneficiaries.
What is Hani Douedi, MD's Medicare quality score? ▼
Hani Douedi, MD has a CMS MIPS Final Score of 62.4/100 (Quality: 12.8, Cost: 80.3). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Hani Douedi, MD located? ▼
Hani Douedi, MD is located at 437 LAKEHURST RD, Toms River, NJ, 08755. Phone: (732) 557-4777.
What is Hani Douedi, MD's NPI number? ▼
Hani Douedi, MD's National Provider Identifier (NPI) is 1922073949, issued on 02/22/2006.
Does Hani Douedi, MD prescribe more brand-name or generic drugs? ▼
Hani Douedi, MD's prescribing is 19% brand-name and 81% generic drugs by claim count, with $1.9M in brand drug costs.
How many Cardiovascular Disease Physician providers are there in the US? ▼
There are 25,298 Cardiovascular Disease Physician providers across 54 states in the US. The average Cardiovascular Disease Physician provider writes 3,149 Medicare Part D claims per year.
What drugs does Hani Douedi, MD prescribe most often? ▼
Based on 2024 Medicare Part D data, Hani Douedi, MD's most frequently prescribed drugs include Metoprolol Succinate, Eliquis, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Hani Douedi, MD accept Medicare? ▼
Hani Douedi, MD appears in CMS Medicare data with 8,992 Part D claims and 1,020 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Hani Douedi, MD's credentials? ▼
Hani Douedi, MD's NPI is 1922073949 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
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 (2024). 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 August 2026 (NPPES) / 2024 (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
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 August 2026.