NPI registry status
Active
2026 NPPES data Pain Medicine (Anesthesiology) Physician NPI 1861428526 MD
Verify on CMS → Hengameh Ardalan, MD
Pain Medicine (Anesthesiology) Physician in Little Neck, New York.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 4,020 in Pain Medicine (Anesthesiology) 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
246
Medicare Part D claims · 11 beneficiaries · Pain Medicine (Anesthesiology) Physician avg: 2K
Generic prescribing
87%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs
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
Hengameh Ardalan, MD filed 246 Medicare Part D claims in 2023 as a Pain Medicine (Anesthesiology) Physician in Little Neck, New York, prescribing 87% generic.
- 246
- Part D claims, 2023
- 87%
- 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.
Hengameh Ardalan, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
246 49th percentile higher than 49% of 1,370,886 prescribers
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
✓
Board certification likely (heuristic, not verified)
Hengameh Ardalan, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 2 hospital affiliations - 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 Hengameh Ardalan, MD?
Quality data not reportedPrimary specialty
Pain Medicine (Anesthesiology) Physician
Medicare Part D claims
246 85% vs specialty avg
Specialty distribution in New York
How Pain Medicine (Anesthesiology) Physician compares to other specialties among New York providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Pain Medicine (Anesthesiology) Physician. Verify directly:
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).
Hengameh Ardalan, MD appears in the CMS NPPES registry as a Pain Medicine (Anesthesiology) Physician provider holding MD credentials at 5755 HEWLETT ST, Little Neck, NY, 11362, with a listed phone of (718) 576-1999. NPI 1861428526 was issued on 06/24/2006.
Medicare Part D records for calendar year 2023 show 246 prescription claims written by this provider, covering 11 Medicare beneficiaries and totaling roughly $7K in drug spend, split 13% brand-name and 87% generic by claim count, with an opioid prescribing rate of 50.0%.
Pain Medicine (Anesthesiology) Physician is a narrow specialty nationwide, with 4,020 enrolled providers across 53 states and an average of 1,657 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 | 1861428526 |
|---|---|
| Specialty | Pain Medicine (Anesthesiology) Physician |
| Credentials | MD |
| Gender | Female |
| NPI Issued | 06/24/2006 |
Hospital and facility affiliations
Facilities where Hengameh Ardalan, 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.
Gastrointestinal Care OF Long Island PLLC
Great Neck, NY
LI Queens Medical Care PLLC
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 - New York NYSBPMC 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 ~100K New York medical licensees in 2023 - they are NOT specific to Hengameh Ardalan, MD. To verify Hengameh Ardalan, MD's current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases
NYSBPMC 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 New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Typical
Hengameh Ardalan, MD - brand share 13.0%
Pain Medicine (Anesthesiology) Physician average
13% brand-name claims vs 87% generic, on 246 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.
246
Total Claims
$7K
Total Drug Cost
11
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 246
- Total Day Supply
- 6,990
- Brand vs Generic
- 13% brand / 87% generic
- Brand Drug Cost
- $813
- Generic Drug Cost
- $6K
- Opioid Claims
- 123 (50.0% rate)
Patient Demographics
- Average Patient Age
- 61.8 years
- Avg HCC Risk Score
- 1.66
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Hengameh Ardalan, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Gabapentin
Gabapentin
54 claims
- Oxycodone Hcl
Oxycodone Hcl
43 claims
- Morphine Sulfate
Morphine Sulfate
30 claims
- Topiramate 17
Topiramate
17 claims
- Morphine Sulfate Er 16
Morphine Sulfate Er
16 claims
- Diazepam 13
Diazepam
13 claims
- Citalopram Hbr 12
Citalopram Hbr
12 claims
- Fentanyl 12
Fentanyl
12 claims
| Drug | Claims |
|---|---|
| Gabapentin | 54 |
| Oxycodone Hcl | 43 |
| Morphine Sulfate | 30 |
| Topiramate | 17 |
| Morphine Sulfate Er Morphine Sulfate | 16 |
| Diazepam | 13 |
| Citalopram Hbr Citalopram Hydrobromide | 12 |
| Fentanyl | 12 |
| Methadone Hcl | 12 |
| Tizanidine Hcl | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Pain Medicine (Anesthesiology) Physician in NY →
All providers in New York →
Compare specialties →
Pain Medicine (Anesthesiology) Physician Overview
How Hengameh Ardalan, MD fits within the Pain Medicine (Anesthesiology) Physician landscape nationally.
4,020
Pain Medicine (Anesthesiology) Physician Providers in US
53
States with Pain Medicine (Anesthesiology) Physician
1,657
Avg Claims per Provider
Hengameh Ardalan, MD's 246 claims are below the specialty average of 1,657.
Nearby Pain Medicine (Anesthesiology) Physician Providers in New York
Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as Ardalan.
Dr. Frank Adipietro
M.D.
Southold, NY
Dr. Vineet Aggarwal
MD
New York, NY
Dr. Carole Agin
M.D.
Lake Success, NY
Dr. Naheed Ahamadi
MD
Bronx, NY
Dr. Naeem Ahmad
MD
Elmhurst, NY
Compare Pain Medicine (Anesthesiology) 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 New York medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Pain Medicine (Anesthesiology) 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 Hengameh Ardalan, MD's specialty? ▼
Hengameh Ardalan, MD specializes in Pain Medicine (Anesthesiology) Physician and practices in Little Neck, New York. Credentials: MD.
How much does Hengameh Ardalan, MD prescribe under Medicare Part D? ▼
In 2023, Hengameh Ardalan, MD wrote 246 Medicare Part D claims totaling $7K in drug costs for 11 beneficiaries.
Where is Hengameh Ardalan, MD located? ▼
Hengameh Ardalan, MD is located at 5755 HEWLETT ST, Little Neck, NY, 11362. Phone: (718) 576-1999.
What is Hengameh Ardalan, MD's NPI number? ▼
Hengameh Ardalan, MD's National Provider Identifier (NPI) is 1861428526, issued on 06/24/2006.
Does Hengameh Ardalan, MD prescribe more brand-name or generic drugs? ▼
Hengameh Ardalan, MD's prescribing is 13% brand-name and 87% generic drugs by claim count, with $813 in brand drug costs.
Does Hengameh Ardalan, MD prescribe opioids? ▼
Yes, Hengameh Ardalan, MD had 123 opioid claims in 2023 with an opioid prescribing rate of 50.0%.
How many Pain Medicine (Anesthesiology) Physician providers are there in the US? ▼
There are 4,020 Pain Medicine (Anesthesiology) Physician providers across 53 states in the US. The average Pain Medicine (Anesthesiology) Physician provider writes 1,657 Medicare Part D claims per year.
What drugs does Hengameh Ardalan, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Hengameh Ardalan, MD's most frequently prescribed drugs include Gabapentin, Oxycodone Hcl, Morphine Sulfate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Hengameh Ardalan, MD accept Medicare? ▼
Hengameh Ardalan, MD appears in CMS Medicare data with 246 Part D claims and 11 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Hengameh Ardalan, MD's credentials? ▼
Hengameh Ardalan, MD's NPI is 1861428526 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 (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
Compiled from official public sources by the PlainDoctor editorial team.