2026 NPPES data Internal Medicine Physician NPI 1083139422 MD
Verify on CMS →

HIBATULLAH ABU EL-HAIJA, MD

Internal Medicine Physician in FISHERSVILLE, Virginia. 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
967
Medicare Part D claims · 163 beneficiaries · Internal Medicine Physician avg: 3K
MIPS score
96.527/100
▲ 13 pts above national avg 83.1 · [object Object]
Industry payments
$1.2K
49 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: HIBATULLAH ABU EL-HAIJA, MD is a Internal Medicine Physician ([object Object]) practicing in FISHERSVILLE, Virginia with a Medicare Part D prescribing footprint of 967 claims across 163 beneficiaries . Their CMS MIPS Final Score of 96.527/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $1.2K across 49 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: HIBATULLAH ABU EL-HAIJA, MD reported a CMS MIPS final score of 96.527 out of 100, above the 83.1 national average, and filed 967 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

HIBATULLAH ABU EL-HAIJA, 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).

HIBATULLAH ABU EL-HAIJA, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 08/07/2017

NPI 1083139422

Primary specialty

Internal Medicine Physician

High-volume

172,858 US NPIs in this specialty

Medicare Part D claims

967 64% vs specialty avg

2023 prescription claims

Specialty avg: 2,716

MIPS final score

96.527/100 13.427000000000007% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Virginia

How Internal Medicine Physician compares to other specialties among Virginia providers

Virginia providers

Internal Medicine Physician share within Virginia

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

Medicare quality performance — MIPS

HIBATULLAH ABU EL-HAIJA, MD's 2023 MIPS final score plotted against the Internal Medicine Physician national average

High performer (top quartile)
MIPS Final Score
96.527/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Internal Medicine Physician) — 96.527/100 vs national avg 83.1

0%100%National avg83%96.5%
MIPS final score (Internal Medicine Physician) — 96.527/100 vs national avg 83.1

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).

HIBATULLAH ABU EL-HAIJA, MD is a Internal Medicine Physician provider practicing in FISHERSVILLE, Virginia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1083139422. 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.

HIBATULLAH ABU EL-HAIJA, MD appears in the CMS NPPES registry as a Internal Medicine Physician provider holding MD credentials at 70 MEDICAL CENTER CIR STE 206, FISHERSVILLE, VA, 22939, with a listed phone of (540) 932-5878. NPI 1083139422 was issued on 08/07/2017. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ABU EL-HAIJA 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 967 prescription claims written by this provider, covering 163 Medicare beneficiaries and totaling roughly $569K in drug spend. 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 96.527/100 for the 2023 performance year (Quality 93.054), compared with the national average of 83.1.

Internal Medicine Physician is a high-volume specialty nationwide, with 172,858 enrolled providers across 56 states and an average of 2,716 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

70 MEDICAL CENTER CIR STE 206
FISHERSVILLE, VA 22939

Provider Details

NPI 1083139422
Specialty Internal Medicine Physician
Credentials MD
Gender Female
NPI Issued 08/07/2017

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

96.527
Final Score
Avg: 83.1
93.054
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where HIBATULLAH ABU EL-HAIJA, 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.

AUGUSTA MEDICAL GROUP
FISHERSVILLE, VA

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 HIBATULLAH ABU EL-HAIJA, MD. Source: openpaymentsdata.cms.gov.

Total received

$1.2K

Largest payer

ABBVIE 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.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

967
Total Claims
$569K
Total Drug Cost
163
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,715
Total Day Supply
50,542
Generic Drug Cost
$102K

Patient Demographics

Average Patient Age
58.1 years
Avg HCC Risk Score
1.17
Gender Split
50% female / 50% male
Age Distribution
<65: 98, 65-74: 32, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Levetiracetam
116
Lamotrigine
111
Zonisamide
59
Topiramate
55
Lacosamide
49
Oxcarbazepine
36
Aptiom
Eslicarbazepine Acetate
35
Xcopri
Cenobamate
35
Divalproex Sodium
34
Lamotrigine Er
Lamotrigine
32

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

Internal Medicine Physician Overview

How HIBATULLAH ABU EL-HAIJA, MD fits within the Internal Medicine Physician landscape nationally.

172,858
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider

HIBATULLAH ABU EL-HAIJA, MD's 967 claims are below the specialty average of 2,716.

Nearby Internal Medicine Physician Providers in Virginia

Other clinicians with the same primary specialty enrolled in Virginia, drawn from the same CMS NPPES roster as ABU EL-HAIJA.

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

Frequently Asked Questions

What is HIBATULLAH ABU EL-HAIJA, MD's specialty?
HIBATULLAH ABU EL-HAIJA, MD specializes in Internal Medicine Physician and practices in FISHERSVILLE, Virginia. Credentials: MD.
How much does HIBATULLAH ABU EL-HAIJA, MD prescribe under Medicare Part D?
In 2023, HIBATULLAH ABU EL-HAIJA, MD wrote 967 Medicare Part D claims totaling $569K in drug costs for 163 beneficiaries.
What is HIBATULLAH ABU EL-HAIJA, MD's Medicare quality score?
HIBATULLAH ABU EL-HAIJA, MD has a CMS MIPS Final Score of 96.527/100 (Quality: 93.054). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is HIBATULLAH ABU EL-HAIJA, MD located?
HIBATULLAH ABU EL-HAIJA, MD is located at 70 MEDICAL CENTER CIR STE 206, FISHERSVILLE, VA, 22939. Phone: (540) 932-5878.
What is HIBATULLAH ABU EL-HAIJA, MD's NPI number?
HIBATULLAH ABU EL-HAIJA, MD's National Provider Identifier (NPI) is 1083139422, issued on 08/07/2017.
How many Internal Medicine Physician providers are there in the US?
There are 172,858 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
What drugs does HIBATULLAH ABU EL-HAIJA, MD prescribe most often?
Based on 2023 Medicare Part D data, HIBATULLAH ABU EL-HAIJA, MD's most frequently prescribed drugs include Levetiracetam, Lamotrigine, Zonisamide. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does HIBATULLAH ABU EL-HAIJA, MD accept Medicare?
HIBATULLAH ABU EL-HAIJA, MD appears in CMS Medicare data with 967 Part D claims and 163 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify HIBATULLAH ABU EL-HAIJA, MD's credentials?
HIBATULLAH ABU EL-HAIJA, MD's NPI is 1083139422 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.
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