2026 NPPES data Internal Medicine Physician NPI 1548378029 MD
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HILAL ABBOUSHI, MD

Internal Medicine Physician in BLOOMFIELD, New Jersey. 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
9K
Medicare Part D claims · 356 beneficiaries · Internal Medicine Physician avg: 3K
Generic prescribing
87%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs
What the federal data reveals: HILAL ABBOUSHI, MD is a Internal Medicine Physician ([object Object]) practicing in BLOOMFIELD, New Jersey with a Medicare Part D prescribing footprint of 9K claims across 356 beneficiaries — 13% brand-name prescribing .

What stands out: HILAL ABBOUSHI, MD filed 8,707 Medicare Part D claims in 2023 across BLOOMFIELD, New Jersey. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

HILAL ABBOUSHI, 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).

HILAL ABBOUSHI, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 08/26/2006

NPI 1548378029

Primary specialty

Internal Medicine Physician

High-volume

172,858 US NPIs in this specialty

Medicare Part D claims

8,707 221% vs specialty avg

2023 prescription claims

Specialty avg: 2,716

Specialty distribution in New Jersey

How Internal Medicine Physician compares to other specialties among New Jersey providers

New Jersey providers

Internal Medicine Physician share within New Jersey

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

Specialty board-certification context

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

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

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

0%100%78%
Est. board-certified rate (Internal 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).

HILAL ABBOUSHI, MD is a Internal Medicine Physician provider practicing in BLOOMFIELD, New Jersey, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1548378029. 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.

HILAL ABBOUSHI, MD appears in the CMS NPPES registry as a Internal Medicine Physician provider holding MD credentials at 194 BROAD ST, BLOOMFIELD, NJ, 07003, with a listed phone of (973) 748-5700. NPI 1548378029 was issued on 08/26/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ABBOUSHI 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 8,707 prescription claims written by this provider, covering 356 Medicare beneficiaries and totaling roughly $787K in drug spend, split 13% brand-name and 87% generic by claim count. 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.

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

194 BROAD ST
BLOOMFIELD, NJ 07003

Provider Details

NPI 1548378029
Specialty Internal Medicine Physician
Credentials MD
Gender Male
NPI Issued 08/26/2006

Hospital and facility affiliations

Facilities where HILAL ABBOUSHI, 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.

HILAL MEDICAL CENTER LLC
BLOOMFIELD, 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).

Brand vs generic prescribing mix · Typical

HILAL ABBOUSHI, MD — brand share 13.0%
Specialty average (est.)

13% brand-name claims vs 87% generic, on 8,707 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.

8,707
Total Claims
$787K
Total Drug Cost
356
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
10,333
Total Day Supply
288,285
Brand vs Generic
13% brand / 87% generic
Brand Drug Cost
$507K
Generic Drug Cost
$271K
Antibiotic Claims
263

Patient Demographics

Average Patient Age
70.9 years
Avg HCC Risk Score
1.79
Gender Split
61% female / 39% male
Age Distribution
<65: 75, 65-74: 143, 75-84: 101, 85+: 37

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Rosuvastatin Calcium
603
Amlodipine Besylate
383
Pantoprazole Sodium
358
Metformin Hcl
330
Albuterol Sulfate Hfa
Albuterol Sulfate
277
Atorvastatin Calcium
252
Lisinopril
249
Levothyroxine Sodium
229
Omeprazole
224
Metoprolol Succinate
209

* 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 HILAL ABBOUSHI, 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

HILAL ABBOUSHI, MD's 8,707 claims are above the specialty average of 2,716.

Nearby Internal Medicine Physician Providers in New Jersey

Other clinicians with the same primary specialty enrolled in New Jersey, drawn from the same CMS NPPES roster as ABBOUSHI.

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

Frequently Asked Questions

What is HILAL ABBOUSHI, MD's specialty?
HILAL ABBOUSHI, MD specializes in Internal Medicine Physician and practices in BLOOMFIELD, New Jersey. Credentials: MD.
How much does HILAL ABBOUSHI, MD prescribe under Medicare Part D?
In 2023, HILAL ABBOUSHI, MD wrote 8,707 Medicare Part D claims totaling $787K in drug costs for 356 beneficiaries.
Where is HILAL ABBOUSHI, MD located?
HILAL ABBOUSHI, MD is located at 194 BROAD ST, BLOOMFIELD, NJ, 07003. Phone: (973) 748-5700.
What is HILAL ABBOUSHI, MD's NPI number?
HILAL ABBOUSHI, MD's National Provider Identifier (NPI) is 1548378029, issued on 08/26/2006.
Does HILAL ABBOUSHI, MD prescribe more brand-name or generic drugs?
HILAL ABBOUSHI, MD's prescribing is 13% brand-name and 87% generic drugs by claim count, with $507K in brand drug costs.
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 HILAL ABBOUSHI, MD prescribe most often?
Based on 2023 Medicare Part D data, HILAL ABBOUSHI, MD's most frequently prescribed drugs include Rosuvastatin Calcium, Amlodipine Besylate, Pantoprazole Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does HILAL ABBOUSHI, MD accept Medicare?
HILAL ABBOUSHI, MD appears in CMS Medicare data with 8,707 Part D claims and 356 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify HILAL ABBOUSHI, MD's credentials?
HILAL ABBOUSHI, MD's NPI is 1548378029 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