2026 NPPES data Interventional Cardiology Physician NPI 1518318476
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HISHAM HIRZALLAH

Interventional Cardiology Physician in ASHLAND, Kentucky. 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
173
Medicare Part D claims · 76 beneficiaries · Interventional Cardiology Physician avg: 3K
MIPS score
82.9435/100
▼ 0 pts below national avg 83.1 · [object Object]
Industry payments
$2.9K
69 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: HISHAM HIRZALLAH is a Interventional Cardiology Physician ([object Object]) practicing in ASHLAND, Kentucky with a Medicare Part D prescribing footprint of 173 claims across 76 beneficiaries . Their CMS MIPS Final Score of 82.9435/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $2.9K across 69 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: HISHAM HIRZALLAH reported a CMS MIPS final score of 82.9435 out of 100, below the 83.1 national average, and filed 173 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)

HISHAM HIRZALLAH 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).

HISHAM HIRZALLAH at a glance

Near national average

NPI registry status

Active

Issued 06/22/2016

NPI 1518318476

Primary specialty

Interventional Cardiology Physician

Niche

3,382 US NPIs in this specialty

Medicare Part D claims

173 94% vs specialty avg

2023 prescription claims

Specialty avg: 2,984

MIPS final score

82.9435/100 0.1564999999999941% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Kentucky

How Interventional Cardiology Physician compares to other specialties among Kentucky providers

Kentucky providers

Interventional Cardiology Physician share within Kentucky

1. Interventional Cardiology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Interventional Cardiology Physician share within Kentucky

Medicare quality performance — MIPS

HISHAM HIRZALLAH's 2023 MIPS final score plotted against the Interventional Cardiology Physician national average

Near national average
MIPS Final Score
82.9435/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Interventional Cardiology Physician) — 82.9435/100 vs national avg 83.1

0%100%National avg83%82.9%
MIPS final score (Interventional Cardiology Physician) — 82.9435/100 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).

HISHAM HIRZALLAH is a Interventional Cardiology Physician provider practicing in ASHLAND, Kentucky, according to the CMS National Plan and Provider Enumeration System (NPPES). NPI: 1518318476. 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.

HISHAM HIRZALLAH appears in the CMS NPPES registry as a Interventional Cardiology Physician provider at 613 23RD ST STE 230, ASHLAND, KY, 41101, with a listed phone of (606) 324-4745. NPI 1518318476 was issued on 06/22/2016. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HIRZALLAH 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 173 prescription claims written by this provider, covering 76 Medicare beneficiaries and totaling roughly $8K 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 82.9435/100 for the 2023 performance year (Quality 70.0105, Cost 65.5754), compared with the national average of 83.1.

Interventional Cardiology Physician is a narrow specialty nationwide, with 3,382 enrolled providers across 53 states and an average of 2,984 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

613 23RD ST STE 230
ASHLAND, KY 41101

Provider Details

NPI 1518318476
Specialty Interventional Cardiology Physician
Gender Male
NPI Issued 06/22/2016

CMS Quality Score (MIPS)

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

82.9435
Final Score
Avg: 83.1
70.0105
Quality
65.5754
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where HISHAM HIRZALLAH 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.

KINGS DAUGHTERS MEDICAL SPECIALTIES INC
ASHLAND, KY

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 HISHAM HIRZALLAH. Source: openpaymentsdata.cms.gov.

Total received

$2.9K

Largest payer

Edwards Lifesciences Corporation

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.

173
Total Claims
$8K
Total Drug Cost
76
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
330
Total Day Supply
9,576
Generic Drug Cost
$3K

Patient Demographics

Average Patient Age
67.8 years
Avg HCC Risk Score
1.30
Gender Split
50% female / 50% male
Age Distribution
<65: 22, 65-74: 41, 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
Clopidogrel
Clopidogrel Bisulfate
25
Furosemide
13
Metoprolol Succinate
13
Lisinopril
12
Isosorbide Mononitrate Er
Isosorbide Mononitrate
11

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

Interventional Cardiology Physician Overview

How HISHAM HIRZALLAH fits within the Interventional Cardiology Physician landscape nationally.

3,382
Interventional Cardiology Physician Providers in US
53
States with Interventional Cardiology Physician
2,984
Avg Claims per Provider

HISHAM HIRZALLAH's 173 claims are below the specialty average of 2,984.

Nearby Interventional Cardiology Physician Providers in Kentucky

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

Compare Interventional Cardiology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is HISHAM HIRZALLAH's specialty?
HISHAM HIRZALLAH specializes in Interventional Cardiology Physician and practices in ASHLAND, Kentucky.
How much does HISHAM HIRZALLAH prescribe under Medicare Part D?
In 2023, HISHAM HIRZALLAH wrote 173 Medicare Part D claims totaling $8K in drug costs for 76 beneficiaries.
What is HISHAM HIRZALLAH's Medicare quality score?
HISHAM HIRZALLAH has a CMS MIPS Final Score of 82.9435/100 (Quality: 70.0105, Cost: 65.5754). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is HISHAM HIRZALLAH located?
HISHAM HIRZALLAH is located at 613 23RD ST STE 230, ASHLAND, KY, 41101. Phone: (606) 324-4745.
What is HISHAM HIRZALLAH's NPI number?
HISHAM HIRZALLAH's National Provider Identifier (NPI) is 1518318476, issued on 06/22/2016.
How many Interventional Cardiology Physician providers are there in the US?
There are 3,382 Interventional Cardiology Physician providers across 53 states in the US. The average Interventional Cardiology Physician provider writes 2,984 Medicare Part D claims per year.
What drugs does HISHAM HIRZALLAH prescribe most often?
Based on 2023 Medicare Part D data, HISHAM HIRZALLAH's most frequently prescribed drugs include Clopidogrel, Furosemide, Metoprolol Succinate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does HISHAM HIRZALLAH accept Medicare?
HISHAM HIRZALLAH appears in CMS Medicare data with 173 Part D claims and 76 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify HISHAM HIRZALLAH's credentials?
HISHAM HIRZALLAH's NPI is 1518318476. 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