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2026 NPPES data Critical Care Medicine (Internal Medicine) Physician NPI 1699790584 M.D.
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Hossein Babaali, M.D.

Critical Care Medicine (Internal Medicine) Physician in Santa Monica, California.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 6,646 in Critical Care Medicine (Internal Medicine) 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
11K
Medicare Part D claims · 358 beneficiaries · Critical Care Medicine (Internal Medicine) Physician avg: 1K
Generic prescribing
86%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
100/100
▲ 17 pts above national avg 83.5 · Exceptional
Industry payments
$22.11
1 payments · CMS Open Payments (Sunshine Act)
Verify NPI on CMS Methodology
Compiled from official public sources by the editorial process.

What the federal data shows

Hossein Babaali, M.D. reported a CMS MIPS final score of 100/100 - above the 83.5 national average - and filed 10,732 Medicare Part D claims in 2023.

100/100
MIPS score · +17 vs avg
11K
Part D claims, 2023
86%
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.

Hossein Babaali, M.D.'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.

100 ≥ 92nd percentile 92% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). Below this entry. 80–90: 129,887 measured providers (29%). Below this entry. 90+: 189,403 measured providers (42%). This entry sits in this band. This provider 0 100 every measured MIPS clinician, bucketed by value

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 Hossein Babaali, M.D. sits

This provider among critical care medicine (internal medicine) physician peers

Across the 1,548 critical care medicine (internal medicine) physician providers who report both Medicare Part D prescribing and a MIPS quality score, Hossein Babaali, M.D. writes more Part D claims than 99% of them and scores higher on MIPS quality than 93% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.448.873.297.7Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 2Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 23Hossein Babaali, M.D., Part D claim volume, percentile in specialty: 99 · MIPS quality, percentile: 93
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one critical care medicine (internal medicine) physician peer from a representative sample of 60; the gold marker is Hossein Babaali, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

✓
Board certification likely (heuristic, not verified)

Hossein Babaali, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting - 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 Hossein Babaali, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 07/13/2006

NPI 1699790584

Primary specialty

Critical Care Medicine (Internal Medicine) Physician

Mid-sized

6,646 US NPIs in this specialty

Medicare Part D claims

10,732 10× vs specialty avg

2023 prescription claims

Specialty avg: 1,069

MIPS final score

100/100 16.5 pts vs avg

Exceptional band

vs 83.5 national avg

Specialty distribution in California

How Critical Care Medicine (Internal Medicine) Physician compares to other specialties among California providers

California providers
Behavior Technician17.3%Marriage & Family Therapist5.5%Student in an Organized Heal…5%Mental Health Counselor3.9%Pharmacist3.5%Clinical Social Worker3.1%Critical Care Medicine (Inte…0.1%
Largest specialties in California (% of in-state providers)

Medicare quality performance, MIPS

Hossein Babaali, M.D.'s 2023 MIPS final score plotted against the Critical Care Medicine (Internal Medicine) Physician national average

High performer (top quartile)
MIPS Final Score
100/100
vs 83.5 national avg · 2023 performance year

MIPS final score (Critical Care Medicine (Internal Medicine) Physician) - 100/100 vs national avg 83.5

0%100%National avg84%99%
MIPS final score (Critical Care Medicine (Internal Medicine) Physician) - 100/100 vs national avg 83.5
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).

Hossein Babaali, M.D. appears in the CMS NPPES registry as a Critical Care Medicine (Internal Medicine) Physician provider holding M.D. credentials at 2428 SANTA MONICA BLVD STE 402, Santa Monica, CA, 90404, with a listed phone of (310) 449-4595. NPI 1699790584 was issued on 07/13/2006.

Medicare Part D records for calendar year 2023 show 10,732 prescription claims written by this provider, covering 358 Medicare beneficiaries and totaling roughly $917K in drug spend, split 13% brand-name and 86% generic by claim count, with an opioid prescribing rate of 2.4%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 100/100 for the 2023 performance year (Quality 84), compared with the 83.5 average among clinicians with a measured score.

Critical Care Medicine (Internal Medicine) Physician is a mid-sized specialty nationwide, with 6,646 enrolled providers across 53 states and an average of 1,069 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

2428 SANTA MONICA BLVD STE 402
Santa Monica, CA 90404
(310) 449-4595

Provider Details

NPI 1699790584
Specialty Critical Care Medicine (Internal Medicine) Physician
Credentials M.D.
Gender Male
NPI Issued 07/13/2006

CMS Quality Score (MIPS)

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

100
Final Score
Measured-score avg: 83.5
84.0278
Quality

Reporting: Group practice

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 Hossein Babaali, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$22

Largest payer

Electromed, 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.

License & disciplinary context - California MBC 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 ~150K California medical licensees in 2023 - they are NOT specific to Hossein Babaali, M.D.. To verify Hossein Babaali, M.D.'s current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC 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 California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

Hossein Babaali, M.D. - brand share 13.0%
Critical Care Medicine (Internal Medicine) Physician average

13% brand-name claims vs 86% generic, on 10,732 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.

10,732
Total Claims
$917K
Total Drug Cost
358
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
11,257
Total Day Supply
262,852
Brand vs Generic
13% brand / 86% generic
Brand Drug Cost
$603K
Generic Drug Cost
$306K
Opioid Claims
262 (2.4% rate)
Antibiotic Claims
360

Patient Demographics

Average Patient Age
71.0 years
Avg HCC Risk Score
2.92
Gender Split
46% female / 54% male
Age Distribution
<65: 74, 65-74: 148, 75-84: 85, 85+: 51

Top Prescribed Drugs (Medicare Part D)

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

What Hossein Babaali, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Atorvastatin Calcium
 468
Amlodipine Besylate
 406
Gabapentin
 310
Quetiapine Fumarate
 280
Pantoprazole Sodium
 256
Metformin Hcl
 253
Metoprolol Tartrate
 217
Famotidine
 189
Furosemide
 189
Tamsulosin Hcl
 189

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

More Critical Care Medicine (Internal Medicine) Physician in CA → All providers in California → Compare specialties →

Critical Care Medicine (Internal Medicine) Physician Overview

How Hossein Babaali, M.D. fits within the Critical Care Medicine (Internal Medicine) Physician landscape nationally.

6,646
Critical Care Medicine (Internal Medicine) Physician Providers in US
53
States with Critical Care Medicine (Internal Medicine) Physician
1,069
Avg Claims per Provider

Hossein Babaali, M.D.'s 10,732 claims are above the specialty average of 1,069.

Nearby Critical Care Medicine (Internal Medicine) Physician Providers in California

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

Dr. Loui Abdelghani
M.D
Stockton, CA
Dr. Moustapha Abidali
DO
Glendora, CA
Dr. Mohammed Abo Khamis
M.D.
Modesto, CA
Dr. Henry Abrons
M.D.
Berkeley, CA
Dr. Noman Absar
MD
Vallejo, CA

Compare Critical Care Medicine (Internal Medicine) 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 California medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Critical Care Medicine (Internal Medicine) 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 Hossein Babaali, M.D.'s specialty? ▼
Hossein Babaali, M.D. specializes in Critical Care Medicine (Internal Medicine) Physician and practices in Santa Monica, California. Credentials: M.D..
How much does Hossein Babaali, M.D. prescribe under Medicare Part D? ▼
In 2023, Hossein Babaali, M.D. wrote 10,732 Medicare Part D claims totaling $917K in drug costs for 358 beneficiaries.
What is Hossein Babaali, M.D.'s Medicare quality score? ▼
Hossein Babaali, M.D. has a CMS MIPS Final Score of 100/100 (Quality: 84). 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 Hossein Babaali, M.D. located? ▼
Hossein Babaali, M.D. is located at 2428 SANTA MONICA BLVD STE 402, Santa Monica, CA, 90404. Phone: (310) 449-4595.
What is Hossein Babaali, M.D.'s NPI number? ▼
Hossein Babaali, M.D.'s National Provider Identifier (NPI) is 1699790584, issued on 07/13/2006.
Does Hossein Babaali, M.D. prescribe more brand-name or generic drugs? ▼
Hossein Babaali, M.D.'s prescribing is 13% brand-name and 86% generic drugs by claim count, with $603K in brand drug costs.
Does Hossein Babaali, M.D. prescribe opioids? ▼
Yes, Hossein Babaali, M.D. had 262 opioid claims in 2023 with an opioid prescribing rate of 2.4%.
How many Critical Care Medicine (Internal Medicine) Physician providers are there in the US? ▼
There are 6,646 Critical Care Medicine (Internal Medicine) Physician providers across 53 states in the US. The average Critical Care Medicine (Internal Medicine) Physician provider writes 1,069 Medicare Part D claims per year.
What drugs does Hossein Babaali, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Hossein Babaali, M.D.'s most frequently prescribed drugs include Atorvastatin Calcium, Amlodipine Besylate, Gabapentin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Hossein Babaali, M.D. accept Medicare? ▼
Hossein Babaali, M.D. appears in CMS Medicare data with 10,732 Part D claims and 358 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Hossein Babaali, M.D.'s credentials? ▼
Hossein Babaali, M.D.'s NPI is 1699790584 with credentials M.D.. 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.
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

Compiled from official public sources by the editorial process.

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 May 2026.