2026 NPPES data Orthopaedic Surgery of the Spine Physician NPI 1629087168 M.D.
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HOSSEIN ELGAFY, M.D.

Orthopaedic Surgery of the Spine Physician in TOLEDO, Ohio. 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
824
Medicare Part D claims · 196 beneficiaries · Orthopaedic Surgery of the Spine Physician avg: 362
Industry payments
$573.85
6 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: HOSSEIN ELGAFY, M.D. is a Orthopaedic Surgery of the Spine Physician ([object Object]) practicing in TOLEDO, Ohio with a Medicare Part D prescribing footprint of 824 claims across 196 beneficiaries . Industry payments of $573.85 across 6 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: HOSSEIN ELGAFY, M.D. filed 824 Medicare Part D claims in 2023 across TOLEDO, Ohio. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

HOSSEIN ELGAFY, M.D. 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).

HOSSEIN ELGAFY, M.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 08/05/2006

NPI 1629087168

Primary specialty

Orthopaedic Surgery of the Spine Physician

Niche

1,773 US NPIs in this specialty

Medicare Part D claims

824 128% vs specialty avg

2023 prescription claims

Specialty avg: 362

Specialty distribution in Ohio

How Orthopaedic Surgery of the Spine Physician compares to other specialties among Ohio providers

Ohio providers

Orthopaedic Surgery of the Spine Physician share within Ohio

1. Orthopaedic Surgery of the Spine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Orthopaedic Surgery of the Spine Physician share within Ohio

Specialty board-certification context

Estimated specialty board-certified rate — Orthopaedic Surgery of the Spine Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Orthopaedic Surgery of the Spine Physician ABMS/AOA estimate

Est. board-certified rate (Orthopaedic Surgery of the Spine Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Orthopaedic Surgery of the Spine 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).

HOSSEIN ELGAFY, M.D. is a Orthopaedic Surgery of the Spine Physician provider practicing in TOLEDO, Ohio, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1629087168. 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.

HOSSEIN ELGAFY, M.D. appears in the CMS NPPES registry as a Orthopaedic Surgery of the Spine Physician provider holding M.D. credentials at 1125 HOSPITAL DR FL 1, TOLEDO, OH, 43614, with a listed phone of (419) 383-3761. NPI 1629087168 was issued on 08/05/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ELGAFY 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 824 prescription claims written by this provider, covering 196 Medicare beneficiaries and totaling roughly $13K in drug spend, with an opioid prescribing rate of 26.3%. 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.

Orthopaedic Surgery of the Spine Physician is a narrow specialty nationwide, with 1,773 enrolled providers across 51 states and an average of 362 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

1125 HOSPITAL DR FL 1
TOLEDO, OH 43614

Provider Details

NPI 1629087168
Specialty Orthopaedic Surgery of the Spine Physician
Credentials M.D.
Gender Male
NPI Issued 08/05/2006

Hospital and facility affiliations

Facilities where HOSSEIN ELGAFY, M.D. 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.

PROMEDICA CENTRAL PHYSICIANS
DEFIANCE, OH
UNIVERSITY OF TOLEDO PHYSICIANS LLC
TOLEDO, OH

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 HOSSEIN ELGAFY, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$574

Largest payer

Amgen 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 — Ohio OMB 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 ~48K Ohio medical licensees in 2023 — they are NOT specific to HOSSEIN ELGAFY, M.D.. To verify HOSSEIN ELGAFY, M.D.'s current license status, search the OMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

158
Total board actions, Ohio 2023
Across 154 cases
3.29
Actions per 1,000 licensees
Ohio statewide rate
probation
Most common action type
56 cases

OMB 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 Ohio disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

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

824
Total Claims
$13K
Total Drug Cost
196
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
861
Total Day Supply
17,838
Generic Drug Cost
$13K
Opioid Claims
217 (26.3% rate)
Antibiotic Claims
25

Patient Demographics

Average Patient Age
65.3 years
Avg HCC Risk Score
1.66
Gender Split
61% female / 39% male
Age Distribution
<65: 79, 65-74: 75, 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
Gabapentin
323
Cyclobenzaprine Hcl
117
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
114
Oxycodone Hcl
69
Tizanidine Hcl
44
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
15
Doxycycline Hyclate
14
Pregabalin
14
Methocarbamol
13
Methylprednisolone
13

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

Orthopaedic Surgery of the Spine Physician Overview

How HOSSEIN ELGAFY, M.D. fits within the Orthopaedic Surgery of the Spine Physician landscape nationally.

1,773
Orthopaedic Surgery of the Spine Physician Providers in US
51
States with Orthopaedic Surgery of the Spine Physician
362
Avg Claims per Provider

HOSSEIN ELGAFY, M.D.'s 824 claims are above the specialty average of 362.

Nearby Orthopaedic Surgery of the Spine Physician Providers in Ohio

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

Compare Orthopaedic Surgery of the Spine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is HOSSEIN ELGAFY, M.D.'s specialty?
HOSSEIN ELGAFY, M.D. specializes in Orthopaedic Surgery of the Spine Physician and practices in TOLEDO, Ohio. Credentials: M.D..
How much does HOSSEIN ELGAFY, M.D. prescribe under Medicare Part D?
In 2023, HOSSEIN ELGAFY, M.D. wrote 824 Medicare Part D claims totaling $13K in drug costs for 196 beneficiaries.
Where is HOSSEIN ELGAFY, M.D. located?
HOSSEIN ELGAFY, M.D. is located at 1125 HOSPITAL DR FL 1, TOLEDO, OH, 43614. Phone: (419) 383-3761.
What is HOSSEIN ELGAFY, M.D.'s NPI number?
HOSSEIN ELGAFY, M.D.'s National Provider Identifier (NPI) is 1629087168, issued on 08/05/2006.
Does HOSSEIN ELGAFY, M.D. prescribe opioids?
Yes, HOSSEIN ELGAFY, M.D. had 217 opioid claims in 2023 with an opioid prescribing rate of 26.3%.
How many Orthopaedic Surgery of the Spine Physician providers are there in the US?
There are 1,773 Orthopaedic Surgery of the Spine Physician providers across 51 states in the US. The average Orthopaedic Surgery of the Spine Physician provider writes 362 Medicare Part D claims per year.
What drugs does HOSSEIN ELGAFY, M.D. prescribe most often?
Based on 2023 Medicare Part D data, HOSSEIN ELGAFY, M.D.'s most frequently prescribed drugs include Gabapentin, Cyclobenzaprine Hcl, Oxycodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does HOSSEIN ELGAFY, M.D. accept Medicare?
HOSSEIN ELGAFY, M.D. appears in CMS Medicare data with 824 Part D claims and 196 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify HOSSEIN ELGAFY, M.D.'s credentials?
HOSSEIN ELGAFY, M.D.'s NPI is 1629087168 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

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