NPI registry status
Active
2026 NPPES data Family Medicine Physician NPI 1265438188 M.D.
Verify on CMS → Humaira Ali, M.D.
Family Medicine Physician in Boca Raton, Florida.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 147,760 in Family 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
874
Medicare Part D claims · 222 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
80%
generic claims · 20% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
11.4/100
▼ 72 pts below national avg 83.1 · Penalty band
Industry payments
$49.02
1 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Humaira Ali, M.D. reported a CMS MIPS final score of 11.4/100 - below the 83.1 national average - and filed 874 Medicare Part D claims in 2023.
- 11.4/100
- MIPS score · -72 vs avg
- 874
- Part D claims, 2023
- 80%
- 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.
Humaira Ali, M.D.'s MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
11 2nd percentile higher than 2% of 477,587 scored providers
Each bar is a band; taller bars hold more scored 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.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Humaira Ali, M.D. sits
This provider among family medicine physician peers
Across the 22,040 family medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Humaira Ali, M.D. writes more Part D claims than 32% of them and scores higher on MIPS quality than 1% - placing this provider in the lower-volume, lower-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
Each dot is one family medicine physician peer from a representative sample of 60; the gold marker is Humaira Ali, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Humaira Ali, M.D. 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).
What does the federal data show about Humaira Ali, M.D.?
Below national averagePrimary specialty
Family Medicine Physician
Medicare Part D claims
874 74% vs specialty avg
MIPS final score
11.4/100 71.7 pts vs avg
Specialty distribution in Florida
How Family Medicine Physician compares to other specialties among Florida providers
Medicare quality performance, MIPS
Humaira Ali, M.D.'s 2023 MIPS final score plotted against the Family Medicine Physician national average
- MIPS Final Score
- 11.4/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Family Medicine Physician) - 11.4/100 vs national avg 83.1
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).
Humaira Ali, M.D. appears in the CMS NPPES registry as a Family Medicine Physician provider holding M.D. credentials at 21644 STATE ROAD 7, Boca Raton, FL, 33428, with a listed phone of (561) 866-7828. NPI 1265438188 was issued on 06/24/2005.
Medicare Part D records for calendar year 2023 show 874 prescription claims written by this provider, covering 222 Medicare beneficiaries and totaling roughly $61K in drug spend, split 20% brand-name and 80% generic by claim count, with an opioid prescribing rate of 3.1%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 11.4/100 for the 2023 performance year (Quality 0, Cost 37.8), compared with the national average of 83.1.
Family Medicine Physician is a high-volume specialty nationwide, with 147,760 enrolled providers across 56 states and an average of 3,418 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
Provider Details
| NPI | 1265438188 |
|---|---|
| Specialty | Family Medicine Physician |
| Credentials | M.D. |
| Gender | Female |
| NPI Issued | 06/24/2005 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
11.3522
Final Score
Avg: 83.1
0
Quality
37.8405
Cost
Reporting: Individual
Hospital and facility affiliations
Facilities where Humaira Ali, 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.
Huma Ali MD PA
Boca Raton, FL
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 Humaira Ali, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$49
Largest payer
BeiGene USA, 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 - Florida FLDOH 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 ~75K Florida medical licensees in 2023 - they are NOT specific to Humaira Ali, M.D.. To verify Humaira Ali, M.D.'s current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases
FLDOH 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 Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Typical
Humaira Ali, M.D. - brand share 20.0%
Family Medicine Physician average
20% brand-name claims vs 80% generic, on 874 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.
874
Total Claims
$61K
Total Drug Cost
222
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 888
- Total Day Supply
- 20,385
- Brand vs Generic
- 20% brand / 80% generic
- Brand Drug Cost
- $52K
- Generic Drug Cost
- $10K
- Opioid Claims
- 27 (3.1% rate)
- Antibiotic Claims
- 58
Patient Demographics
- Average Patient Age
- 79.7 years
- Avg HCC Risk Score
- 2.60
- Gender Split
- 64% female / 36% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Humaira Ali, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Eliquis
Eliquis
132 claims
- Potassium Chloride
Potassium Chloride
72 claims
- Atorvastatin Calcium 49
Atorvastatin Calcium
49 claims
- Furosemide 41
Furosemide
41 claims
- Pantoprazole Sodium 32
Pantoprazole Sodium
32 claims
- Amlodipine Besylate 28
Amlodipine Besylate
28 claims
- Metoprolol Succinate 27
Metoprolol Succinate
27 claims
- Losartan Potassium 26
Losartan Potassium
26 claims
| Drug | Claims |
|---|---|
| Eliquis Apixaban | 132 |
| Potassium Chloride | 72 |
| Atorvastatin Calcium | 49 |
| Furosemide | 41 |
| Pantoprazole Sodium | 32 |
| Amlodipine Besylate | 28 |
| Metoprolol Succinate | 27 |
| Losartan Potassium | 26 |
| Tamsulosin Hcl | 26 |
| Gabapentin | 23 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Family Medicine Physician Overview
How Humaira Ali, M.D. fits within the Family Medicine Physician landscape nationally.
147,760
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider
Humaira Ali, M.D.'s 874 claims are below the specialty average of 3,418.
Nearby Family Medicine Physician Providers in Florida
Other clinicians with the same primary specialty enrolled in Florida, drawn from the same CMS NPPES roster as Ali.
Dr. Kellie Aarons
MD
Tampa, FL
Dr. Zoilo Abad
MD
Miami, FL
Dr. Flor Abalos Escalona
APRN-FNP
Miami, FL
Dr. Aschanti Abarca Selva
M.D
Naples, FL
Dr. Syed Abbas
DO
Sebring, FL
Compare Family 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 Florida medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Family 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 Humaira Ali, M.D.'s specialty? ▼
Humaira Ali, M.D. specializes in Family Medicine Physician and practices in Boca Raton, Florida. Credentials: M.D..
How much does Humaira Ali, M.D. prescribe under Medicare Part D? ▼
In 2023, Humaira Ali, M.D. wrote 874 Medicare Part D claims totaling $61K in drug costs for 222 beneficiaries.
What is Humaira Ali, M.D.'s Medicare quality score? ▼
Humaira Ali, M.D. has a CMS MIPS Final Score of 11.4/100 (Quality: 0, Cost: 37.8). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Humaira Ali, M.D. located? ▼
Humaira Ali, M.D. is located at 21644 STATE ROAD 7, Boca Raton, FL, 33428. Phone: (561) 866-7828.
What is Humaira Ali, M.D.'s NPI number? ▼
Humaira Ali, M.D.'s National Provider Identifier (NPI) is 1265438188, issued on 06/24/2005.
Does Humaira Ali, M.D. prescribe more brand-name or generic drugs? ▼
Humaira Ali, M.D.'s prescribing is 20% brand-name and 80% generic drugs by claim count, with $52K in brand drug costs.
Does Humaira Ali, M.D. prescribe opioids? ▼
Yes, Humaira Ali, M.D. had 27 opioid claims in 2023 with an opioid prescribing rate of 3.1%.
How many Family Medicine Physician providers are there in the US? ▼
There are 147,760 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does Humaira Ali, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Humaira Ali, M.D.'s most frequently prescribed drugs include Eliquis, Potassium Chloride, Atorvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Humaira Ali, M.D. accept Medicare? ▼
Humaira Ali, M.D. appears in CMS Medicare data with 874 Part D claims and 222 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Humaira Ali, M.D.'s credentials? ▼
Humaira Ali, M.D.'s NPI is 1265438188 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 PlainDoctor editorial team.
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.