2026 NPPES data Emergency Medicine Physician NPI 1902195993 MD
Verify on CMS →

Hussein Mustafa, MD

Emergency Medicine Physician in New York, New York.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 64,463 in Emergency 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
486
Medicare Part D claims · 322 beneficiaries · Emergency Medicine Physician avg: 352
Generic prescribing
97%
generic claims · 3% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
50.8/100
▼ 33 pts below national avg 83.5 · Mid-tier
Industry payments
$33.22
2 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

Hussein Mustafa, MD reported a CMS MIPS final score of 50.8/100 - below the 83.5 national average - and filed 486 Medicare Part D claims in 2023.

50.8/100
MIPS score · -33 vs avg
486
Part D claims, 2023
97%
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.

Hussein Mustafa, MD'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.

51 ≥ 5th percentile 5% 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%). This entry sits in this band. 60–70: 13,906 measured providers (3%). Above this entry. 70–80: 94,570 measured providers (21%). Above this entry. 80–90: 129,887 measured providers (29%). Above this entry. 90+: 189,403 measured providers (42%). Above this entry. 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 Hussein Mustafa, MD sits

This provider among emergency medicine physician peers

Across the 14,017 emergency medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Hussein Mustafa, MD writes more Part D claims than 92% of them and scores higher on MIPS quality than 3% - placing this provider in the high-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

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 97Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 97Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 2Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 97Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 90Hussein Mustafa, MD, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 3
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one emergency medicine physician peer from a representative sample of 60; the gold marker is Hussein Mustafa, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

Hussein Mustafa, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations - 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 Hussein Mustafa, MD?

Below national average

NPI registry status

Active

Issued 03/30/2011

NPI 1902195993

Primary specialty

Emergency Medicine Physician

High-volume

64,463 US NPIs in this specialty

Medicare Part D claims

486 38% vs specialty avg

2023 prescription claims

Specialty avg: 352

MIPS final score

50.8/100 32.7 pts vs avg

Mid-tier band

vs 83.5 national avg

Specialty distribution in New York

How Emergency Medicine Physician compares to other specialties among New York providers

New York providers
Student in an Organized Heal…7.8%Registered Nurse5.2%Clinical Social Worker4.9%Social Worker4.5%Speech-Language Pathologist4.5%Licensed Practical Nurse4.3%Emergency Medicine Physician0.8%
Largest specialties in New York (% of in-state providers)

Medicare quality performance, MIPS

Hussein Mustafa, MD's 2023 MIPS final score plotted against the Emergency Medicine Physician national average

Below national average
MIPS Final Score
50.8/100
vs 83.5 national avg · 2023 performance year

MIPS final score (Emergency Medicine Physician) - 50.8/100 vs national avg 83.5

0%100%National avg84%50.8%
MIPS final score (Emergency Medicine Physician) - 50.8/100 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).

Hussein Mustafa, MD appears in the CMS NPPES registry as an Emergency Medicine Physician provider holding MD credentials at 1901 1ST AVE, New York, NY, 10029, with a listed phone of (212) 423-6684. NPI 1902195993 was issued on 03/30/2011.

Medicare Part D records for calendar year 2023 show 486 prescription claims written by this provider, covering 322 Medicare beneficiaries and totaling roughly $6K in drug spend, split 3% brand-name and 97% generic by claim count, with an opioid prescribing rate of 12.1%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 50.8/100 for the 2023 performance year (Quality 32.9), compared with the 83.5 average among clinicians with a measured score.

Emergency Medicine Physician is a high-volume specialty nationwide, with 64,463 enrolled providers across 56 states and an average of 352 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

1901 1ST AVE
New York, NY 10029

Provider Details

NPI 1902195993
Specialty Emergency Medicine Physician
Credentials MD
Gender Male
NPI Issued 03/30/2011

CMS Quality Score (MIPS)

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

50.7961
Final Score
Measured-score avg: 83.5
32.8985
Quality

Reporting: Individual

Hospital and facility affiliations

Facilities where Hussein Mustafa, 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.

Paragon Contracting Services LLC
Winter Haven, FL
Paragon Emergency Services LLC
Winter Haven, 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 Hussein Mustafa, MD. Source: openpaymentsdata.cms.gov.

Total received

$33

Largest payer

CSL Behring

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 - New York NYSBPMC 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 ~100K New York medical licensees in 2023 - they are NOT specific to Hussein Mustafa, MD. To verify Hussein Mustafa, MD's current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases

NYSBPMC 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 New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

Hussein Mustafa, MD - brand share 3.0%
Emergency Medicine Physician average

3% brand-name claims vs 97% generic, on 486 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.

486
Total Claims
$6K
Total Drug Cost
322
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
489
Total Day Supply
4,167
Brand vs Generic
3% brand / 97% generic
Brand Drug Cost
$2K
Generic Drug Cost
$4K
Opioid Claims
59 (12.1% rate)
Antibiotic Claims
99

Patient Demographics

Average Patient Age
71.7 years
Avg HCC Risk Score
1.81
Gender Split
57% female / 43% male
Age Distribution
<65: 58, 65-74: 131, 75-84: 100, 85+: 33

Top Prescribed Drugs (Medicare Part D)

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

What Hussein Mustafa, MD 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
Ketorolac Tromethamine
60
Ondansetron Odt
Ondansetron
59
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
43
Cephalexin
38
Prednisone
25
Ciprofloxacin Hcl
22
Meclizine Hcl
15
Tizanidine Hcl
14
Famotidine
12
Metoclopramide Hcl
12

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

Emergency Medicine Physician Overview

How Hussein Mustafa, MD fits within the Emergency Medicine Physician landscape nationally.

64,463
Emergency Medicine Physician Providers in US
56
States with Emergency Medicine Physician
352
Avg Claims per Provider

Hussein Mustafa, MD's 486 claims are above the specialty average of 352.

Nearby Emergency Medicine Physician Providers in New York

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

Compare Emergency 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 New York medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Emergency 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.

Frequently Asked Questions

What is Hussein Mustafa, MD's specialty?
Hussein Mustafa, MD specializes in Emergency Medicine Physician and practices in New York, New York. Credentials: MD.
How much does Hussein Mustafa, MD prescribe under Medicare Part D?
In 2023, Hussein Mustafa, MD wrote 486 Medicare Part D claims totaling $6K in drug costs for 322 beneficiaries.
What is Hussein Mustafa, MD's Medicare quality score?
Hussein Mustafa, MD has a CMS MIPS Final Score of 50.8/100 (Quality: 32.9). 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 Hussein Mustafa, MD located?
Hussein Mustafa, MD is located at 1901 1ST AVE, New York, NY, 10029. Phone: (212) 423-6684.
What is Hussein Mustafa, MD's NPI number?
Hussein Mustafa, MD's National Provider Identifier (NPI) is 1902195993, issued on 03/30/2011.
Does Hussein Mustafa, MD prescribe more brand-name or generic drugs?
Hussein Mustafa, MD's prescribing is 3% brand-name and 97% generic drugs by claim count, with $2K in brand drug costs.
Does Hussein Mustafa, MD prescribe opioids?
Yes, Hussein Mustafa, MD had 59 opioid claims in 2023 with an opioid prescribing rate of 12.1%.
How many Emergency Medicine Physician providers are there in the US?
There are 64,463 Emergency Medicine Physician providers across 56 states in the US. The average Emergency Medicine Physician provider writes 352 Medicare Part D claims per year.
What drugs does Hussein Mustafa, MD prescribe most often?
Based on 2023 Medicare Part D data, Hussein Mustafa, MD's most frequently prescribed drugs include Ketorolac Tromethamine, Ondansetron Odt, Oxycodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Hussein Mustafa, MD accept Medicare?
Hussein Mustafa, MD appears in CMS Medicare data with 486 Part D claims and 322 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Hussein Mustafa, MD's credentials?
Hussein Mustafa, MD's NPI is 1902195993 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

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

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.