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2026 NPPES data Emergency Medicine Physician NPI 1386620078 M.D.
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Irfana Ali, M.D.

Emergency Medicine Physician in Kensington, Maryland.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 66,293 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
301
Medicare Part D claims · 221 beneficiaries · Emergency Medicine Physician avg: 355
MIPS score
0/100
▼ 84 pts below national avg 83.5 · Penalty band
Verify NPI on CMS Methodology
Compiled from official public sources by the editorial process.

What the federal data shows

Irfana Ali, M.D. reported a CMS MIPS final score of 0/100 - below the 83.5 national average - and filed 301 Medicare Part D claims in 2024.

0/100
MIPS score · -83 vs avg
301
Part D claims, 2024
Likely
board-certified (heuristic)
≥0th
pct among measured MIPS (lower-bound band)

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.

Federal trust snapshot

What official records show about Irfana Ali, M.D.

Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1386620078), first enumerated 12/15/2005.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 301 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    Reported a CMS MIPS final score of 0/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Reported

    Board certification signal

    Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.

    Source: NUCC taxonomy + CMS participation heuristic

  • Reported

    Hospital affiliations

    1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.

    Source: CMS Care Compare

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

CMS NPPES provider registry desk

NPI 1386620078 · Emergency Medicine Physician

NPI-10 · ENUM-LEGACY · TAX-MEGA · MIPS-LOW · RX-LIGHT · BOOK-LIGHT · PHOTO-FINISH

  • NPI-10 1386620078
  • ENUM-LEGACY 2005
  • TAX-MEGA 66K Emergency Medicine
  • MIPS-LOW 0/100
  • RX-LIGHT 301
  • BOOK-LIGHT 1,156 in Maryland
  • PHOTO-FINISH Gordon Appelbaum, M.D. · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Irfana Ali, 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.

0 ≥ 0th percentile 0% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). This entry sits in this band. 10–20: 3,008 measured providers (1%). Above this entry. 20–30: 3,069 measured providers (1%). Above this entry. 30–40: 2,746 measured providers (1%). Above this entry. 40–50: 2,928 measured providers (1%). Above this entry. 50–60: 5,882 measured providers (1%). Above this entry. 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 Irfana Ali, M.D. 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, Irfana Ali, M.D. writes more Part D claims than 80% of them and scores higher on MIPS quality than 0% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

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: 90 · 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: 83 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 93 · 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: 92 · 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: 87 · 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: 82 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 88 · 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: 85 · 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: 90Irfana Ali, M.D., Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 0
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 Irfana 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)

Irfana 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 Irfana Ali, M.D.?

Below national average

NPI registry status

Active

Issued 12/15/2005

NPI 1386620078

Primary specialty

Emergency Medicine Physician

High-volume

66,293 US NPIs in this specialty

Medicare Part D claims

301 15% vs specialty avg

2024 prescription claims

Specialty avg: 355

MIPS final score

0/100 83.5 pts vs avg

Penalty band band

vs 83.5 national avg

Specialty distribution in Maryland

How Emergency Medicine Physician compares to other specialties among Maryland providers

Maryland providers
Behavior Technician15.8%Clinical Social Worker5.4%Home Health Aide4.4%Student in an Organized Heal…4.4%Physical Therapist3.8%Pharmacist3.5%Emergency Medicine Physician0.7%
Largest specialties in Maryland (% of in-state providers)

Medicare quality performance, MIPS

Irfana Ali, M.D.'s 2023 MIPS final score plotted against the Emergency Medicine Physician national average

Below national average
MIPS Final Score
0/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%0%
MIPS final score (Emergency Medicine Physician) - 0/100 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).

Practice Address

10540 CONNECTICUT AVE
Kensington, MD 20895
(301) 949-0030

Provider Details

NPI 1386620078
Specialty Emergency Medicine Physician
Credentials M.D.
Gender Female
NPI Issued 12/15/2005

CMS Quality Score (MIPS)

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

0
Final Score
Measured-score avg: 83.5
0
Quality

Reporting: Individual

Hospital and facility affiliations

Facilities where Irfana 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.

Crescent Urgent Health Care Services, LLC
Kensington, MD

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2024.

301
Total Claims
$4K
Total Drug Cost
221
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
302
Total Day Supply
3,375
Generic Drug Cost
$3K
Antibiotic Claims
136

Patient Demographics

Average Patient Age
74.1 years
Avg HCC Risk Score
0.97
Gender Split
68% female / 32% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

What Irfana Ali, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2024

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2024
Drug Claims
Prednisone
 31
Cefuroxime
Cefuroxime Axetil
27
Azithromycin
 25
Albuterol Sulfate Hfa
Albuterol Sulfate
23
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
22
Paxlovid
Nirmatrelvir/Ritonavir
16
Amoxicillin
 15
Cephalexin
 15

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

More Emergency Medicine Physician in MD → All providers in Maryland → Compare specialties →

Emergency Medicine Physician Overview

How Irfana Ali, M.D. fits within the Emergency Medicine Physician landscape nationally.

66,293
Emergency Medicine Physician Providers in US
56
States with Emergency Medicine Physician
355
Avg Claims per Provider

Irfana Ali, M.D.'s 301 claims are below the specialty average of 355.

Nationwide Emergency Medicine Physician peers with similar MIPS or enrollment year

Two federal-record peer sets for Ali, both outside Maryland so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (0 here).

Gordon Appelbaum 0 CA Brian Bearie 0 CA Daniel Bishop 0 AZ Douglas Cochrane 0 CA

Same NPPES enumeration year (2005)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Olga Otter Chapel Hill, NC Neil Meehan Lawrence, MA Gregory Lachar Plano, TX Steven Ginder Lebanon, PA

Nearby Emergency Medicine Physician Providers in Maryland

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

One of 1,156 Emergency Medicine Physician providers enrolled in Maryland, 5 are shown here.

Kara Abarcar
Baltimore, MD
Dr. Steven Abert
MD
Glen Burnie, MD
Dr. John Abraham
M.D.
Germantown, MD
Dr. Michael Abraham
MD
Baltimore, MD
Dr. Elias Abras
MD
Baltimore, MD

Compare Emergency Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is Irfana Ali, M.D.'s specialty? ▼
Irfana Ali, M.D. specializes in Emergency Medicine Physician and practices in Kensington, Maryland. Credentials: M.D..
How much does Irfana Ali, M.D. prescribe under Medicare Part D? ▼
In 2024, Irfana Ali, M.D. wrote 301 Medicare Part D claims totaling $4K in drug costs for 221 beneficiaries.
What is Irfana Ali, M.D.'s Medicare quality score? ▼
Irfana Ali, M.D. has a CMS MIPS Final Score of 0/100 (Quality: 0). 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 Irfana Ali, M.D. located? ▼
Irfana Ali, M.D. is located at 10540 CONNECTICUT AVE, Kensington, MD, 20895. Phone: (301) 949-0030.
What is Irfana Ali, M.D.'s NPI number? ▼
Irfana Ali, M.D.'s National Provider Identifier (NPI) is 1386620078, issued on 12/15/2005.
How many Emergency Medicine Physician providers are there in the US? ▼
There are 66,293 Emergency Medicine Physician providers across 56 states in the US. The average Emergency Medicine Physician provider writes 355 Medicare Part D claims per year.
What drugs does Irfana Ali, M.D. prescribe most often? ▼
Based on 2024 Medicare Part D data, Irfana Ali, M.D.'s most frequently prescribed drugs include Prednisone, Cefuroxime, Azithromycin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Irfana Ali, M.D. accept Medicare? ▼
Irfana Ali, M.D. appears in CMS Medicare data with 301 Part D claims and 221 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Irfana Ali, M.D.'s credentials? ▼
Irfana Ali, M.D.'s NPI is 1386620078 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 (2024). 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 August 2026 (NPPES) / 2024 (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 August 2026.