2026 NPPES data Specialist NPI 1255431276 M.D.
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KOUROSH ADHAMI, M.D.

Specialist in BABYLON, New York. 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
898
Medicare Part D claims · 375 beneficiaries · Specialist avg: 1K
Generic prescribing
87%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$736.19
36 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: KOUROSH ADHAMI, M.D. is a Specialist ([object Object]) practicing in BABYLON, New York with a Medicare Part D prescribing footprint of 898 claims across 375 beneficiaries — 13% brand-name prescribing . Industry payments of $736.19 across 36 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: KOUROSH ADHAMI, M.D. filed 898 Medicare Part D claims in 2023 across BABYLON, New York. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

KOUROSH ADHAMI, M.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 09/22/2006

NPI 1255431276

Primary specialty

Specialist

High-volume

69,658 US NPIs in this specialty

Medicare Part D claims

898 39% vs specialty avg

2023 prescription claims

Specialty avg: 1,474

Specialty distribution in New York

How Specialist compares to other specialties among New York providers

New York providers

Specialist share within New York

1. Specialist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Specialist share within New York

Specialty board-certification context

Estimated specialty board-certified rate — Specialist (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Specialist ABMS/AOA estimate

Est. board-certified rate (Specialist) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Specialist) — 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).

KOUROSH ADHAMI, M.D. is a Specialist provider practicing in BABYLON, New York, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1255431276. 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.

KOUROSH ADHAMI, M.D. appears in the CMS NPPES registry as a Specialist provider holding M.D. credentials at 400 W MAIN ST, BABYLON, NY, 11702, with a listed phone of (631) 321-6400. NPI 1255431276 was issued on 09/22/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ADHAMI 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 898 prescription claims written by this provider, covering 375 Medicare beneficiaries and totaling roughly $256K in drug spend, split 13% brand-name and 87% generic by claim count. 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.

Specialist is a high-volume specialty nationwide, with 69,658 enrolled providers across 55 states and an average of 1,474 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

400 W MAIN ST
BABYLON, NY 11702

Provider Details

NPI 1255431276
Specialty Specialist
Credentials M.D.
Gender Male
NPI Issued 09/22/2006

Hospital and facility affiliations

Facilities where KOUROSH ADHAMI, 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.

CHS PHYSICIAN PARTNERS PC
BABYLON, NY

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 KOUROSH ADHAMI, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$736

Largest payer

ABBVIE 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 — 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 KOUROSH ADHAMI, M.D.. To verify KOUROSH ADHAMI, M.D.'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 · Typical

KOUROSH ADHAMI, M.D. — brand share 13.0%
Specialty average (est.)

13% brand-name claims vs 87% generic, on 898 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.

898
Total Claims
$256K
Total Drug Cost
375
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,408
Total Day Supply
34,455
Brand vs Generic
13% brand / 87% generic
Brand Drug Cost
$217K
Generic Drug Cost
$38K
Antibiotic Claims
27

Patient Demographics

Average Patient Age
69.5 years
Avg HCC Risk Score
1.02
Gender Split
56% female / 44% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Omeprazole
228
Peg 3350-Electrolyte
Sodium Chloride/Nahco3/Kcl/Peg
185
Pantoprazole Sodium
144
Famotidine
71
Lansoprazole
32
Dexlansoprazole Dr
Dexlansoprazole
19
Mesalamine Er
Mesalamine
17
Mesalamine
16
Sucralfate
15
Lubiprostone
12

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

Specialist Overview

How KOUROSH ADHAMI, M.D. fits within the Specialist landscape nationally.

69,658
Specialist Providers in US
55
States with Specialist
1,474
Avg Claims per Provider

KOUROSH ADHAMI, M.D.'s 898 claims are below the specialty average of 1,474.

Nearby Specialist Providers in New York

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

Compare Specialist nationally: see state-by-state distribution →

Frequently Asked Questions

What is KOUROSH ADHAMI, M.D.'s specialty?
KOUROSH ADHAMI, M.D. specializes in Specialist and practices in BABYLON, New York. Credentials: M.D..
How much does KOUROSH ADHAMI, M.D. prescribe under Medicare Part D?
In 2023, KOUROSH ADHAMI, M.D. wrote 898 Medicare Part D claims totaling $256K in drug costs for 375 beneficiaries.
Where is KOUROSH ADHAMI, M.D. located?
KOUROSH ADHAMI, M.D. is located at 400 W MAIN ST, BABYLON, NY, 11702. Phone: (631) 321-6400.
What is KOUROSH ADHAMI, M.D.'s NPI number?
KOUROSH ADHAMI, M.D.'s National Provider Identifier (NPI) is 1255431276, issued on 09/22/2006.
Does KOUROSH ADHAMI, M.D. prescribe more brand-name or generic drugs?
KOUROSH ADHAMI, M.D.'s prescribing is 13% brand-name and 87% generic drugs by claim count, with $217K in brand drug costs.
How many Specialist providers are there in the US?
There are 69,658 Specialist providers across 55 states in the US. The average Specialist provider writes 1,474 Medicare Part D claims per year.
What drugs does KOUROSH ADHAMI, M.D. prescribe most often?
Based on 2023 Medicare Part D data, KOUROSH ADHAMI, M.D.'s most frequently prescribed drugs include Omeprazole, Peg 3350-Electrolyte, Pantoprazole Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KOUROSH ADHAMI, M.D. accept Medicare?
KOUROSH ADHAMI, M.D. appears in CMS Medicare data with 898 Part D claims and 375 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KOUROSH ADHAMI, M.D.'s credentials?
KOUROSH ADHAMI, M.D.'s NPI is 1255431276 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