2026 NPPES data Hepatology Physician NPI 1467535310 MD
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MASHAL BATHEJA, MD

Hepatology Physician in SCOTTSDALE, Arizona. 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
120
Medicare Part D claims · 41 beneficiaries · Hepatology Physician avg: 803
Generic prescribing
67%
generic claims · 33% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
78.5864/100
▼ 5 pts below national avg 83.1 · [object Object]

What the federal data shows

MASHAL BATHEJA, MD reported a CMS MIPS final score of 78.5864/100 — below the 83.1 national average — and filed 120 Medicare Part D claims in 2023.

78.5864/100
MIPS score · -5 vs avg
120
Part D claims, 2023
67%
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.

MASHAL BATHEJA, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

79 27th percentile higher than 27% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

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

Board certification likely (heuristic — not verified)

MASHAL BATHEJA, MD 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 MASHAL BATHEJA, MD?

Near national average

NPI registry status

Active

Issued 10/23/2006

NPI 1467535310

Primary specialty

Hepatology Physician

Rare

281 US NPIs in this specialty

Medicare Part D claims

120 85% vs specialty avg

2023 prescription claims

Specialty avg: 803

MIPS final score

78.5864/100 4.513599999999997% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Arizona

How Hepatology Physician compares to other specialties among Arizona providers

Arizona providers

Hepatology Physician share within Arizona

1. Hepatology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Hepatology Physician share within Arizona

Medicare quality performance — MIPS

MASHAL BATHEJA, MD's 2023 MIPS final score plotted against the Hepatology Physician national average

Near national average
MIPS Final Score
78.5864/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Hepatology Physician) — 78.5864/100 vs national avg 83.1

0%100%National avg83%78.6%
MIPS final score (Hepatology Physician) — 78.5864/100 vs national avg 83.1

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).

MASHAL BATHEJA, MD appears in the CMS NPPES registry as a Hepatology Physician provider holding MD credentials at 13400 E SHEA BLVD, SCOTTSDALE, AZ, 85259, with a listed phone of (480) 301-8000. NPI 1467535310 was issued on 10/23/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BATHEJA 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 120 prescription claims written by this provider, covering 41 Medicare beneficiaries and totaling roughly $21K in drug spend, split 33% brand-name and 67% 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 78.5864/100 for the 2023 performance year (Quality 69.056, Cost 59.5653), compared with the national average of 83.1.

Hepatology Physician is a narrow specialty nationwide, with 281 enrolled providers across 36 states and an average of 803 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

13400 E SHEA BLVD
SCOTTSDALE, AZ 85259

Provider Details

NPI 1467535310
Specialty Hepatology Physician
Credentials MD
Gender Female
NPI Issued 10/23/2006

CMS Quality Score (MIPS)

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

78.5864
Final Score
Avg: 83.1
69.056
Quality
59.5653
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where MASHAL BATHEJA, 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.

MAYO CLINIC ARIZONA
SCOTTSDALE, AZ

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

Brand vs generic prescribing mix · Above average

MASHAL BATHEJA, MD — brand share 33.0%
Specialty average (est.)

33% brand-name claims vs 67% generic, on 120 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.

120
Total Claims
$21K
Total Drug Cost
41
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
187
Total Day Supply
4,694
Brand vs Generic
33% brand / 67% generic
Brand Drug Cost
$15K
Generic Drug Cost
$6K

Patient Demographics

Average Patient Age
75.5 years
Avg HCC Risk Score
1.49
Gender Split
71% female / 29% male

Top Prescribed Drugs (Medicare Part D)

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

What MASHAL BATHEJA, 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
Sucralfate
17
Budesonide Dr
Budesonide
13
Pantoprazole Sodium
11

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

Hepatology Physician Overview

How MASHAL BATHEJA, MD fits within the Hepatology Physician landscape nationally.

281
Hepatology Physician Providers in US
36
States with Hepatology Physician
803
Avg Claims per Provider

MASHAL BATHEJA, MD's 120 claims are below the specialty average of 803.

Nearby Hepatology Physician Providers in Arizona

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

Compare Hepatology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MASHAL BATHEJA, MD's specialty?
MASHAL BATHEJA, MD specializes in Hepatology Physician and practices in SCOTTSDALE, Arizona. Credentials: MD.
How much does MASHAL BATHEJA, MD prescribe under Medicare Part D?
In 2023, MASHAL BATHEJA, MD wrote 120 Medicare Part D claims totaling $21K in drug costs for 41 beneficiaries.
What is MASHAL BATHEJA, MD's Medicare quality score?
MASHAL BATHEJA, MD has a CMS MIPS Final Score of 78.5864/100 (Quality: 69.056, Cost: 59.5653). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MASHAL BATHEJA, MD located?
MASHAL BATHEJA, MD is located at 13400 E SHEA BLVD, SCOTTSDALE, AZ, 85259. Phone: (480) 301-8000.
What is MASHAL BATHEJA, MD's NPI number?
MASHAL BATHEJA, MD's National Provider Identifier (NPI) is 1467535310, issued on 10/23/2006.
Does MASHAL BATHEJA, MD prescribe more brand-name or generic drugs?
MASHAL BATHEJA, MD's prescribing is 33% brand-name and 67% generic drugs by claim count, with $15K in brand drug costs.
How many Hepatology Physician providers are there in the US?
There are 281 Hepatology Physician providers across 36 states in the US. The average Hepatology Physician provider writes 803 Medicare Part D claims per year.
What drugs does MASHAL BATHEJA, MD prescribe most often?
Based on 2023 Medicare Part D data, MASHAL BATHEJA, MD's most frequently prescribed drugs include Sucralfate, Budesonide Dr, Pantoprazole Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MASHAL BATHEJA, MD accept Medicare?
MASHAL BATHEJA, MD appears in CMS Medicare data with 120 Part D claims and 41 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MASHAL BATHEJA, MD's credentials?
MASHAL BATHEJA, MD's NPI is 1467535310 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

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