2026 NPPES data Pediatric Obesity Medicine Physician NPI 1568857415 MD
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MOHAMED ALI, MD

Pediatric Obesity Medicine Physician in GOSHEN, 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
3K
Medicare Part D claims · 358 beneficiaries · Pediatric Obesity Medicine Physician avg: 827
Generic prescribing
39%
generic claims · 61% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
81.4005/100
▼ 2 pts below national avg 83.1 · [object Object]
Industry payments
$484.68
21 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

MOHAMED ALI, MD reported a CMS MIPS final score of 81.4005/100 — below the 83.1 national average — and filed 3,030 Medicare Part D claims in 2023.

81.4005/100
MIPS score · -2 vs avg
3K
Part D claims, 2023
39%
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.

MOHAMED ALI, MD's MIPS score vs every scored U.S. clinician

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

81 36th percentile higher than 36% 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%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 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)

MOHAMED ALI, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — 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 MOHAMED ALI, MD?

Near national average

NPI registry status

Active

Issued 03/30/2015

NPI 1568857415

Primary specialty

Pediatric Obesity Medicine Physician

Rare

18 US NPIs in this specialty

Medicare Part D claims

3,030 266% vs specialty avg

2023 prescription claims

Specialty avg: 827

MIPS final score

81.4005/100 1.6995000000000005% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in New York

How Pediatric Obesity Medicine Physician compares to other specialties among New York providers

New York providers

Pediatric Obesity Medicine Physician share within New York

1. Pediatric Obesity Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pediatric Obesity Medicine Physician share within New York

Medicare quality performance — MIPS

MOHAMED ALI, MD's 2023 MIPS final score plotted against the Pediatric Obesity Medicine Physician national average

Near national average
MIPS Final Score
81.4005/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pediatric Obesity Medicine Physician) — 81.4005/100 vs national avg 83.1

0%100%National avg83%81.4%
MIPS final score (Pediatric Obesity Medicine Physician) — 81.4005/100 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).

MOHAMED ALI, MD appears in the CMS NPPES registry as a Pediatric Obesity Medicine Physician provider holding MD credentials at 102 CLOWES AVE, GOSHEN, NY, 10924, with a listed phone of (845) 333-7200. NPI 1568857415 was issued on 03/30/2015. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ALI 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 3,030 prescription claims written by this provider, covering 358 Medicare beneficiaries and totaling roughly $2.4 million in drug spend, split 61% brand-name and 39% 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 81.4005/100 for the 2023 performance year (Quality 59.6766, Cost 55.1166), compared with the national average of 83.1.

Pediatric Obesity Medicine Physician is a narrow specialty nationwide, with 18 enrolled providers across 10 states and an average of 827 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

102 CLOWES AVE
GOSHEN, NY 10924

Provider Details

NPI 1568857415
Specialty Pediatric Obesity Medicine Physician
Credentials MD
Gender Male
NPI Issued 03/30/2015

CMS Quality Score (MIPS)

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

81.4005
Final Score
Avg: 83.1
59.6766
Quality
55.1166
Cost
100
Promoting Interoperability

Reporting: Group practice

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 MOHAMED ALI, MD. Source: openpaymentsdata.cms.gov.

Total received

$485

Largest payer

Lilly USA, LLC

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 MOHAMED ALI, MD. To verify MOHAMED ALI, 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 · Brand-heavy

MOHAMED ALI, MD — brand share 61.0%
Specialty average (est.)

61% brand-name claims vs 39% generic, on 3,030 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.

3,030
Total Claims
$2.4M
Total Drug Cost
358
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
5,976
Total Day Supply
176,695
Brand vs Generic
61% brand / 39% generic
Brand Drug Cost
$2.3M
Generic Drug Cost
$25K

Patient Demographics

Average Patient Age
68.8 years
Avg HCC Risk Score
1.76
Gender Split
51% female / 49% male
Age Distribution
<65: 90, 65-74: 172, 75-84: 78, 85+: 18

Top Prescribed Drugs (Medicare Part D)

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

What MOHAMED ALI, 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
Ozempic
Semaglutide
366
Trulicity
Dulaglutide
232
Levothyroxine Sodium
181
Jardiance
Empagliflozin
151
Synjardy Xr
Empagliflozin/Metformin Hcl
139
Glipizide Er
Glipizide
110
Metformin Hcl
110
Farxiga
Dapagliflozin Propanediol
90
Novolog Flexpen
Insulin Aspart
89
Synjardy
Empagliflozin/Metformin Hcl
88

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

Pediatric Obesity Medicine Physician Overview

How MOHAMED ALI, MD fits within the Pediatric Obesity Medicine Physician landscape nationally.

18
Pediatric Obesity Medicine Physician Providers in US
10
States with Pediatric Obesity Medicine Physician
827
Avg Claims per Provider

MOHAMED ALI, MD's 3,030 claims are above the specialty average of 827.

Nearby Pediatric Obesity 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 ALI.

Compare Pediatric Obesity Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MOHAMED ALI, MD's specialty?
MOHAMED ALI, MD specializes in Pediatric Obesity Medicine Physician and practices in GOSHEN, New York. Credentials: MD.
How much does MOHAMED ALI, MD prescribe under Medicare Part D?
In 2023, MOHAMED ALI, MD wrote 3,030 Medicare Part D claims totaling $2.4M in drug costs for 358 beneficiaries.
What is MOHAMED ALI, MD's Medicare quality score?
MOHAMED ALI, MD has a CMS MIPS Final Score of 81.4005/100 (Quality: 59.6766, Cost: 55.1166). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MOHAMED ALI, MD located?
MOHAMED ALI, MD is located at 102 CLOWES AVE, GOSHEN, NY, 10924. Phone: (845) 333-7200.
What is MOHAMED ALI, MD's NPI number?
MOHAMED ALI, MD's National Provider Identifier (NPI) is 1568857415, issued on 03/30/2015.
Does MOHAMED ALI, MD prescribe more brand-name or generic drugs?
MOHAMED ALI, MD's prescribing is 61% brand-name and 39% generic drugs by claim count, with $2.3M in brand drug costs.
How many Pediatric Obesity Medicine Physician providers are there in the US?
There are 18 Pediatric Obesity Medicine Physician providers across 10 states in the US. The average Pediatric Obesity Medicine Physician provider writes 827 Medicare Part D claims per year.
What drugs does MOHAMED ALI, MD prescribe most often?
Based on 2023 Medicare Part D data, MOHAMED ALI, MD's most frequently prescribed drugs include Ozempic, Trulicity, Levothyroxine Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MOHAMED ALI, MD accept Medicare?
MOHAMED ALI, MD appears in CMS Medicare data with 3,030 Part D claims and 358 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MOHAMED ALI, MD's credentials?
MOHAMED ALI, MD's NPI is 1568857415 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