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2026 NPPES data Sleep Medicine (Internal Medicine) Physician NPI 1598794026 M.D.
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Mohamed Ali Eltoum, M.D.

Sleep Medicine (Internal Medicine) Physician in Saint Petersburg, Florida.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 859 in Sleep Medicine (Internal 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
4K
Medicare Part D claims · 638 beneficiaries · Sleep Medicine (Internal Medicine) Physician avg: 1K
MIPS score
75/100
▼ 8 pts below national avg 83.1 · Above neutral
Industry payments
$14.2K
76 payments · CMS Open Payments (Sunshine Act)
Verify NPI on CMS Methodology
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Mohamed Ali Eltoum, M.D. reported a CMS MIPS final score of 75/100 - below the 83.1 national average - and filed 4,024 Medicare Part D claims in 2023.

75/100
MIPS score · -8 vs avg
4K
Part D claims, 2023
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 Eltoum, M.D.'s MIPS score vs every scored U.S. clinician

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

75 15th percentile higher than 15% 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+: 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

Where Mohamed Ali Eltoum, M.D. sits

This provider among sleep medicine (internal medicine) physician peers

Across the 295 sleep medicine (internal medicine) physician providers who report both Medicare Part D prescribing and a MIPS quality score, Mohamed Ali Eltoum, M.D. writes more Part D claims than 90% of them and scores higher on MIPS quality than 15% - 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, percentilePart D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 98Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 100Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 48Mohamed Ali Eltoum, M.D.-Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 15
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one sleep medicine (internal medicine) physician peer from a representative sample of 60; the gold marker is Mohamed Ali Eltoum, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

✓
Board certification likely (heuristic, not verified)

Mohamed Ali Eltoum, M.D. 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 Eltoum, M.D.?

Below national average

NPI registry status

Active

Issued 06/30/2006

NPI 1598794026

Primary specialty

Sleep Medicine (Internal Medicine) Physician

Niche

859 US NPIs in this specialty

Medicare Part D claims

4,024 207% vs specialty avg

2023 prescription claims

Specialty avg: 1,310

MIPS final score

75/100 8.1 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in Florida

How Sleep Medicine (Internal Medicine) Physician compares to other specialties among Florida providers

Florida providers
Behavior Technician - 16.1%Behavior Technician16.1%Mental Health Counselor - 4.8%Mental Health Counselor4.8%Family Nurse Practitioner - 4.5%Family Nurse Practitioner4.5%Pharmacist - 4.2%Pharmacist4.2%Student in an Organized Health Care Education/Training Program - 3.8%Student in an Organized Health Care Education/Training Program3.8%Physical Therapist - 3.1%Physical Therapist3.1%Sleep Medicine (Internal Medicine) Physician - 0%Sleep Medicine (Internal Medicine) Physician0%
Largest specialties in Florida (% of in-state providers)

Medicare quality performance, MIPS

Mohamed Ali Eltoum, M.D.'s 2023 MIPS final score plotted against the Sleep Medicine (Internal Medicine) Physician national average

Below national average
MIPS Final Score
75/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Sleep Medicine (Internal Medicine) Physician) - 75/100 vs national avg 83.1

0%100%National avg83%75%
MIPS final score (Sleep Medicine (Internal Medicine) Physician) - 75/100 vs national avg 83.1
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).

Mohamed Ali Eltoum, M.D. appears in the CMS NPPES registry as a Sleep Medicine (Internal Medicine) Physician provider holding M.D. credentials at 5454 CENTRAL AVE, Saint Petersburg, FL, 33707, with a listed phone of (727) 347-5242. NPI 1598794026 was issued on 06/30/2006.

Medicare Part D records for calendar year 2023 show 4,024 prescription claims written by this provider, covering 638 Medicare beneficiaries and totaling roughly $3.1 million in drug spend, with an opioid prescribing rate of 0.3%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 75/100 for the 2023 performance year, compared with the national average of 83.1.

Sleep Medicine (Internal Medicine) Physician is a narrow specialty nationwide, with 859 enrolled providers across 52 states and an average of 1,310 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

5454 CENTRAL AVE
Saint Petersburg, FL 33707
(727) 347-5242

Provider Details

NPI 1598794026
Specialty Sleep Medicine (Internal Medicine) Physician
Credentials M.D.
Gender Male
NPI Issued 06/30/2006

CMS Quality Score (MIPS)

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

75
Final Score
Avg: 83.1

Reporting: Individual

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 Eltoum, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$14.2K

Largest payer

Insmed, 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 - Florida FLDOH 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 ~75K Florida medical licensees in 2023 - they are NOT specific to Mohamed Ali Eltoum, M.D.. To verify Mohamed Ali Eltoum, M.D.'s current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases

FLDOH 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 Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

4,024
Total Claims
$3.1M
Total Drug Cost
638
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
5,934
Total Day Supply
169,128
Generic Drug Cost
$227K
Opioid Claims
14 (0.3% rate)
Antibiotic Claims
268

Patient Demographics

Average Patient Age
75.0 years
Avg HCC Risk Score
2.18
Gender Split
62% female / 38% male
Age Distribution
<65: 56, 65-74: 243, 75-84: 237, 85+: 102

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 Eltoum, M.D. 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
Albuterol Sulfate Hfa
Albuterol Sulfate
531
Trelegy Ellipta
Fluticasone/Umeclidin/Vilanter
394
Prednisone
 260
Symbicort
Budesonide/Formoterol Fumarate
225
Breo Ellipta
Fluticasone/Vilanterol
224
Montelukast Sodium
 205
Azithromycin
 165
Breztri Aerosphere
Budesonide/Glycopyr/Formoterol
119
Anoro Ellipta
Umeclidinium Brm/Vilanterol Tr
94
Advair Diskus
Fluticasone Propion/Salmeterol
83

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

More Sleep Medicine (Internal Medicine) Physician in FL → All providers in Florida → Compare specialties →

Sleep Medicine (Internal Medicine) Physician Overview

How Mohamed Ali Eltoum, M.D. fits within the Sleep Medicine (Internal Medicine) Physician landscape nationally.

859
Sleep Medicine (Internal Medicine) Physician Providers in US
52
States with Sleep Medicine (Internal Medicine) Physician
1,310
Avg Claims per Provider

Mohamed Ali Eltoum, M.D.'s 4,024 claims are above the specialty average of 1,310.

Nearby Sleep Medicine (Internal Medicine) Physician Providers in Florida

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

Dr. Mahmood Ali
M.D.
Orlando, FL
Dr. Jose Alvarez
M.D.., F.C.C.P.
Plantation, FL
Dr. Syed Aslam
MD
Wesley Chapel, FL
Dr. Mark Atkins
MD
Ponte Vedra Beach, FL
Dr. Sergio Balingit
MD
The Villages, FL

Compare Sleep Medicine (Internal 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 Florida medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Sleep Medicine (Internal 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.

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Frequently Asked Questions

What is Mohamed Ali Eltoum, M.D.'s specialty? ▼
Mohamed Ali Eltoum, M.D. specializes in Sleep Medicine (Internal Medicine) Physician and practices in Saint Petersburg, Florida. Credentials: M.D..
How much does Mohamed Ali Eltoum, M.D. prescribe under Medicare Part D? ▼
In 2023, Mohamed Ali Eltoum, M.D. wrote 4,024 Medicare Part D claims totaling $3.1M in drug costs for 638 beneficiaries.
What is Mohamed Ali Eltoum, M.D.'s Medicare quality score? ▼
Mohamed Ali Eltoum, M.D. has a CMS MIPS Final Score of 75/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Mohamed Ali Eltoum, M.D. located? ▼
Mohamed Ali Eltoum, M.D. is located at 5454 CENTRAL AVE, Saint Petersburg, FL, 33707. Phone: (727) 347-5242.
What is Mohamed Ali Eltoum, M.D.'s NPI number? ▼
Mohamed Ali Eltoum, M.D.'s National Provider Identifier (NPI) is 1598794026, issued on 06/30/2006.
Does Mohamed Ali Eltoum, M.D. prescribe opioids? ▼
Yes, Mohamed Ali Eltoum, M.D. had 14 opioid claims in 2023 with an opioid prescribing rate of 0.3%.
How many Sleep Medicine (Internal Medicine) Physician providers are there in the US? ▼
There are 859 Sleep Medicine (Internal Medicine) Physician providers across 52 states in the US. The average Sleep Medicine (Internal Medicine) Physician provider writes 1,310 Medicare Part D claims per year.
What drugs does Mohamed Ali Eltoum, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Mohamed Ali Eltoum, M.D.'s most frequently prescribed drugs include Albuterol Sulfate Hfa, Trelegy Ellipta, Prednisone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Mohamed Ali Eltoum, M.D. accept Medicare? ▼
Mohamed Ali Eltoum, M.D. appears in CMS Medicare data with 4,024 Part D claims and 638 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Mohamed Ali Eltoum, M.D.'s credentials? ▼
Mohamed Ali Eltoum, M.D.'s NPI is 1598794026 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 (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

Compiled from official public sources by the PlainDoctor editorial team.

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.