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. 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
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 · [object Object]
Industry payments
$14.2K
76 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: MOHAMED ALI ELTOUM, M.D. is a Sleep Medicine (Internal Medicine) Physician ([object Object]) practicing in SAINT PETERSBURG, Florida with a Medicare Part D prescribing footprint of 4K claims across 638 beneficiaries . Their CMS MIPS Final Score of 75/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $14.2K across 76 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: MOHAMED ALI ELTOUM, M.D. reported a CMS MIPS final score of 75 out of 100, below the 83.1 national average, and filed 4,024 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

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).

MOHAMED ALI ELTOUM, M.D. at a glance

Below national average

NPI registry status

Active

Issued 06/30/2006

NPI 1598794026

Primary specialty

Sleep Medicine (Internal Medicine) Physician

Niche

857 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 8.099999999999994% pts

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

Sleep Medicine (Internal Medicine) Physician share within Florida

1. Sleep Medicine (Internal Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Sleep Medicine (Internal Medicine) Physician share within Florida

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

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. is a Sleep Medicine (Internal Medicine) Physician provider practicing in SAINT PETERSBURG, Florida, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1598794026. 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.

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. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ALI ELTOUM 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 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%. 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 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 857 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

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.

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.

Sleep Medicine (Internal Medicine) Physician Overview

How MOHAMED ALI ELTOUM, M.D. fits within the Sleep Medicine (Internal Medicine) Physician landscape nationally.

857
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.

Compare Sleep Medicine (Internal Medicine) Physician nationally: see state-by-state distribution →

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 857 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

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