2026 NPPES data Gastroenterology Physician NPI 1093772923 MD
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Mohammad Ismail, MD

Gastroenterology Physician in Saint Louis, Missouri.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 16,567 in Gastroenterology 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
369
Medicare Part D claims · 201 beneficiaries · Gastroenterology Physician avg: 833
Generic prescribing
89%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
79.3/100
▼ 4 pts below national avg 83.1 · Above neutral
Industry payments
$314.8
2 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Mohammad Ismail, MD reported a CMS MIPS final score of 79.3/100 - below the 83.1 national average - and filed 369 Medicare Part D claims in 2023.

79.3/100
MIPS score · -4 vs avg
369
Part D claims, 2023
89%
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.

Mohammad Ismail, 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 30th percentile higher than 30% 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 Mohammad Ismail, MD sits

This provider among gastroenterology physician peers

Across the 5,957 gastroenterology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Mohammad Ismail, MD writes more Part D claims than 25% of them and scores higher on MIPS quality than 29% - placing this provider in the lower-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: 67 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 0Mohammad Ismail, MD-Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 29
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one gastroenterology physician peer from a representative sample of 60; the gold marker is Mohammad Ismail, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

Mohammad Ismail, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations - 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 Mohammad Ismail, MD?

Near national average

NPI registry status

Active

Issued 04/26/2006

NPI 1093772923

Primary specialty

Gastroenterology Physician

Mid-sized

16,567 US NPIs in this specialty

Medicare Part D claims

369 56% vs specialty avg

2023 prescription claims

Specialty avg: 833

MIPS final score

79.3/100 3.8 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in Missouri

How Gastroenterology Physician compares to other specialties among Missouri providers

Missouri providers
Pharmacist - 4.8%Pharmacist4.8%Professional Counselor - 4.8%Professional Counselor4.8%Speech-Language Pathologist - 4.5%Speech-Language Pathologist4.5%Clinical Social Worker - 4.5%Clinical Social Worker4.5%Family Nurse Practitioner - 4.3%Family Nurse Practitioner4.3%Physical Therapist - 4%Physical Therapist4%Gastroenterology Physician - 0.3%Gastroenterology Physician0.3%
Largest specialties in Missouri (% of in-state providers)

Medicare quality performance, MIPS

Mohammad Ismail, MD's 2023 MIPS final score plotted against the Gastroenterology Physician national average

Near national average
MIPS Final Score
79.3/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Gastroenterology Physician) - 79.3/100 vs national avg 83.1

0%100%National avg83%79.3%
MIPS final score (Gastroenterology Physician) - 79.3/100 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).

Mohammad Ismail, MD appears in the CMS NPPES registry as a Gastroenterology Physician provider holding MD credentials at 1 BARNES JEWISH HOSPITAL PLZ, Saint Louis, MO, 63110, with a listed phone of (314) 747-2066. NPI 1093772923 was issued on 04/26/2006.

Medicare Part D records for calendar year 2023 show 369 prescription claims written by this provider, covering 201 Medicare beneficiaries and totaling roughly $45K in drug spend, split 11% brand-name and 89% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 79.3/100 for the 2023 performance year (Quality 71.5, Cost 59.5), compared with the national average of 83.1.

Gastroenterology Physician is a mid-sized specialty nationwide, with 16,567 enrolled providers across 54 states and an average of 833 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

1 BARNES JEWISH HOSPITAL PLZ
Saint Louis, MO 63110

Provider Details

NPI 1093772923
Specialty Gastroenterology Physician
Credentials MD
Gender Male
NPI Issued 04/26/2006

CMS Quality Score (MIPS)

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

79.292
Final Score
Avg: 83.1
71.46
Quality
59.5132
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Mohammad Ismail, 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.

UT Methodist Physicians LLC
Memphis, TN
Washington University
Saint Louis, MO

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 Mohammad Ismail, MD. Source: openpaymentsdata.cms.gov.

Total received

$315

Largest payer

Boston Scientific Corporation

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.

Brand vs generic prescribing mix · Typical

Mohammad Ismail, MD - brand share 11.0%
Gastroenterology Physician average

11% brand-name claims vs 89% generic, on 369 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.

369
Total Claims
$45K
Total Drug Cost
201
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
481
Total Day Supply
9,010
Brand vs Generic
11% brand / 89% generic
Brand Drug Cost
$37K
Generic Drug Cost
$8K
Antibiotic Claims
55

Patient Demographics

Average Patient Age
70.0 years
Avg HCC Risk Score
1.75
Gender Split
55% female / 45% male

Top Prescribed Drugs (Medicare Part D)

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

What Mohammad Ismail, 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
Pantoprazole Sodium
73
Ciprofloxacin Hcl
39
Omeprazole
34
Gavilyte-G
"Peg3350/Sod Sulf
N/A
Peg-3350 And Electrolytes
"Peg3350/Sod Sulf
N/A
Sod Sulf-Potass Sulf-Mag Sulf
"Sodium
N/A

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

Gastroenterology Physician Overview

How Mohammad Ismail, MD fits within the Gastroenterology Physician landscape nationally.

16,567
Gastroenterology Physician Providers in US
54
States with Gastroenterology Physician
833
Avg Claims per Provider

Mohammad Ismail, MD's 369 claims are below the specialty average of 833.

Nearby Gastroenterology Physician Providers in Missouri

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

Compare Gastroenterology 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 Missouri medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Gastroenterology 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.

Frequently Asked Questions

What is Mohammad Ismail, MD's specialty?
Mohammad Ismail, MD specializes in Gastroenterology Physician and practices in Saint Louis, Missouri. Credentials: MD.
How much does Mohammad Ismail, MD prescribe under Medicare Part D?
In 2023, Mohammad Ismail, MD wrote 369 Medicare Part D claims totaling $45K in drug costs for 201 beneficiaries.
What is Mohammad Ismail, MD's Medicare quality score?
Mohammad Ismail, MD has a CMS MIPS Final Score of 79.3/100 (Quality: 71.5, Cost: 59.5). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Mohammad Ismail, MD located?
Mohammad Ismail, MD is located at 1 BARNES JEWISH HOSPITAL PLZ, Saint Louis, MO, 63110. Phone: (314) 747-2066.
What is Mohammad Ismail, MD's NPI number?
Mohammad Ismail, MD's National Provider Identifier (NPI) is 1093772923, issued on 04/26/2006.
Does Mohammad Ismail, MD prescribe more brand-name or generic drugs?
Mohammad Ismail, MD's prescribing is 11% brand-name and 89% generic drugs by claim count, with $37K in brand drug costs.
How many Gastroenterology Physician providers are there in the US?
There are 16,567 Gastroenterology Physician providers across 54 states in the US. The average Gastroenterology Physician provider writes 833 Medicare Part D claims per year.
What drugs does Mohammad Ismail, MD prescribe most often?
Based on 2023 Medicare Part D data, Mohammad Ismail, MD's most frequently prescribed drugs include Pantoprazole Sodium, Ciprofloxacin Hcl, Omeprazole. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Mohammad Ismail, MD accept Medicare?
Mohammad Ismail, MD appears in CMS Medicare data with 369 Part D claims and 201 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Mohammad Ismail, MD's credentials?
Mohammad Ismail, MD's NPI is 1093772923 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

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.