2026 NPPES data General Practice Physician NPI 1518259225 D.O.
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MOHAMMED UMAR, D.O.

General Practice Physician in EAST SETAUKET, 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
2K
Medicare Part D claims · 266 beneficiaries · General Practice Physician avg: 3K
Generic prescribing
95%
generic claims · 5% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
98.5241/100
▲ 15 pts above national avg 83.1 · [object Object]
Industry payments
$24.66
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

MOHAMMED UMAR, D.O. reported a CMS MIPS final score of 98.5241/100 — above the 83.1 national average — and filed 1,645 Medicare Part D claims in 2023.

98.5241/100
MIPS score · +15 vs avg
2K
Part D claims, 2023
95%
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.

MOHAMMED UMAR, D.O.'s MIPS score vs every scored U.S. clinician

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

99 Top 11% higher than 89% 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%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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)

MOHAMMED UMAR, D.O. 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 MOHAMMED UMAR, D.O.?

High performer (top quartile)

NPI registry status

Active

Issued 05/12/2011

NPI 1518259225

Primary specialty

General Practice Physician

Mid-sized

16,677 US NPIs in this specialty

Medicare Part D claims

1,645 43% vs specialty avg

2023 prescription claims

Specialty avg: 2,872

MIPS final score

98.5241/100 15.42410000000001% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in New York

How General Practice Physician compares to other specialties among New York providers

New York providers

General Practice Physician share within New York

1. General Practice Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
General Practice Physician share within New York

Medicare quality performance — MIPS

MOHAMMED UMAR, D.O.'s 2023 MIPS final score plotted against the General Practice Physician national average

High performer (top quartile)
MIPS Final Score
98.5241/100
vs 83.1 national avg · 2023 performance year

MIPS final score (General Practice Physician) — 98.5241/100 vs national avg 83.1

0%100%National avg83%98.5%
MIPS final score (General Practice Physician) — 98.5241/100 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).

MOHAMMED UMAR, D.O. appears in the CMS NPPES registry as a General Practice Physician provider holding D.O. credentials at 14 TECHNOLOGY DR, EAST SETAUKET, NY, 11733, with a listed phone of (631) 444-7979. NPI 1518259225 was issued on 05/12/2011. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what UMAR 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 1,645 prescription claims written by this provider, covering 266 Medicare beneficiaries and totaling roughly $92K in drug spend, split 5% brand-name and 95% generic by claim count, with an opioid prescribing rate of 30.8%. 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 98.5241/100 for the 2023 performance year (Quality 82.8545), compared with the national average of 83.1.

General Practice Physician is a mid-sized specialty nationwide, with 16,677 enrolled providers across 56 states and an average of 2,872 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

14 TECHNOLOGY DR
EAST SETAUKET, NY 11733

Provider Details

NPI 1518259225
Specialty General Practice Physician
Credentials D.O.
Gender Male
NPI Issued 05/12/2011

CMS Quality Score (MIPS)

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

98.5241
Final Score
Avg: 83.1
82.8545
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where MOHAMMED UMAR, D.O. 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.

STONY BROOK ORTHOPAEDIC ASSOCIATES, UNIVERSITY FACULTY PRACTICE CORPOR
EAST SETAUKET, NY

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 MOHAMMED UMAR, D.O.. Source: openpaymentsdata.cms.gov.

Total received

$25

Largest payer

Ferring Pharmaceuticals 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 — 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 MOHAMMED UMAR, D.O.. To verify MOHAMMED UMAR, D.O.'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 · Generic-heavy

MOHAMMED UMAR, D.O. — brand share 5.0%
Specialty average (est.)

5% brand-name claims vs 95% generic, on 1,645 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.

1,645
Total Claims
$92K
Total Drug Cost
266
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,752
Total Day Supply
49,405
Brand vs Generic
5% brand / 95% generic
Brand Drug Cost
$48K
Generic Drug Cost
$44K
Opioid Claims
506 (30.8% rate)

Patient Demographics

Average Patient Age
69.5 years
Avg HCC Risk Score
1.15
Gender Split
59% female / 41% male
Age Distribution
<65: 59, 65-74: 119, 75-84: 72, 85+: 16

Top Prescribed Drugs (Medicare Part D)

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

What MOHAMMED UMAR, D.O. 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
Gabapentin
242
Cyclobenzaprine Hcl
201
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
151
Diclofenac Sodium
142
Morphine Sulfate Er
Morphine Sulfate
100
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
92
Methocarbamol
92
Tizanidine Hcl
84
Methylprednisolone
77
Pregabalin
74

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

General Practice Physician Overview

How MOHAMMED UMAR, D.O. fits within the General Practice Physician landscape nationally.

16,677
General Practice Physician Providers in US
56
States with General Practice Physician
2,872
Avg Claims per Provider

MOHAMMED UMAR, D.O.'s 1,645 claims are below the specialty average of 2,872.

Nearby General Practice Physician Providers in New York

Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as UMAR.

Compare General Practice Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MOHAMMED UMAR, D.O.'s specialty?
MOHAMMED UMAR, D.O. specializes in General Practice Physician and practices in EAST SETAUKET, New York. Credentials: D.O..
How much does MOHAMMED UMAR, D.O. prescribe under Medicare Part D?
In 2023, MOHAMMED UMAR, D.O. wrote 1,645 Medicare Part D claims totaling $92K in drug costs for 266 beneficiaries.
What is MOHAMMED UMAR, D.O.'s Medicare quality score?
MOHAMMED UMAR, D.O. has a CMS MIPS Final Score of 98.5241/100 (Quality: 82.8545). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MOHAMMED UMAR, D.O. located?
MOHAMMED UMAR, D.O. is located at 14 TECHNOLOGY DR, EAST SETAUKET, NY, 11733. Phone: (631) 444-7979.
What is MOHAMMED UMAR, D.O.'s NPI number?
MOHAMMED UMAR, D.O.'s National Provider Identifier (NPI) is 1518259225, issued on 05/12/2011.
Does MOHAMMED UMAR, D.O. prescribe more brand-name or generic drugs?
MOHAMMED UMAR, D.O.'s prescribing is 5% brand-name and 95% generic drugs by claim count, with $48K in brand drug costs.
Does MOHAMMED UMAR, D.O. prescribe opioids?
Yes, MOHAMMED UMAR, D.O. had 506 opioid claims in 2023 with an opioid prescribing rate of 30.8%.
How many General Practice Physician providers are there in the US?
There are 16,677 General Practice Physician providers across 56 states in the US. The average General Practice Physician provider writes 2,872 Medicare Part D claims per year.
What drugs does MOHAMMED UMAR, D.O. prescribe most often?
Based on 2023 Medicare Part D data, MOHAMMED UMAR, D.O.'s most frequently prescribed drugs include Gabapentin, Cyclobenzaprine Hcl, Oxycodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MOHAMMED UMAR, D.O. accept Medicare?
MOHAMMED UMAR, D.O. appears in CMS Medicare data with 1,645 Part D claims and 266 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MOHAMMED UMAR, D.O.'s credentials?
MOHAMMED UMAR, D.O.'s NPI is 1518259225 with credentials D.O.. 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