2026 NPPES data Otolaryngology/Facial Plastic Surgery Physician NPI 1114559630
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MONICA WALIA

Otolaryngology/Facial Plastic Surgery Physician in GREAT NECK, 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
68
Medicare Part D claims · 33 beneficiaries · Otolaryngology/Facial Plastic Surgery Physician avg: 561
Generic prescribing
44%
generic claims · 56% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$563.07
16 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

MONICA WALIA filed 68 Medicare Part D claims in 2023 as a Otolaryngology/Facial Plastic Surgery Physician in GREAT NECK, New York, prescribing 44% generic.

68
Part D claims, 2023
44%
generic prescribing
$563.07
industry payments (Sunshine Act)

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.

MONICA WALIA's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

68 0th percentile higher than 0% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). This entry sits in this band. 200–400: 182,923 prescribers (13%). Above this entry. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023

Board-eligible specialty (heuristic — not verified)

MONICA WALIA practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about MONICA WALIA?

Quality data not reported

NPI registry status

Active

Issued 02/12/2020

NPI 1114559630

Primary specialty

Otolaryngology/Facial Plastic Surgery Physician

Niche

744 US NPIs in this specialty

Medicare Part D claims

68 88% vs specialty avg

2023 prescription claims

Specialty avg: 561

Specialty distribution in New York

How Otolaryngology/Facial Plastic Surgery Physician compares to other specialties among New York providers

New York providers

Otolaryngology/Facial Plastic Surgery Physician share within New York

1. Otolaryngology/Facial Plastic Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Otolaryngology/Facial Plastic Surgery Physician share within New York

Specialty board-certification context

Estimated specialty board-certified rate — Otolaryngology/Facial Plastic Surgery Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Otolaryngology/Facial Plastic Surgery Physician ABMS/AOA estimate

Est. board-certified rate (Otolaryngology/Facial Plastic Surgery Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Otolaryngology/Facial Plastic Surgery Physician) — ABMS / AOA estimate

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).

MONICA WALIA is a Otolaryngology/Facial Plastic Surgery Physician provider practicing in GREAT NECK, New York, according to the CMS National Plan and Provider Enumeration System (NPPES). NPI: 1114559630. 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.

MONICA WALIA appears in the CMS NPPES registry as a Otolaryngology/Facial Plastic Surgery Physician provider at 600 NORTHERN BLVD, GREAT NECK, NY, 11021, with a listed phone of (516) 482-3223. NPI 1114559630 was issued on 02/12/2020. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what WALIA 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 68 prescription claims written by this provider, covering 33 Medicare beneficiaries and totaling roughly $44K in drug spend, split 56% brand-name and 44% 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.

Otolaryngology/Facial Plastic Surgery Physician is a narrow specialty nationwide, with 744 enrolled providers across 53 states and an average of 561 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

600 NORTHERN BLVD
GREAT NECK, NY 11021

Provider Details

NPI 1114559630
Specialty Otolaryngology/Facial Plastic Surgery Physician
Gender Female
NPI Issued 02/12/2020

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 MONICA WALIA. Source: openpaymentsdata.cms.gov.

Total received

$563

Largest payer

Intra-Sana Laboratories

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 MONICA WALIA. To verify MONICA WALIA'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

MONICA WALIA — brand share 56.0%
Specialty average (est.)

56% brand-name claims vs 44% generic, on 68 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.

68
Total Claims
$44K
Total Drug Cost
33
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
87
Total Day Supply
2,532
Brand vs Generic
56% brand / 44% generic
Brand Drug Cost
$40K

Patient Demographics

Average Patient Age
67.6 years
Avg HCC Risk Score
0.67

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Ozempic
Semaglutide
22

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

Otolaryngology/Facial Plastic Surgery Physician Overview

How MONICA WALIA fits within the Otolaryngology/Facial Plastic Surgery Physician landscape nationally.

744
Otolaryngology/Facial Plastic Surgery Physician Providers in US
53
States with Otolaryngology/Facial Plastic Surgery Physician
561
Avg Claims per Provider

MONICA WALIA's 68 claims are below the specialty average of 561.

Nearby Otolaryngology/Facial Plastic Surgery Physician Providers in New York

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

Compare Otolaryngology/Facial Plastic Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MONICA WALIA's specialty?
MONICA WALIA specializes in Otolaryngology/Facial Plastic Surgery Physician and practices in GREAT NECK, New York.
How much does MONICA WALIA prescribe under Medicare Part D?
In 2023, MONICA WALIA wrote 68 Medicare Part D claims totaling $44K in drug costs for 33 beneficiaries.
Where is MONICA WALIA located?
MONICA WALIA is located at 600 NORTHERN BLVD, GREAT NECK, NY, 11021. Phone: (516) 482-3223.
What is MONICA WALIA's NPI number?
MONICA WALIA's National Provider Identifier (NPI) is 1114559630, issued on 02/12/2020.
Does MONICA WALIA prescribe more brand-name or generic drugs?
MONICA WALIA's prescribing is 56% brand-name and 44% generic drugs by claim count, with $40K in brand drug costs.
How many Otolaryngology/Facial Plastic Surgery Physician providers are there in the US?
There are 744 Otolaryngology/Facial Plastic Surgery Physician providers across 53 states in the US. The average Otolaryngology/Facial Plastic Surgery Physician provider writes 561 Medicare Part D claims per year.
What drugs does MONICA WALIA prescribe most often?
Based on 2023 Medicare Part D data, MONICA WALIA's most frequently prescribed drugs include Ozempic. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MONICA WALIA accept Medicare?
MONICA WALIA appears in CMS Medicare data with 68 Part D claims and 33 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MONICA WALIA's credentials?
MONICA WALIA's NPI is 1114559630. 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.
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