2026 NPPES data Internal Medicine Physician NPI 1265751788 M.D.
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MOSTAFA EL-REFAI, M.D.

Internal Medicine Physician in LOUISVILLE, Kentucky. 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
3K
Medicare Part D claims · 547 beneficiaries · Internal Medicine Physician avg: 3K
Generic prescribing
85%
generic claims · 15% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
100/100
▲ 17 pts above national avg 83.1 · [object Object]
Industry payments
$154.44
2 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

MOSTAFA EL-REFAI, M.D. reported a CMS MIPS final score of 100/100 — above the 83.1 national average — and filed 3,022 Medicare Part D claims in 2023.

100/100
MIPS score · +17 vs avg
3K
Part D claims, 2023
85%
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.

MOSTAFA EL-REFAI, 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

100 Top 7% higher than 93% 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)

MOSTAFA EL-REFAI, M.D. 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 MOSTAFA EL-REFAI, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 05/24/2010

NPI 1265751788

Primary specialty

Internal Medicine Physician

High-volume

172,858 US NPIs in this specialty

Medicare Part D claims

3,022 11% vs specialty avg

2023 prescription claims

Specialty avg: 2,716

MIPS final score

100/100 16.900000000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Kentucky

How Internal Medicine Physician compares to other specialties among Kentucky providers

Kentucky providers

Internal Medicine Physician share within Kentucky

1. Internal Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Internal Medicine Physician share within Kentucky

Medicare quality performance — MIPS

MOSTAFA EL-REFAI, M.D.'s 2023 MIPS final score plotted against the Internal Medicine Physician national average

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

MIPS final score (Internal Medicine Physician) — 100/100 vs national avg 83.1

0%100%National avg83%99%
MIPS final score (Internal Medicine Physician) — 100/100 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).

MOSTAFA EL-REFAI, M.D. appears in the CMS NPPES registry as a Internal Medicine Physician provider holding M.D. credentials at 4915 NORTON HEALTHCARE BLVD STE 202, LOUISVILLE, KY, 40241, with a listed phone of (502) 891-8300. NPI 1265751788 was issued on 05/24/2010. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what EL-REFAI 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 3,022 prescription claims written by this provider, covering 547 Medicare beneficiaries and totaling roughly $542K in drug spend, split 15% brand-name and 85% 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 100/100 for the 2023 performance year, compared with the national average of 83.1.

Internal Medicine Physician is a high-volume specialty nationwide, with 172,858 enrolled providers across 56 states and an average of 2,716 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

4915 NORTON HEALTHCARE BLVD STE 202
LOUISVILLE, KY 40241

Provider Details

NPI 1265751788
Specialty Internal Medicine Physician
Credentials M.D.
Gender Male
NPI Issued 05/24/2010

CMS Quality Score (MIPS)

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

100
Final Score
Avg: 83.1
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where MOSTAFA EL-REFAI, M.D. 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.

COMMUNITY MEDICAL ASSOCIATES INC
LOUISVILLE, KY

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 MOSTAFA EL-REFAI, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$154

Largest payer

Medtronic, 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.

Brand vs generic prescribing mix · Typical

MOSTAFA EL-REFAI, M.D. — brand share 15.0%
Specialty average (est.)

15% brand-name claims vs 85% generic, on 3,022 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.

3,022
Total Claims
$542K
Total Drug Cost
547
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
8,079
Total Day Supply
240,882
Brand vs Generic
15% brand / 85% generic
Brand Drug Cost
$486K
Generic Drug Cost
$57K

Patient Demographics

Average Patient Age
73.8 years
Avg HCC Risk Score
1.45
Gender Split
47% female / 53% male
Age Distribution
<65: 39, 65-74: 259, 75-84: 193, 85+: 56

Top Prescribed Drugs (Medicare Part D)

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

What MOSTAFA EL-REFAI, 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
Metoprolol Succinate
352
Atorvastatin Calcium
345
Clopidogrel
Clopidogrel Bisulfate
276
Eliquis
Apixaban
221
Amlodipine Besylate
149
Furosemide
126
Carvedilol
116
Isosorbide Mononitrate Er
Isosorbide Mononitrate
114
Rosuvastatin Calcium
112
Losartan Potassium
105

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

Internal Medicine Physician Overview

How MOSTAFA EL-REFAI, M.D. fits within the Internal Medicine Physician landscape nationally.

172,858
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider

MOSTAFA EL-REFAI, M.D.'s 3,022 claims are above the specialty average of 2,716.

Nearby Internal Medicine Physician Providers in Kentucky

Other clinicians with the same primary specialty enrolled in Kentucky, drawn from the same CMS NPPES roster as EL-REFAI.

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

Frequently Asked Questions

What is MOSTAFA EL-REFAI, M.D.'s specialty?
MOSTAFA EL-REFAI, M.D. specializes in Internal Medicine Physician and practices in LOUISVILLE, Kentucky. Credentials: M.D..
How much does MOSTAFA EL-REFAI, M.D. prescribe under Medicare Part D?
In 2023, MOSTAFA EL-REFAI, M.D. wrote 3,022 Medicare Part D claims totaling $542K in drug costs for 547 beneficiaries.
What is MOSTAFA EL-REFAI, M.D.'s Medicare quality score?
MOSTAFA EL-REFAI, M.D. has a CMS MIPS Final Score of 100/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MOSTAFA EL-REFAI, M.D. located?
MOSTAFA EL-REFAI, M.D. is located at 4915 NORTON HEALTHCARE BLVD STE 202, LOUISVILLE, KY, 40241. Phone: (502) 891-8300.
What is MOSTAFA EL-REFAI, M.D.'s NPI number?
MOSTAFA EL-REFAI, M.D.'s National Provider Identifier (NPI) is 1265751788, issued on 05/24/2010.
Does MOSTAFA EL-REFAI, M.D. prescribe more brand-name or generic drugs?
MOSTAFA EL-REFAI, M.D.'s prescribing is 15% brand-name and 85% generic drugs by claim count, with $486K in brand drug costs.
How many Internal Medicine Physician providers are there in the US?
There are 172,858 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
What drugs does MOSTAFA EL-REFAI, M.D. prescribe most often?
Based on 2023 Medicare Part D data, MOSTAFA EL-REFAI, M.D.'s most frequently prescribed drugs include Metoprolol Succinate, Atorvastatin Calcium, Clopidogrel. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MOSTAFA EL-REFAI, M.D. accept Medicare?
MOSTAFA EL-REFAI, M.D. appears in CMS Medicare data with 3,022 Part D claims and 547 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MOSTAFA EL-REFAI, M.D.'s credentials?
MOSTAFA EL-REFAI, M.D.'s NPI is 1265751788 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