NPI registry status
Active
2026 NPPES data Family Medicine Physician NPI 1477654697 MD
Verify on CMS → Mustapha Abouda, MD
Family Medicine Physician in Espanola, New Mexico.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 150,125 in Family Medicine 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
9K
Medicare Part D claims · 406 beneficiaries · Family Medicine Physician avg: 4K
Generic prescribing
85%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75/100
CMS neutral threshold · no category scores published
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Mustapha Abouda, MD carries the neutral CMS MIPS final score of 75/100, assigned where no category was scored - and filed 9,207 Medicare Part D claims in 2024.
- 75/100
- CMS neutral score · not measured
- 9K
- Part D claims, 2024
- 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.
Federal trust snapshot
What official records show about Mustapha Abouda, MD
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1477654697), first enumerated 09/26/2006.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 9,207 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
CMS assigned a neutral MIPS final score of 75/100 where no performance category was scored — not a measured quality rank.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1477654697 · Family Medicine Physician
NPI-10 · ENUM-LEGACY · TAX-MEGA · MIPS-NEUTRAL · RX-MID · BOOK-LIGHT · PHOTO-ENUM
- NPI-10 1477654697
- ENUM-LEGACY 2006
- TAX-MEGA 150K Family Medicine
- MIPS-NEUTRAL 75/100
- RX-MID 9,207
- BOOK-LIGHT 1,254 in New Mexico
- PHOTO-ENUM Thomas Ott · 2006
Mustapha Abouda, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
9,207 ≥ 98th percentile 98% of 1,416,883 prescribers are in lower value bands
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.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2024
✓
Board certification likely (heuristic, not verified)
Mustapha Abouda, MD 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 Mustapha Abouda, MD?
CMS neutral score, not measuredPrimary specialty
Family Medicine Physician
Medicare Part D claims
9,207 162% vs specialty avg
MIPS final score
75/100
Specialty distribution in New Mexico
How Family Medicine Physician compares to other specialties among New Mexico providers
MIPS score not measured
CMS assigned a neutral 75/100 threshold
CMS did not publish any Quality, Cost, Promoting Interoperability, or Improvement Activities category score for this clinician. This administrative threshold is not comparable with the national average of clinicians whose MIPS score was measured.
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).
Practice Address
Provider Details
| NPI | 1477654697 |
|---|---|
| Specialty | Family Medicine Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 09/26/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
75
Final Score
CMS neutral threshold · not measured
Reporting: Group practice
Hospital and facility affiliations
Facilities where Mustapha Abouda, 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.
Los Alamos Physician Practices LLC
Espanola, NM
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Brand vs generic prescribing mix · Typical
Mustapha Abouda, MD - brand share 14.0%
Family Medicine Physician average
14% brand-name claims vs 85% generic, on 9,207 2024 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 2024.
9,207
Total Claims
$833K
Total Drug Cost
406
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 17,676
- Total Day Supply
- 517,780
- Brand vs Generic
- 14% brand / 85% generic
- Brand Drug Cost
- $729K
- Generic Drug Cost
- $97K
- Opioid Claims
- 517 (5.6% rate)
- Antibiotic Claims
- 119
Patient Demographics
- Average Patient Age
- 74.6 years
- Avg HCC Risk Score
- 0.92
- Gender Split
- 56% female / 44% male
- Age Distribution
- <65: 32, 65-74: 169, 75-84: 152, 85+: 53
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Mustapha Abouda, MD prescribes most
Top Medicare Part D drugs by claim count, 2024
- Atorvastatin Calcium
Atorvastatin Calcium
727 claims
- Lisinopril
Lisinopril
562 claims
- Metformin Hcl
Metformin Hcl
404 claims
- Levothyroxine Sodium
Levothyroxine Sodium
402 claims
- Omeprazole
Omeprazole
344 claims
- Amlodipine Besylate
Amlodipine Besylate
333 claims
- Losartan Potassium
Losartan Potassium
326 claims
- Simvastatin
Simvastatin
314 claims
| Drug | Claims |
|---|---|
| Atorvastatin Calcium | 727 |
| Lisinopril | 562 |
| Metformin Hcl | 404 |
| Levothyroxine Sodium | 402 |
| Omeprazole | 344 |
| Amlodipine Besylate | 333 |
| Losartan Potassium | 326 |
| Simvastatin | 314 |
| Gabapentin | 258 |
| Rosuvastatin Calcium | 195 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Family Medicine Physician Overview
How Mustapha Abouda, MD fits within the Family Medicine Physician landscape nationally.
150,125
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,519
Avg Claims per Provider
Mustapha Abouda, MD's 9,207 claims are above the specialty average of 3,519.
Nationwide Family Medicine Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Abouda, both outside New Mexico so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (75 here).
Same NPPES enumeration year (2006)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Family Medicine Physician Providers in New Mexico
Other clinicians with the same primary specialty enrolled in New Mexico, drawn from the same CMS NPPES roster as Abouda.
One of 1,254 Family Medicine Physician providers enrolled in New Mexico, 5 are shown here.
Dr. Denise Aamodt
MD
Rio Rancho, NM
Dr. Jorge Abalos
DO
Artesia, NM
Dr. Holly Abernethy
M.D.
Farmington, NM
Dr. Sarah Abla
DO
Albuquerque, NM
Dr. Mona Abousleman
M.D.
Albuquerque, NM
Compare Family Medicine Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Mustapha Abouda, MD's specialty? ▼
Mustapha Abouda, MD specializes in Family Medicine Physician and practices in Espanola, New Mexico. Credentials: MD.
How much does Mustapha Abouda, MD prescribe under Medicare Part D? ▼
In 2024, Mustapha Abouda, MD wrote 9,207 Medicare Part D claims totaling $833K in drug costs for 406 beneficiaries.
What is Mustapha Abouda, MD's Medicare quality score? ▼
Mustapha Abouda, MD has a CMS MIPS Final Score of 75/100. CMS published no Quality, Promoting Interoperability, Improvement Activity or Cost score for this clinician, so the final score is the neutral performance threshold CMS assigns rather than a measured result. The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Mustapha Abouda, MD located? ▼
Mustapha Abouda, MD is located at 1302 E CALLE DE MERCED, Espanola, NM, 87532. Phone: (505) 753-9292.
What is Mustapha Abouda, MD's NPI number? ▼
Mustapha Abouda, MD's National Provider Identifier (NPI) is 1477654697, issued on 09/26/2006.
Does Mustapha Abouda, MD prescribe more brand-name or generic drugs? ▼
Mustapha Abouda, MD's prescribing is 14% brand-name and 85% generic drugs by claim count, with $729K in brand drug costs.
Does Mustapha Abouda, MD prescribe opioids? ▼
Yes, Mustapha Abouda, MD had 517 opioid claims in 2024 with an opioid prescribing rate of 5.6%.
How many Family Medicine Physician providers are there in the US? ▼
There are 150,125 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,519 Medicare Part D claims per year.
What drugs does Mustapha Abouda, MD prescribe most often? ▼
Based on 2024 Medicare Part D data, Mustapha Abouda, MD's most frequently prescribed drugs include Atorvastatin Calcium, Lisinopril, Metformin Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Mustapha Abouda, MD accept Medicare? ▼
Mustapha Abouda, MD appears in CMS Medicare data with 9,207 Part D claims and 406 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Mustapha Abouda, MD's credentials? ▼
Mustapha Abouda, MD's NPI is 1477654697 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 (2024). 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 August 2026 (NPPES) / 2024 (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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.