2026 NPPES data Pain Medicine Physician NPI 1295230142 M.D
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NATHAN ABDELSAYED, M.D

Pain Medicine Physician in WEST COVINA, California. 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
269
Medicare Part D claims · 131 beneficiaries · Pain Medicine Physician avg: 2K
MIPS score
79.29/100
▼ 4 pts below national avg 83.1 · [object Object]
Industry payments
$2.0K
30 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: NATHAN ABDELSAYED, M.D is a Pain Medicine Physician ([object Object]) practicing in WEST COVINA, California with a Medicare Part D prescribing footprint of 269 claims across 131 beneficiaries . Their CMS MIPS Final Score of 79.29/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $2.0K across 30 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: NATHAN ABDELSAYED, M.D reported a CMS MIPS final score of 79.29 out of 100, below the 83.1 national average, and filed 269 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

NATHAN ABDELSAYED, 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).

NATHAN ABDELSAYED, M.D at a glance

Near national average

NPI registry status

Active

Issued 03/23/2018

NPI 1295230142

Primary specialty

Pain Medicine Physician

Niche

951 US NPIs in this specialty

Medicare Part D claims

269 87% vs specialty avg

2023 prescription claims

Specialty avg: 2,078

MIPS final score

79.29/100 3.809999999999988% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in California

How Pain Medicine Physician compares to other specialties among California providers

California providers

Pain Medicine Physician share within California

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

Medicare quality performance — MIPS

NATHAN ABDELSAYED, M.D's 2023 MIPS final score plotted against the Pain Medicine Physician national average

Near national average
MIPS Final Score
79.29/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pain Medicine Physician) — 79.29/100 vs national avg 83.1

0%100%National avg83%79.3%
MIPS final score (Pain Medicine Physician) — 79.29/100 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).

NATHAN ABDELSAYED, M.D is a Pain Medicine Physician provider practicing in WEST COVINA, California, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D. NPI: 1295230142. 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.

NATHAN ABDELSAYED, M.D appears in the CMS NPPES registry as a Pain Medicine Physician provider holding M.D credentials at 1115 S SUNSET AVE STE 200, WEST COVINA, CA, 91790, with a listed phone of (626) 732-8395. NPI 1295230142 was issued on 03/23/2018. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ABDELSAYED 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 269 prescription claims written by this provider, covering 131 Medicare beneficiaries and totaling roughly $6K in drug spend, with an opioid prescribing rate of 26.4%. 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 79.29/100 for the 2023 performance year (Quality 67.4646, Cost 50.2257), compared with the national average of 83.1.

Pain Medicine Physician is a narrow specialty nationwide, with 951 enrolled providers across 49 states and an average of 2,078 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

1115 S SUNSET AVE STE 200
WEST COVINA, CA 91790

Provider Details

NPI 1295230142
Specialty Pain Medicine Physician
Credentials M.D
Gender Male
NPI Issued 03/23/2018

CMS Quality Score (MIPS)

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

79.29
Final Score
Avg: 83.1
67.4646
Quality
50.2257
Cost
90
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where NATHAN ABDELSAYED, 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.

EMANATE HEALTH MEDICAL CARE FOUNDATION
WEST COVINA, CA

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 NATHAN ABDELSAYED, M.D. Source: openpaymentsdata.cms.gov.

Total received

$2.0K

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.

License & disciplinary context — California MBC 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 ~150K California medical licensees in 2023 — they are NOT specific to NATHAN ABDELSAYED, M.D. To verify NATHAN ABDELSAYED, M.D's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC 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 California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

269
Total Claims
$6K
Total Drug Cost
131
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
276
Total Day Supply
7,093
Generic Drug Cost
$4K
Opioid Claims
71 (26.4% rate)

Patient Demographics

Average Patient Age
67.3 years
Avg HCC Risk Score
1.53
Gender Split
60% female / 40% male
Age Distribution
<65: 43, 65-74: 51, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Gabapentin
75
Methocarbamol
23
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
22
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
19
Tizanidine Hcl
19
Diazepam
16
Duloxetine Hcl
16
Oxycodone Hcl
14
Pregabalin
12
Cyclobenzaprine Hcl
11

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

Pain Medicine Physician Overview

How NATHAN ABDELSAYED, M.D fits within the Pain Medicine Physician landscape nationally.

951
Pain Medicine Physician Providers in US
49
States with Pain Medicine Physician
2,078
Avg Claims per Provider

NATHAN ABDELSAYED, M.D's 269 claims are below the specialty average of 2,078.

Nearby Pain Medicine Physician Providers in California

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

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

Frequently Asked Questions

What is NATHAN ABDELSAYED, M.D's specialty?
NATHAN ABDELSAYED, M.D specializes in Pain Medicine Physician and practices in WEST COVINA, California. Credentials: M.D.
How much does NATHAN ABDELSAYED, M.D prescribe under Medicare Part D?
In 2023, NATHAN ABDELSAYED, M.D wrote 269 Medicare Part D claims totaling $6K in drug costs for 131 beneficiaries.
What is NATHAN ABDELSAYED, M.D's Medicare quality score?
NATHAN ABDELSAYED, M.D has a CMS MIPS Final Score of 79.29/100 (Quality: 67.4646, Cost: 50.2257). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is NATHAN ABDELSAYED, M.D located?
NATHAN ABDELSAYED, M.D is located at 1115 S SUNSET AVE STE 200, WEST COVINA, CA, 91790. Phone: (626) 732-8395.
What is NATHAN ABDELSAYED, M.D's NPI number?
NATHAN ABDELSAYED, M.D's National Provider Identifier (NPI) is 1295230142, issued on 03/23/2018.
Does NATHAN ABDELSAYED, M.D prescribe opioids?
Yes, NATHAN ABDELSAYED, M.D had 71 opioid claims in 2023 with an opioid prescribing rate of 26.4%.
How many Pain Medicine Physician providers are there in the US?
There are 951 Pain Medicine Physician providers across 49 states in the US. The average Pain Medicine Physician provider writes 2,078 Medicare Part D claims per year.
What drugs does NATHAN ABDELSAYED, M.D prescribe most often?
Based on 2023 Medicare Part D data, NATHAN ABDELSAYED, M.D's most frequently prescribed drugs include Gabapentin, Methocarbamol, Hydrocodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does NATHAN ABDELSAYED, M.D accept Medicare?
NATHAN ABDELSAYED, M.D appears in CMS Medicare data with 269 Part D claims and 131 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify NATHAN ABDELSAYED, M.D's credentials?
NATHAN ABDELSAYED, M.D's NPI is 1295230142 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