2026 NPPES data Rheumatology Physician NPI 1518527092 MD
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OMAR ABIALMOUNA, MD

Rheumatology Physician in BUFFALO, 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
217
Medicare Part D claims · 67 beneficiaries · Rheumatology Physician avg: 2K
What the federal data reveals: OMAR ABIALMOUNA, MD is a Rheumatology Physician ([object Object]) practicing in BUFFALO, New York with a Medicare Part D prescribing footprint of 217 claims across 67 beneficiaries .

What stands out: OMAR ABIALMOUNA, MD filed 217 Medicare Part D claims in 2023 across BUFFALO, New York. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

OMAR ABIALMOUNA, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

OMAR ABIALMOUNA, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 06/18/2019

NPI 1518527092

Primary specialty

Rheumatology Physician

Mid-sized

6,181 US NPIs in this specialty

Medicare Part D claims

217 89% vs specialty avg

2023 prescription claims

Specialty avg: 2,054

Specialty distribution in New York

How Rheumatology Physician compares to other specialties among New York providers

New York providers

Rheumatology Physician share within New York

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

Specialty board-certification context

Estimated specialty board-certified rate — Rheumatology Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Rheumatology Physician ABMS/AOA estimate

Est. board-certified rate (Rheumatology Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Rheumatology 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).

OMAR ABIALMOUNA, MD is a Rheumatology Physician provider practicing in BUFFALO, New York, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1518527092. 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.

OMAR ABIALMOUNA, MD appears in the CMS NPPES registry as a Rheumatology Physician provider holding MD credentials at 100 HIGH ST, BUFFALO, NY, 14203, with a listed phone of (716) 859-5600. NPI 1518527092 was issued on 06/18/2019. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ABIALMOUNA 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 217 prescription claims written by this provider, covering 67 Medicare beneficiaries and totaling roughly $164K in drug spend. 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.

Rheumatology Physician is a mid-sized specialty nationwide, with 6,181 enrolled providers across 52 states and an average of 2,054 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

100 HIGH ST
BUFFALO, NY 14203

Provider Details

NPI 1518527092
Specialty Rheumatology Physician
Credentials MD
Gender Male
NPI Issued 06/18/2019

Hospital and facility affiliations

Facilities where OMAR ABIALMOUNA, 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.

TONAWANDA MEDICAL PRACTICE P.C.
AMHERST, 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).

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 OMAR ABIALMOUNA, MD. To verify OMAR ABIALMOUNA, MD'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.

Medicare Part D Prescribing Data

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

217
Total Claims
$164K
Total Drug Cost
67
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
402
Total Day Supply
11,764
Generic Drug Cost
$8K

Patient Demographics

Average Patient Age
69.9 years
Avg HCC Risk Score
2.25
Gender Split
66% female / 34% male
Age Distribution
<65: 17, 65-74: 29, 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
Prednisone
21
Atorvastatin Calcium
12
Methotrexate
Methotrexate Sodium
12
Clopidogrel
Clopidogrel Bisulfate
11

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

Rheumatology Physician Overview

How OMAR ABIALMOUNA, MD fits within the Rheumatology Physician landscape nationally.

6,181
Rheumatology Physician Providers in US
52
States with Rheumatology Physician
2,054
Avg Claims per Provider

OMAR ABIALMOUNA, MD's 217 claims are below the specialty average of 2,054.

Nearby Rheumatology Physician Providers in New York

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

Compare Rheumatology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is OMAR ABIALMOUNA, MD's specialty?
OMAR ABIALMOUNA, MD specializes in Rheumatology Physician and practices in BUFFALO, New York. Credentials: MD.
How much does OMAR ABIALMOUNA, MD prescribe under Medicare Part D?
In 2023, OMAR ABIALMOUNA, MD wrote 217 Medicare Part D claims totaling $164K in drug costs for 67 beneficiaries.
Where is OMAR ABIALMOUNA, MD located?
OMAR ABIALMOUNA, MD is located at 100 HIGH ST, BUFFALO, NY, 14203. Phone: (716) 859-5600.
What is OMAR ABIALMOUNA, MD's NPI number?
OMAR ABIALMOUNA, MD's National Provider Identifier (NPI) is 1518527092, issued on 06/18/2019.
How many Rheumatology Physician providers are there in the US?
There are 6,181 Rheumatology Physician providers across 52 states in the US. The average Rheumatology Physician provider writes 2,054 Medicare Part D claims per year.
What drugs does OMAR ABIALMOUNA, MD prescribe most often?
Based on 2023 Medicare Part D data, OMAR ABIALMOUNA, MD's most frequently prescribed drugs include Prednisone, Atorvastatin Calcium, Methotrexate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does OMAR ABIALMOUNA, MD accept Medicare?
OMAR ABIALMOUNA, MD appears in CMS Medicare data with 217 Part D claims and 67 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify OMAR ABIALMOUNA, MD's credentials?
OMAR ABIALMOUNA, MD's NPI is 1518527092 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

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