2026 NPPES data Internal Medicine Physician NPI 1063647865 M.D.
Verify on CMS →

PEJMAN BADIEI, M.D.

Internal Medicine Physician in NEWPORT BEACH, 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
306
Medicare Part D claims · 158 beneficiaries · Internal Medicine Physician avg: 3K
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
68.9975/100
▼ 14 pts below national avg 83.1 · [object Object]

What the federal data shows

PEJMAN BADIEI, M.D. reported a CMS MIPS final score of 68.9975/100 — below the 83.1 national average — and filed 306 Medicare Part D claims in 2023.

68.9975/100
MIPS score · -14 vs avg
306
Part D claims, 2023
88%
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.

PEJMAN BADIEI, 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

69 7th percentile higher than 7% 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%). This entry sits in this band. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. 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)

PEJMAN BADIEI, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — 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 PEJMAN BADIEI, M.D.?

Below national average

NPI registry status

Active

Issued 05/22/2009

NPI 1063647865

Primary specialty

Internal Medicine Physician

High-volume

172,858 US NPIs in this specialty

Medicare Part D claims

306 89% vs specialty avg

2023 prescription claims

Specialty avg: 2,716

MIPS final score

68.9975/100 14.102499999999992% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in California

How Internal Medicine Physician compares to other specialties among California providers

California providers

Internal Medicine Physician share within California

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

Medicare quality performance — MIPS

PEJMAN BADIEI, M.D.'s 2023 MIPS final score plotted against the Internal Medicine Physician national average

Below national average
MIPS Final Score
68.9975/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Internal Medicine Physician) — 68.9975/100 vs national avg 83.1

0%100%National avg83%69%
MIPS final score (Internal Medicine Physician) — 68.9975/100 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).

PEJMAN BADIEI, M.D. appears in the CMS NPPES registry as a Internal Medicine Physician provider holding M.D. credentials at 1 HOAG DR, NEWPORT BEACH, CA, 92663, with a listed phone of (949) 873-6181. NPI 1063647865 was issued on 05/22/2009. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BADIEI 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 306 prescription claims written by this provider, covering 158 Medicare beneficiaries and totaling roughly $20K in drug spend, split 12% brand-name and 88% generic by claim count, with an opioid prescribing rate of 11.8%. 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 68.9975/100 for the 2023 performance year (Quality 92.8408, Cost 76.823), 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

1 HOAG DR
NEWPORT BEACH, CA 92663

Provider Details

NPI 1063647865
Specialty Internal Medicine Physician
Credentials M.D.
Gender Male
NPI Issued 05/22/2009

CMS Quality Score (MIPS)

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

68.9975
Final Score
Avg: 83.1
92.8408
Quality
76.823
Cost

Reporting: Individual

Hospital and facility affiliations

Facilities where PEJMAN BADIEI, 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.

PACIFIC HOSPITALIST ASSOCIATES A MEDICAL CORPORATION
NEWPORT BEACH, CA
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
LOS ANGELES, 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).

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 PEJMAN BADIEI, M.D.. To verify PEJMAN BADIEI, 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.

Brand vs generic prescribing mix · Typical

PEJMAN BADIEI, M.D. — brand share 12.0%
Specialty average (est.)

12% brand-name claims vs 88% generic, on 306 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.

306
Total Claims
$20K
Total Drug Cost
158
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
313
Total Day Supply
5,646
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$16K
Generic Drug Cost
$3K
Opioid Claims
36 (11.8% rate)
Antibiotic Claims
65

Patient Demographics

Average Patient Age
78.2 years
Avg HCC Risk Score
2.11
Gender Split
56% female / 44% male

Top Prescribed Drugs (Medicare Part D)

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

What PEJMAN BADIEI, 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
Prednisone
21
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
17
Cefdinir
16
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
15
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
15
Atorvastatin Calcium
13
Furosemide
13
Eliquis
Apixaban
11

* 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 PEJMAN BADIEI, 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

PEJMAN BADIEI, M.D.'s 306 claims are below the specialty average of 2,716.

Nearby Internal Medicine Physician Providers in California

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

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

Frequently Asked Questions

What is PEJMAN BADIEI, M.D.'s specialty?
PEJMAN BADIEI, M.D. specializes in Internal Medicine Physician and practices in NEWPORT BEACH, California. Credentials: M.D..
How much does PEJMAN BADIEI, M.D. prescribe under Medicare Part D?
In 2023, PEJMAN BADIEI, M.D. wrote 306 Medicare Part D claims totaling $20K in drug costs for 158 beneficiaries.
What is PEJMAN BADIEI, M.D.'s Medicare quality score?
PEJMAN BADIEI, M.D. has a CMS MIPS Final Score of 68.9975/100 (Quality: 92.8408, Cost: 76.823). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is PEJMAN BADIEI, M.D. located?
PEJMAN BADIEI, M.D. is located at 1 HOAG DR, NEWPORT BEACH, CA, 92663. Phone: (949) 873-6181.
What is PEJMAN BADIEI, M.D.'s NPI number?
PEJMAN BADIEI, M.D.'s National Provider Identifier (NPI) is 1063647865, issued on 05/22/2009.
Does PEJMAN BADIEI, M.D. prescribe more brand-name or generic drugs?
PEJMAN BADIEI, M.D.'s prescribing is 12% brand-name and 88% generic drugs by claim count, with $16K in brand drug costs.
Does PEJMAN BADIEI, M.D. prescribe opioids?
Yes, PEJMAN BADIEI, M.D. had 36 opioid claims in 2023 with an opioid prescribing rate of 11.8%.
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 PEJMAN BADIEI, M.D. prescribe most often?
Based on 2023 Medicare Part D data, PEJMAN BADIEI, M.D.'s most frequently prescribed drugs include Prednisone, Amoxicillin-Clavulanate Potass, Cefdinir. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PEJMAN BADIEI, M.D. accept Medicare?
PEJMAN BADIEI, M.D. appears in CMS Medicare data with 306 Part D claims and 158 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PEJMAN BADIEI, M.D.'s credentials?
PEJMAN BADIEI, M.D.'s NPI is 1063647865 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