2026 NPPES data Retina Specialist (Ophthalmology) Physician NPI 1942591433 M.D.
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QURAISH GHADIALI, M.D.

Retina Specialist (Ophthalmology) Physician in CHICAGO, Illinois. 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
104
Medicare Part D claims · 32 beneficiaries · Retina Specialist (Ophthalmology) Physician avg: 558
Industry payments
$592.19
9 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

QURAISH GHADIALI, M.D. filed 104 Medicare Part D claims in 2023 as a Retina Specialist (Ophthalmology) Physician in CHICAGO, Illinois.

104
Part D claims, 2023
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.

QURAISH GHADIALI, M.D.'s Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

104 35th percentile higher than 35% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). This entry sits in this band. 200–400: 182,923 prescribers (13%). Above this entry. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

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.

Source CMS Medicare Part D Prescriber Public Use File · 2023

Board certification likely (heuristic — not verified)

QURAISH GHADIALI, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 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 QURAISH GHADIALI, M.D.?

Quality data not reported

NPI registry status

Active

Issued 05/02/2011

NPI 1942591433

Primary specialty

Retina Specialist (Ophthalmology) Physician

Niche

913 US NPIs in this specialty

Medicare Part D claims

104 81% vs specialty avg

2023 prescription claims

Specialty avg: 558

Specialty distribution in Illinois

How Retina Specialist (Ophthalmology) Physician compares to other specialties among Illinois providers

Illinois providers

Retina Specialist (Ophthalmology) Physician share within Illinois

1. Retina Specialist (Ophthalmology) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Retina Specialist (Ophthalmology) Physician share within Illinois

Specialty board-certification context

Estimated specialty board-certified rate — Retina Specialist (Ophthalmology) Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Retina Specialist (Ophthalmology) Physician ABMS/AOA estimate

Est. board-certified rate (Retina Specialist (Ophthalmology) Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Retina Specialist (Ophthalmology) 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).

QURAISH GHADIALI, M.D. appears in the CMS NPPES registry as a Retina Specialist (Ophthalmology) Physician provider holding M.D. credentials at 1969 W OGDEN AVE, CHICAGO, IL, 60612, with a listed phone of (312) 864-6000. NPI 1942591433 was issued on 05/02/2011. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GHADIALI 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 104 prescription claims written by this provider, covering 32 Medicare beneficiaries and totaling roughly $26K 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.

Retina Specialist (Ophthalmology) Physician is a narrow specialty nationwide, with 913 enrolled providers across 48 states and an average of 558 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

1969 W OGDEN AVE
CHICAGO, IL 60612

Provider Details

NPI 1942591433
Specialty Retina Specialist (Ophthalmology) Physician
Credentials M.D.
Gender Male
NPI Issued 05/02/2011

Hospital and facility affiliations

Facilities where QURAISH GHADIALI, 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.

COOK COUNTY
CHICAGO, IL
RETINA CONSULTANTS, LTD
DES PLAINES, IL

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 QURAISH GHADIALI, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$592

Largest payer

Cardinal Health 110 LLC

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 — Illinois IDFPR 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 ~42K Illinois medical licensees in 2023 — they are NOT specific to QURAISH GHADIALI, M.D.. To verify QURAISH GHADIALI, M.D.'s current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases

IDFPR 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 Illinois 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.

104
Total Claims
$26K
Total Drug Cost
32
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
186
Total Day Supply
5,369
Generic Drug Cost
$3K

Patient Demographics

Average Patient Age
72.7 years
Avg HCC Risk Score
1.38
Gender Split
63% female / 38% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Latanoprost
15
Prednisolone Acetate
12

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

Retina Specialist (Ophthalmology) Physician Overview

How QURAISH GHADIALI, M.D. fits within the Retina Specialist (Ophthalmology) Physician landscape nationally.

913
Retina Specialist (Ophthalmology) Physician Providers in US
48
States with Retina Specialist (Ophthalmology) Physician
558
Avg Claims per Provider

QURAISH GHADIALI, M.D.'s 104 claims are below the specialty average of 558.

Nearby Retina Specialist (Ophthalmology) Physician Providers in Illinois

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

Compare Retina Specialist (Ophthalmology) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is QURAISH GHADIALI, M.D.'s specialty?
QURAISH GHADIALI, M.D. specializes in Retina Specialist (Ophthalmology) Physician and practices in CHICAGO, Illinois. Credentials: M.D..
How much does QURAISH GHADIALI, M.D. prescribe under Medicare Part D?
In 2023, QURAISH GHADIALI, M.D. wrote 104 Medicare Part D claims totaling $26K in drug costs for 32 beneficiaries.
Where is QURAISH GHADIALI, M.D. located?
QURAISH GHADIALI, M.D. is located at 1969 W OGDEN AVE, CHICAGO, IL, 60612. Phone: (312) 864-6000.
What is QURAISH GHADIALI, M.D.'s NPI number?
QURAISH GHADIALI, M.D.'s National Provider Identifier (NPI) is 1942591433, issued on 05/02/2011.
How many Retina Specialist (Ophthalmology) Physician providers are there in the US?
There are 913 Retina Specialist (Ophthalmology) Physician providers across 48 states in the US. The average Retina Specialist (Ophthalmology) Physician provider writes 558 Medicare Part D claims per year.
What drugs does QURAISH GHADIALI, M.D. prescribe most often?
Based on 2023 Medicare Part D data, QURAISH GHADIALI, M.D.'s most frequently prescribed drugs include Latanoprost, Prednisolone Acetate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does QURAISH GHADIALI, M.D. accept Medicare?
QURAISH GHADIALI, M.D. appears in CMS Medicare data with 104 Part D claims and 32 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify QURAISH GHADIALI, M.D.'s credentials?
QURAISH GHADIALI, M.D.'s NPI is 1942591433 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.
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