2026 NPPES data Nephrology Physician NPI 1033597562 M.D
Verify on CMS →

RABAIL QURESHI, M.D

Nephrology Physician in MILFORD, Delaware. 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
932
Medicare Part D claims · 220 beneficiaries · Nephrology Physician avg: 1K
Generic prescribing
76%
generic claims · 24% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
7.3264/100
▼ 76 pts below national avg 83.1 · [object Object]
Industry payments
$769.95
36 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

RABAIL QURESHI, M.D reported a CMS MIPS final score of 7.3264/100 — below the 83.1 national average — and filed 932 Medicare Part D claims in 2023.

7.3264/100
MIPS score · -76 vs avg
932
Part D claims, 2023
76%
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.

RABAIL QURESHI, 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

7 2nd percentile higher than 2% of 477,587 scored providers

0–10: 8,684 scored providers (2%). This entry sits in this band. 10–20: 3,008 scored providers (1%). Above this entry. 20–30: 3,069 scored providers (1%). Above this entry. 30–40: 2,746 scored providers (1%). Above this entry. 40–50: 2,928 scored providers (1%). Above this entry. 50–60: 5,882 scored providers (1%). Above this entry. 60–70: 13,906 scored providers (3%). Above this entry. 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)

RABAIL QURESHI, 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).

What does the federal data show about RABAIL QURESHI, M.D?

Below national average

NPI registry status

Active

Issued 05/17/2015

NPI 1033597562

Primary specialty

Nephrology Physician

Mid-sized

10,534 US NPIs in this specialty

Medicare Part D claims

932 36% vs specialty avg

2023 prescription claims

Specialty avg: 1,454

MIPS final score

7.3264/100 75.77359999999999% pts

Penalty band band

vs 83.1 national avg

Specialty distribution in Delaware

How Nephrology Physician compares to other specialties among Delaware providers

Delaware providers

Nephrology Physician share within Delaware

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

Medicare quality performance — MIPS

RABAIL QURESHI, M.D's 2023 MIPS final score plotted against the Nephrology Physician national average

Below national average
MIPS Final Score
7.3264/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Nephrology Physician) — 7.3264/100 vs national avg 83.1

0%100%National avg83%7.3%
MIPS final score (Nephrology Physician) — 7.3264/100 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).

RABAIL QURESHI, M.D appears in the CMS NPPES registry as a Nephrology Physician provider holding M.D credentials at 201 W LIBERTY WAY, MILFORD, DE, 19963, with a listed phone of (302) 424-3694. NPI 1033597562 was issued on 05/17/2015. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what QURESHI 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 932 prescription claims written by this provider, covering 220 Medicare beneficiaries and totaling roughly $322K in drug spend, split 24% brand-name and 76% generic by claim count. 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 7.3264/100 for the 2023 performance year (Quality 0, Cost 24.4213), compared with the national average of 83.1.

Nephrology Physician is a mid-sized specialty nationwide, with 10,534 enrolled providers across 55 states and an average of 1,454 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

201 W LIBERTY WAY
MILFORD, DE 19963

Provider Details

NPI 1033597562
Specialty Nephrology Physician
Credentials M.D
Gender Female
NPI Issued 05/17/2015

CMS Quality Score (MIPS)

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

7.3264
Final Score
Avg: 83.1
0
Quality
24.4213
Cost
0
Promoting Interoperability

Reporting: Individual

Hospital and facility affiliations

Facilities where RABAIL QURESHI, 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.

NEPHROLOGY ASSOCIATES PA
NEWARK, DE

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 RABAIL QURESHI, M.D. Source: openpaymentsdata.cms.gov.

Total received

$770

Largest payer

Amgen 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.

Brand vs generic prescribing mix · Typical

RABAIL QURESHI, M.D — brand share 24.0%
Specialty average (est.)

24% brand-name claims vs 76% generic, on 932 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.

932
Total Claims
$322K
Total Drug Cost
220
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,257
Total Day Supply
66,564
Brand vs Generic
24% brand / 76% generic
Brand Drug Cost
$301K
Generic Drug Cost
$21K
Antibiotic Claims
41

Patient Demographics

Average Patient Age
71.8 years
Avg HCC Risk Score
2.53
Gender Split
47% female / 53% male
Age Distribution
<65: 30, 65-74: 100, 75-84: 75, 85+: 15

Top Prescribed Drugs (Medicare Part D)

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

What RABAIL QURESHI, 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
Farxiga
Dapagliflozin Propanediol
88
Losartan Potassium
83
Lisinopril
67
Veltassa
Patiromer Calcium Sorbitex
55
Amlodipine Besylate
54
Carvedilol
50
Valsartan
42
Nifedipine Er
Nifedipine
33
Olmesartan Medoxomil
29
Bumetanide
26

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

Nephrology Physician Overview

How RABAIL QURESHI, M.D fits within the Nephrology Physician landscape nationally.

10,534
Nephrology Physician Providers in US
55
States with Nephrology Physician
1,454
Avg Claims per Provider

RABAIL QURESHI, M.D's 932 claims are below the specialty average of 1,454.

Nearby Nephrology Physician Providers in Delaware

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

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

Frequently Asked Questions

What is RABAIL QURESHI, M.D's specialty?
RABAIL QURESHI, M.D specializes in Nephrology Physician and practices in MILFORD, Delaware. Credentials: M.D.
How much does RABAIL QURESHI, M.D prescribe under Medicare Part D?
In 2023, RABAIL QURESHI, M.D wrote 932 Medicare Part D claims totaling $322K in drug costs for 220 beneficiaries.
What is RABAIL QURESHI, M.D's Medicare quality score?
RABAIL QURESHI, M.D has a CMS MIPS Final Score of 7.3264/100 (Quality: 0, Cost: 24.4213). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is RABAIL QURESHI, M.D located?
RABAIL QURESHI, M.D is located at 201 W LIBERTY WAY, MILFORD, DE, 19963. Phone: (302) 424-3694.
What is RABAIL QURESHI, M.D's NPI number?
RABAIL QURESHI, M.D's National Provider Identifier (NPI) is 1033597562, issued on 05/17/2015.
Does RABAIL QURESHI, M.D prescribe more brand-name or generic drugs?
RABAIL QURESHI, M.D's prescribing is 24% brand-name and 76% generic drugs by claim count, with $301K in brand drug costs.
How many Nephrology Physician providers are there in the US?
There are 10,534 Nephrology Physician providers across 55 states in the US. The average Nephrology Physician provider writes 1,454 Medicare Part D claims per year.
What drugs does RABAIL QURESHI, M.D prescribe most often?
Based on 2023 Medicare Part D data, RABAIL QURESHI, M.D's most frequently prescribed drugs include Farxiga, Losartan Potassium, Lisinopril. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does RABAIL QURESHI, M.D accept Medicare?
RABAIL QURESHI, M.D appears in CMS Medicare data with 932 Part D claims and 220 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RABAIL QURESHI, M.D's credentials?
RABAIL QURESHI, M.D's NPI is 1033597562 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