NPI registry status
Active
2026 NPPES data Gastroenterology Physician NPI 1932133493 M.D.
Verify on CMS → Rajih Alkhafaji, M.D.
Gastroenterology Physician in Altoona, Pennsylvania.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 16,567 in Gastroenterology Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
443
Medicare Part D claims · 191 beneficiaries · Gastroenterology Physician avg: 833
Generic prescribing
68%
generic claims · 32% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
94.7/100
▲ 12 pts above national avg 83.1 · Exceptional
Industry payments
$501.59
31 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Rajih Alkhafaji, M.D. reported a CMS MIPS final score of 94.7/100 - above the 83.1 national average - and filed 443 Medicare Part D claims in 2023.
- 94.7/100
- MIPS score · +12 vs avg
- 443
- Part D claims, 2023
- 68%
- 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.
Rajih Alkhafaji, 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
95 Top 25% higher than 75% of 477,587 scored providers
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
Where Rajih Alkhafaji, M.D. sits
This provider among gastroenterology physician peers
Across the 5,957 gastroenterology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Rajih Alkhafaji, M.D. writes more Part D claims than 29% of them and scores higher on MIPS quality than 78% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one gastroenterology physician peer from a representative sample of 60; the gold marker is Rajih Alkhafaji, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Rajih Alkhafaji, 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 Rajih Alkhafaji, M.D.?
High performer (top quartile)Primary specialty
Gastroenterology Physician
Medicare Part D claims
443 47% vs specialty avg
MIPS final score
94.7/100 11.6 pts vs avg
Specialty distribution in Pennsylvania
How Gastroenterology Physician compares to other specialties among Pennsylvania providers
Medicare quality performance, MIPS
Rajih Alkhafaji, M.D.'s 2023 MIPS final score plotted against the Gastroenterology Physician national average
- MIPS Final Score
- 94.7/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Gastroenterology Physician) - 94.7/100 vs national avg 83.1
How MIPS and board certification work
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).
Rajih Alkhafaji, M.D. appears in the CMS NPPES registry as a Gastroenterology Physician provider holding M.D. credentials at 810 VALLEY VIEW BLVD, Altoona, PA, 16602, with a listed phone of (814) 946-5469. NPI 1932133493 was issued on 07/10/2006.
Medicare Part D records for calendar year 2023 show 443 prescription claims written by this provider, covering 191 Medicare beneficiaries and totaling roughly $47K in drug spend, split 32% brand-name and 68% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 94.7/100 for the 2023 performance year (Quality 90.4), compared with the national average of 83.1.
Gastroenterology Physician is a mid-sized specialty nationwide, with 16,567 enrolled providers across 54 states and an average of 833 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
Provider Details
| NPI | 1932133493 |
|---|---|
| Specialty | Gastroenterology Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 07/10/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
94.7289
Final Score
Avg: 83.1
90.4161
Quality
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Rajih Alkhafaji, 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.
Regional Gastroenterology Associates OF Lancaster, Ltd.
Lancaster, PA
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 Rajih Alkhafaji, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$502
Largest payer
ABBVIE 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 - Pennsylvania PA-BOM 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 ~45K Pennsylvania medical licensees in 2023 - they are NOT specific to Rajih Alkhafaji, M.D.. To verify Rajih Alkhafaji, M.D.'s current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases
PA-BOM 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 Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Above average
Rajih Alkhafaji, M.D. - brand share 32.0%
Gastroenterology Physician average
32% brand-name claims vs 68% generic, on 443 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.
443
Total Claims
$47K
Total Drug Cost
191
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 629
- Total Day Supply
- 15,881
- Brand vs Generic
- 32% brand / 68% generic
- Brand Drug Cost
- $40K
- Generic Drug Cost
- $7K
Patient Demographics
- Average Patient Age
- 71.0 years
- Avg HCC Risk Score
- 1.00
- Gender Split
- 70% female / 30% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Rajih Alkhafaji, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Omeprazole
Omeprazole
168 claims
- Clenpiq
Clenpiq
91 claims
- Linzess 35
Linzess
35 claims
- Pantoprazole Sodium 33
Pantoprazole Sodium
33 claims
- Glycopyrrolate 31
Glycopyrrolate
31 claims
- Cholestyramine 17
Cholestyramine
17 claims
- Esomeprazole Magne… 15
Esomeprazole Magnesium
15 claims
- Colestipol Hcl 11
Colestipol Hcl
11 claims
| Drug | Claims |
|---|---|
| Omeprazole | 168 |
| Clenpiq Sod Picosulf/Mag Ox/Citric Ac | 91 |
| Linzess Linaclotide | 35 |
| Pantoprazole Sodium | 33 |
| Glycopyrrolate | 31 |
| Cholestyramine Cholestyramine (With Sugar) | 17 |
| Esomeprazole Magnesium | 15 |
| Colestipol Hcl | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Gastroenterology Physician Overview
How Rajih Alkhafaji, M.D. fits within the Gastroenterology Physician landscape nationally.
16,567
Gastroenterology Physician Providers in US
54
States with Gastroenterology Physician
833
Avg Claims per Provider
Rajih Alkhafaji, M.D.'s 443 claims are below the specialty average of 833.
Nearby Gastroenterology Physician Providers in Pennsylvania
Other clinicians with the same primary specialty enrolled in Pennsylvania, drawn from the same CMS NPPES roster as Alkhafaji.
Dr. Gebran Abboud
M.D.
Johnstown, PA
Dr. Heitham Abdul-Baki
M.D.
Pittsburgh, PA
Dr. Faten Aberra
MD
Philadelphia, PA
Dr. Segun Abogunde
MD
Erie, PA
Dr. Jeffrey Abrams
M.D.
Phila, PA
Compare Gastroenterology Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Pennsylvania medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Gastroenterology Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Rajih Alkhafaji, M.D.'s specialty? ▼
Rajih Alkhafaji, M.D. specializes in Gastroenterology Physician and practices in Altoona, Pennsylvania. Credentials: M.D..
How much does Rajih Alkhafaji, M.D. prescribe under Medicare Part D? ▼
In 2023, Rajih Alkhafaji, M.D. wrote 443 Medicare Part D claims totaling $47K in drug costs for 191 beneficiaries.
What is Rajih Alkhafaji, M.D.'s Medicare quality score? ▼
Rajih Alkhafaji, M.D. has a CMS MIPS Final Score of 94.7/100 (Quality: 90.4). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Rajih Alkhafaji, M.D. located? ▼
Rajih Alkhafaji, M.D. is located at 810 VALLEY VIEW BLVD, Altoona, PA, 16602. Phone: (814) 946-5469.
What is Rajih Alkhafaji, M.D.'s NPI number? ▼
Rajih Alkhafaji, M.D.'s National Provider Identifier (NPI) is 1932133493, issued on 07/10/2006.
Does Rajih Alkhafaji, M.D. prescribe more brand-name or generic drugs? ▼
Rajih Alkhafaji, M.D.'s prescribing is 32% brand-name and 68% generic drugs by claim count, with $40K in brand drug costs.
How many Gastroenterology Physician providers are there in the US? ▼
There are 16,567 Gastroenterology Physician providers across 54 states in the US. The average Gastroenterology Physician provider writes 833 Medicare Part D claims per year.
What drugs does Rajih Alkhafaji, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Rajih Alkhafaji, M.D.'s most frequently prescribed drugs include Omeprazole, Clenpiq, Linzess. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Rajih Alkhafaji, M.D. accept Medicare? ▼
Rajih Alkhafaji, M.D. appears in CMS Medicare data with 443 Part D claims and 191 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Rajih Alkhafaji, M.D.'s credentials? ▼
Rajih Alkhafaji, M.D.'s NPI is 1932133493 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
View source datasets and methodology notes
- 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
Compiled from official public sources by the PlainDoctor editorial team.