NPI registry status
Active
2026 NPPES data Sports Medicine (Internal Medicine) Physician NPI 1558631713 MD
Verify on CMS → Raza Ahmad, MD
Sports Medicine (Internal Medicine) Physician in Philadelphia, 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 295 in Sports Medicine (Internal Medicine) 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
3K
Medicare Part D claims · 348 beneficiaries · Sports Medicine (Internal Medicine) Physician avg: 1K
Generic prescribing
88%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
86.8/100
▲ 4 pts above national avg 83.1 · Above neutral
Industry payments
$177.35
5 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
Raza Ahmad, MD reported a CMS MIPS final score of 86.8/100 - above the 83.1 national average - and filed 2,993 Medicare Part D claims in 2023.
- 86.8/100
- MIPS score · +4 vs avg
- 3K
- 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.
Raza Ahmad, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
87 Top 48% higher than 52% 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 Raza Ahmad, MD sits
This provider among sports medicine (internal medicine) physician peers
Across the 68 sports medicine (internal medicine) physician providers who report both Medicare Part D prescribing and a MIPS quality score, Raza Ahmad, MD writes more Part D claims than 88% of them and scores higher on MIPS quality than 49% - placing this provider in the high-volume, lower-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 sports medicine (internal medicine) physician peer from a representative sample of 60; the gold marker is Raza Ahmad, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Raza Ahmad, MD 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 Raza Ahmad, MD?
High performer (top quartile)Primary specialty
Sports Medicine (Internal Medicine) Physician
Medicare Part D claims
2,993 136% vs specialty avg
MIPS final score
86.8/100 3.7 pts vs avg
Specialty distribution in Pennsylvania
How Sports Medicine (Internal Medicine) Physician compares to other specialties among Pennsylvania providers
Medicare quality performance, MIPS
Raza Ahmad, MD's 2023 MIPS final score plotted against the Sports Medicine (Internal Medicine) Physician national average
- MIPS Final Score
- 86.8/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Sports Medicine (Internal Medicine) Physician) - 86.8/100 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).
Raza Ahmad, MD appears in the CMS NPPES registry as a Sports Medicine (Internal Medicine) Physician provider holding MD credentials at 800 WALNUT ST, Philadelphia, PA, 19107, with a listed phone of (215) 829-3523. NPI 1558631713 was issued on 01/05/2012.
Medicare Part D records for calendar year 2023 show 2,993 prescription claims written by this provider, covering 348 Medicare beneficiaries and totaling roughly $243K in drug spend, split 11% brand-name and 88% generic by claim count, with an opioid prescribing rate of 3.0%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 86.8/100 for the 2023 performance year (Quality 75.9), compared with the national average of 83.1.
Sports Medicine (Internal Medicine) Physician is a narrow specialty nationwide, with 295 enrolled providers across 43 states and an average of 1,267 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 | 1558631713 |
|---|---|
| Specialty | Sports Medicine (Internal Medicine) Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 01/05/2012 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
86.7523
Final Score
Avg: 83.1
75.9132
Quality
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Raza Ahmad, 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.
Clinical Care Associates OF The University OF Pennsylvania Health.
Yardley, 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 Raza Ahmad, MD. Source: openpaymentsdata.cms.gov.
Total received
$177
Largest payer
Salix Pharmaceuticals, a division of Bausch Health US, 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 - 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 Raza Ahmad, MD. To verify Raza Ahmad, MD'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 · Typical
Raza Ahmad, MD - brand share 11.0%
Sports Medicine (Internal Medicine) Physician average
11% brand-name claims vs 88% generic, on 2,993 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.
2,993
Total Claims
$243K
Total Drug Cost
348
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 6,228
- Total Day Supply
- 176,313
- Brand vs Generic
- 11% brand / 88% generic
- Brand Drug Cost
- $189K
- Generic Drug Cost
- $53K
- Opioid Claims
- 89 (3.0% rate)
- Antibiotic Claims
- 156
Patient Demographics
- Average Patient Age
- 75.6 years
- Avg HCC Risk Score
- 1.08
- Gender Split
- 51% female / 49% male
- Age Distribution
- <65: 15, 65-74: 141, 75-84: 147, 85+: 45
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Raza Ahmad, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Atorvastatin Calcium
Atorvastatin Calcium
193 claims
- Rosuvastatin Calcium
Rosuvastatin Calcium
159 claims
- Amlodipine Besylate
Amlodipine Besylate
118 claims
- Levothyroxine Sodium
Levothyroxine Sodium
109 claims
- Losartan Potassium
Losartan Potassium
87 claims
- Fluticasone Propio…
Fluticasone Propionate
78 claims
- Pantoprazole Sodium 68
Pantoprazole Sodium
68 claims
- Lisinopril 61
Lisinopril
61 claims
| Drug | Claims |
|---|---|
| Atorvastatin Calcium | 193 |
| Rosuvastatin Calcium | 159 |
| Amlodipine Besylate | 118 |
| Levothyroxine Sodium | 109 |
| Losartan Potassium | 87 |
| Fluticasone Propionate | 78 |
| Pantoprazole Sodium | 68 |
| Lisinopril | 61 |
| Escitalopram Oxalate | 53 |
| Trazodone Hcl | 51 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Sports Medicine (Internal Medicine) Physician in PA →
All providers in Pennsylvania →
Compare specialties →
Sports Medicine (Internal Medicine) Physician Overview
How Raza Ahmad, MD fits within the Sports Medicine (Internal Medicine) Physician landscape nationally.
295
Sports Medicine (Internal Medicine) Physician Providers in US
43
States with Sports Medicine (Internal Medicine) Physician
1,267
Avg Claims per Provider
Raza Ahmad, MD's 2,993 claims are above the specialty average of 1,267.
Nearby Sports Medicine (Internal Medicine) Physician Providers in Pennsylvania
Other clinicians with the same primary specialty enrolled in Pennsylvania, drawn from the same CMS NPPES roster as Ahmad.
Dr. Gary Dorshimer
MD
Philadelphia, PA
Dr. Matthew Flanagan
D.O.
Canonsburg, PA
Dr. Megan Groh Miller
M.D.
Pittsburgh, PA
Dr. David Josephson
M.D.
Philadelphia, PA
Dr. Shawn Potteiger
DO
Downingtown, PA
Compare Sports Medicine (Internal Medicine) 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 Sports Medicine (Internal Medicine) 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 Raza Ahmad, MD's specialty? ▼
Raza Ahmad, MD specializes in Sports Medicine (Internal Medicine) Physician and practices in Philadelphia, Pennsylvania. Credentials: MD.
How much does Raza Ahmad, MD prescribe under Medicare Part D? ▼
In 2023, Raza Ahmad, MD wrote 2,993 Medicare Part D claims totaling $243K in drug costs for 348 beneficiaries.
What is Raza Ahmad, MD's Medicare quality score? ▼
Raza Ahmad, MD has a CMS MIPS Final Score of 86.8/100 (Quality: 75.9). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Raza Ahmad, MD located? ▼
Raza Ahmad, MD is located at 800 WALNUT ST, Philadelphia, PA, 19107. Phone: (215) 829-3523.
What is Raza Ahmad, MD's NPI number? ▼
Raza Ahmad, MD's National Provider Identifier (NPI) is 1558631713, issued on 01/05/2012.
Does Raza Ahmad, MD prescribe more brand-name or generic drugs? ▼
Raza Ahmad, MD's prescribing is 11% brand-name and 88% generic drugs by claim count, with $189K in brand drug costs.
Does Raza Ahmad, MD prescribe opioids? ▼
Yes, Raza Ahmad, MD had 89 opioid claims in 2023 with an opioid prescribing rate of 3.0%.
How many Sports Medicine (Internal Medicine) Physician providers are there in the US? ▼
There are 295 Sports Medicine (Internal Medicine) Physician providers across 43 states in the US. The average Sports Medicine (Internal Medicine) Physician provider writes 1,267 Medicare Part D claims per year.
What drugs does Raza Ahmad, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Raza Ahmad, MD's most frequently prescribed drugs include Atorvastatin Calcium, Rosuvastatin Calcium, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Raza Ahmad, MD accept Medicare? ▼
Raza Ahmad, MD appears in CMS Medicare data with 2,993 Part D claims and 348 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Raza Ahmad, MD's credentials? ▼
Raza Ahmad, MD's NPI is 1558631713 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
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.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.