2026 NPPES data Sports Medicine (Internal Medicine) Physician NPI 1558631713 MD
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RAZA AHMAD, MD

Sports Medicine (Internal Medicine) Physician in PHILADELPHIA, Pennsylvania. 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
3K
Medicare Part D claims · 348 beneficiaries · Sports Medicine (Internal Medicine) Physician avg: 1K
Generic prescribing
89%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
86.7523/100
▲ 4 pts above national avg 83.1 · [object Object]
Industry payments
$177.35
5 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: RAZA AHMAD, MD is a Sports Medicine (Internal Medicine) Physician ([object Object]) practicing in PHILADELPHIA, Pennsylvania with a Medicare Part D prescribing footprint of 3K claims across 348 beneficiaries — 11% brand-name prescribing . Their CMS MIPS Final Score of 86.7523/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $177.35 across 5 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: RAZA AHMAD, MD reported a CMS MIPS final score of 86.7523 out of 100, above the 83.1 national average, and filed 2,993 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

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).

RAZA AHMAD, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 01/05/2012

NPI 1558631713

Primary specialty

Sports Medicine (Internal Medicine) Physician

Rare

292 US NPIs in this specialty

Medicare Part D claims

2,993 136% vs specialty avg

2023 prescription claims

Specialty avg: 1,267

MIPS final score

86.7523/100 3.652300000000011% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Pennsylvania

How Sports Medicine (Internal Medicine) Physician compares to other specialties among Pennsylvania providers

Pennsylvania providers

Sports Medicine (Internal Medicine) Physician share within Pennsylvania

1. Sports Medicine (Internal Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Sports Medicine (Internal Medicine) Physician share within Pennsylvania

Medicare quality performance — MIPS

RAZA AHMAD, MD's 2023 MIPS final score plotted against the Sports Medicine (Internal Medicine) Physician national average

High performer (top quartile)
MIPS Final Score
86.7523/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Sports Medicine (Internal Medicine) Physician) — 86.7523/100 vs national avg 83.1

0%100%National avg83%86.8%
MIPS final score (Sports Medicine (Internal Medicine) Physician) — 86.7523/100 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).

RAZA AHMAD, MD is a Sports Medicine (Internal Medicine) Physician provider practicing in PHILADELPHIA, Pennsylvania, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1558631713. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

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. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what AHMAD 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 2,993 prescription claims written by this provider, covering 348 Medicare beneficiaries and totaling roughly $243K in drug spend, split 11% brand-name and 89% generic by claim count, with an opioid prescribing rate of 3.0%. 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 86.7523/100 for the 2023 performance year (Quality 75.9132), compared with the national average of 83.1.

Sports Medicine (Internal Medicine) Physician is a narrow specialty nationwide, with 292 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

800 WALNUT ST
PHILADELPHIA, PA 19107

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%
Specialty average (est.)

11% brand-name claims vs 89% 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 / 89% 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.

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.

Sports Medicine (Internal Medicine) Physician Overview

How RAZA AHMAD, MD fits within the Sports Medicine (Internal Medicine) Physician landscape nationally.

292
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.

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

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 86.7523/100 (Quality: 75.9132). 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 89% 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 292 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

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