2026 NPPES data Physician Assistant NPI 1639618226 PA-C
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Reham Ghali, PA-C

Physician Assistant in Raleigh, North Carolina. 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
5K
Medicare Part D claims · 590 beneficiaries · Physician Assistant avg: 790
Generic prescribing
89%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
87.2/100
▲ 4 pts above national avg 83.1 · [object Object]
Industry payments
$2.1K
88 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

Reham Ghali, PA-C reported a CMS MIPS final score of 87.2/100 — above the 83.1 national average — and filed 4,623 Medicare Part D claims in 2023.

87.2/100
MIPS score · +4 vs avg
5K
Part D claims, 2023
89%
generic prescribing
$2.1K
industry payments (Sunshine Act)

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.

Reham Ghali, PA-C'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 46% higher than 54% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 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

What does the federal data show about Reham Ghali, PA-C?

High performer (top quartile)

NPI registry status

Active

Issued 02/16/2017

NPI 1639618226

Primary specialty

Physician Assistant

High-volume

149,975 US NPIs in this specialty

Medicare Part D claims

4,623 vs specialty avg

2023 prescription claims

Specialty avg: 790

MIPS final score

87.2/100 4.1 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in North Carolina

How Physician Assistant compares to other specialties among North Carolina providers

North Carolina providers

Physician Assistant share within North Carolina

1. Physician Assistant42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Physician Assistant share within North Carolina

Medicare quality performance — MIPS

Reham Ghali, PA-C's 2023 MIPS final score plotted against the Physician Assistant national average

High performer (top quartile)
MIPS Final Score
87.2/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Physician Assistant) — 87.2/100 vs national avg 83.1

0%100%National avg83%87.2%
MIPS final score (Physician Assistant) — 87.2/100 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).

Reham Ghali, PA-C appears in the CMS NPPES registry as a Physician Assistant provider holding PA-C credentials at 1540 SUNDAY DR, Raleigh, NC, 27607, with a listed phone of (919) 782-3456. NPI 1639618226 was issued on 02/16/2017. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Ghali 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 4,623 prescription claims written by this provider, covering 590 Medicare beneficiaries and totaling roughly $957K in drug spend, split 11% brand-name and 89% generic by claim count, with an opioid prescribing rate of 3.4%. 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 87.2/100 for the 2023 performance year (Quality 63.9, Cost 93.4), compared with the national average of 83.1.

Physician Assistant is a high-volume specialty nationwide, with 149,975 enrolled providers across 56 states and an average of 790 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

1540 SUNDAY DR
Raleigh, NC 27607

Provider Details

NPI 1639618226
Specialty Physician Assistant
Credentials PA-C
Gender Female
NPI Issued 02/16/2017

CMS Quality Score (MIPS)

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

87.2089
Final Score
Avg: 83.1
63.9373
Quality
93.4257
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Reham Ghali, PA-C 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.

Carolina Physical Therapy Associates LLC
Dunn, NC
Raleigh Neurology Associates, P. A.
Raleigh, NC

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 Reham Ghali, PA-C. Source: openpaymentsdata.cms.gov.

Total received

$2.1K

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.

Brand vs generic prescribing mix · Typical

Reham Ghali, PA-C — brand share 11.0%
Specialty average (est.)

11% brand-name claims vs 89% generic, on 4,623 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.

4,623
Total Claims
$957K
Total Drug Cost
590
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
7,746
Total Day Supply
223,462
Brand vs Generic
11% brand / 89% generic
Brand Drug Cost
$782K
Generic Drug Cost
$175K
Opioid Claims
156 (3.4% rate)

Patient Demographics

Average Patient Age
71.9 years
Avg HCC Risk Score
1.35
Gender Split
71% female / 29% male
Age Distribution
<65: 97, 65-74: 226, 75-84: 200, 85+: 67

Top Prescribed Drugs (Medicare Part D)

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

What Reham Ghali, PA-C 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
Gabapentin
486
Donepezil Hcl
264
Pregabalin
198
Memantine Hcl
175
Levetiracetam
170
Lamotrigine
148
Duloxetine Hcl
130
Topiramate
127
Emgality Pen
Galcanezumab-Gnlm
114
Tizanidine Hcl
88

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

Physician Assistant Overview

How Reham Ghali, PA-C fits within the Physician Assistant landscape nationally.

149,975
Physician Assistant Providers in US
56
States with Physician Assistant
790
Avg Claims per Provider

Reham Ghali, PA-C's 4,623 claims are above the specialty average of 790.

Nearby Physician Assistant Providers in North Carolina

Other clinicians with the same primary specialty enrolled in North Carolina, drawn from the same CMS NPPES roster as Ghali.

Compare Physician Assistant 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 North Carolina medical board — federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Physician Assistant 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.

Frequently Asked Questions

What is Reham Ghali, PA-C's specialty?
Reham Ghali, PA-C specializes in Physician Assistant and practices in Raleigh, North Carolina. Credentials: PA-C.
How much does Reham Ghali, PA-C prescribe under Medicare Part D?
In 2023, Reham Ghali, PA-C wrote 4,623 Medicare Part D claims totaling $957K in drug costs for 590 beneficiaries.
What is Reham Ghali, PA-C's Medicare quality score?
Reham Ghali, PA-C has a CMS MIPS Final Score of 87.2/100 (Quality: 63.9, Cost: 93.4). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Reham Ghali, PA-C located?
Reham Ghali, PA-C is located at 1540 SUNDAY DR, Raleigh, NC, 27607. Phone: (919) 782-3456.
What is Reham Ghali, PA-C's NPI number?
Reham Ghali, PA-C's National Provider Identifier (NPI) is 1639618226, issued on 02/16/2017.
Does Reham Ghali, PA-C prescribe more brand-name or generic drugs?
Reham Ghali, PA-C's prescribing is 11% brand-name and 89% generic drugs by claim count, with $782K in brand drug costs.
Does Reham Ghali, PA-C prescribe opioids?
Yes, Reham Ghali, PA-C had 156 opioid claims in 2023 with an opioid prescribing rate of 3.4%.
How many Physician Assistant providers are there in the US?
There are 149,975 Physician Assistant providers across 56 states in the US. The average Physician Assistant provider writes 790 Medicare Part D claims per year.
What drugs does Reham Ghali, PA-C prescribe most often?
Based on 2023 Medicare Part D data, Reham Ghali, PA-C's most frequently prescribed drugs include Gabapentin, Donepezil Hcl, Pregabalin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Reham Ghali, PA-C accept Medicare?
Reham Ghali, PA-C appears in CMS Medicare data with 4,623 Part D claims and 590 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Reham Ghali, PA-C's credentials?
Reham Ghali, PA-C's NPI is 1639618226 with credentials PA-C. 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