2026 NPPES data Rheumatology Physician NPI 1275722951 DO
Verify on CMS →

SADIA GHAFOOR, DO

Rheumatology Physician in TOMS RIVER, New Jersey. 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
14
Medicare Part D claims · Rheumatology Physician avg: 2K
What the federal data reveals: SADIA GHAFOOR, DO is a Rheumatology Physician ([object Object]) practicing in TOMS RIVER, New Jersey with a Medicare Part D prescribing footprint of 14 claims .

What stands out: SADIA GHAFOOR, DO filed 14 Medicare Part D claims in 2023 across TOMS RIVER, New Jersey. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

SADIA GHAFOOR, DO practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

SADIA GHAFOOR, DO at a glance

Quality data not reported

NPI registry status

Active

Issued 10/18/2007

NPI 1275722951

Primary specialty

Rheumatology Physician

Mid-sized

6,181 US NPIs in this specialty

Medicare Part D claims

14 99% vs specialty avg

2023 prescription claims

Specialty avg: 2,054

Specialty distribution in New Jersey

How Rheumatology Physician compares to other specialties among New Jersey providers

New Jersey providers

Rheumatology Physician share within New Jersey

1. Rheumatology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Rheumatology Physician share within New Jersey

Specialty board-certification context

Estimated specialty board-certified rate — Rheumatology Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Rheumatology Physician ABMS/AOA estimate

Est. board-certified rate (Rheumatology Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Rheumatology Physician) — ABMS / AOA estimate

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).

SADIA GHAFOOR, DO is a Rheumatology Physician provider practicing in TOMS RIVER, New Jersey, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: DO. NPI: 1275722951. 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.

SADIA GHAFOOR, DO appears in the CMS NPPES registry as a Rheumatology Physician provider holding DO credentials at 508 LAKEHURST RD, TOMS RIVER, NJ, 08755, with a listed phone of (732) 431-4335. NPI 1275722951 was issued on 10/18/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GHAFOOR 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 14 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $285 in drug spend. 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.

Rheumatology Physician is a mid-sized specialty nationwide, with 6,181 enrolled providers across 52 states and an average of 2,054 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

508 LAKEHURST RD
TOMS RIVER, NJ 08755

Provider Details

NPI 1275722951
Specialty Rheumatology Physician
Credentials DO
Gender Female
NPI Issued 10/18/2007

Hospital and facility affiliations

Facilities where SADIA GHAFOOR, DO 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.

AZZ MEDICAL ASSOCIATES PC
HAMILTON, NJ

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

14
Total Claims
$285
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
14
Total Day Supply
294
Generic Drug Cost
$269

Patient Demographics

Average Patient Age
66.2 years
Avg HCC Risk Score
1.40

Rheumatology Physician Overview

How SADIA GHAFOOR, DO fits within the Rheumatology Physician landscape nationally.

6,181
Rheumatology Physician Providers in US
52
States with Rheumatology Physician
2,054
Avg Claims per Provider

SADIA GHAFOOR, DO's 14 claims are below the specialty average of 2,054.

Nearby Rheumatology Physician Providers in New Jersey

Other clinicians with the same primary specialty enrolled in New Jersey, drawn from the same CMS NPPES roster as GHAFOOR.

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

Frequently Asked Questions

What is SADIA GHAFOOR, DO's specialty?
SADIA GHAFOOR, DO specializes in Rheumatology Physician and practices in TOMS RIVER, New Jersey. Credentials: DO.
How much does SADIA GHAFOOR, DO prescribe under Medicare Part D?
In 2023, SADIA GHAFOOR, DO wrote 14 Medicare Part D claims totaling $285 in drug costs for N/A beneficiaries.
Where is SADIA GHAFOOR, DO located?
SADIA GHAFOOR, DO is located at 508 LAKEHURST RD, TOMS RIVER, NJ, 08755. Phone: (732) 431-4335.
What is SADIA GHAFOOR, DO's NPI number?
SADIA GHAFOOR, DO's National Provider Identifier (NPI) is 1275722951, issued on 10/18/2007.
How many Rheumatology Physician providers are there in the US?
There are 6,181 Rheumatology Physician providers across 52 states in the US. The average Rheumatology Physician provider writes 2,054 Medicare Part D claims per year.
Does SADIA GHAFOOR, DO accept Medicare?
SADIA GHAFOOR, DO appears in CMS Medicare data with 14 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SADIA GHAFOOR, DO's credentials?
SADIA GHAFOOR, DO's NPI is 1275722951 with credentials DO. 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.
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