2026 NPPES data Emergency Medicine Physician NPI 1932187713 MD
Verify on CMS →

SAM ABDUL, MD

Emergency Medicine Physician in CHARLESTON, West Virginia. 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
267
Medicare Part D claims · 205 beneficiaries · Emergency Medicine Physician avg: 352
MIPS score
89.5594/100
▲ 6 pts above national avg 83.1 · [object Object]
What the federal data reveals: SAM ABDUL, MD is a Emergency Medicine Physician ([object Object]) practicing in CHARLESTON, West Virginia with a Medicare Part D prescribing footprint of 267 claims across 205 beneficiaries . Their CMS MIPS Final Score of 89.5594/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: SAM ABDUL, MD reported a CMS MIPS final score of 89.5594 out of 100, above the 83.1 national average, and filed 267 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)

SAM ABDUL, 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).

SAM ABDUL, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 01/03/2006

NPI 1932187713

Primary specialty

Emergency Medicine Physician

High-volume

64,398 US NPIs in this specialty

Medicare Part D claims

267 24% vs specialty avg

2023 prescription claims

Specialty avg: 352

MIPS final score

89.5594/100 6.459400000000002% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in West Virginia

How Emergency Medicine Physician compares to other specialties among West Virginia providers

West Virginia providers

Emergency Medicine Physician share within West Virginia

1. Emergency Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Emergency Medicine Physician share within West Virginia

Medicare quality performance — MIPS

SAM ABDUL, MD's 2023 MIPS final score plotted against the Emergency Medicine Physician national average

High performer (top quartile)
MIPS Final Score
89.5594/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Emergency Medicine Physician) — 89.5594/100 vs national avg 83.1

0%100%National avg83%89.6%
MIPS final score (Emergency Medicine Physician) — 89.5594/100 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).

SAM ABDUL, MD is a Emergency Medicine Physician provider practicing in CHARLESTON, West Virginia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1932187713. 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.

SAM ABDUL, MD appears in the CMS NPPES registry as a Emergency Medicine Physician provider holding MD credentials at 3200 MACCORKLE AVE SE, CHARLESTON, WV, 25304, with a listed phone of (304) 388-4170. NPI 1932187713 was issued on 01/03/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ABDUL 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 267 prescription claims written by this provider, covering 205 Medicare beneficiaries and totaling roughly $3K in drug spend, with an opioid prescribing rate of 10.5%. 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 89.5594/100 for the 2023 performance year (Quality 70.4515, Cost 100), compared with the national average of 83.1.

Emergency Medicine Physician is a high-volume specialty nationwide, with 64,398 enrolled providers across 56 states and an average of 352 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

3200 MACCORKLE AVE SE
CHARLESTON, WV 25304

Provider Details

NPI 1932187713
Specialty Emergency Medicine Physician
Credentials MD
Gender Male
NPI Issued 01/03/2006

CMS Quality Score (MIPS)

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

89.5594
Final Score
Avg: 83.1
70.4515
Quality
100
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where SAM ABDUL, 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.

CEP AMERICA LLC
STANDISH, MI

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.

267
Total Claims
$3K
Total Drug Cost
205
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
268
Total Day Supply
2,018
Generic Drug Cost
$3K
Opioid Claims
28 (10.5% rate)
Antibiotic Claims
121

Patient Demographics

Average Patient Age
70.8 years
Avg HCC Risk Score
1.44
Gender Split
61% female / 39% male
Age Distribution
<65: 52, 65-74: 66, 75-84: 62, 85+: 25

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Prednisone
46
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
24
Ciprofloxacin Hcl
20
Azithromycin
16
Cephalexin
15
Doxycycline Hyclate
15
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
13
Paxlovid (Eua)
Nirmatrelvir/Ritonavir
11

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

Emergency Medicine Physician Overview

How SAM ABDUL, MD fits within the Emergency Medicine Physician landscape nationally.

64,398
Emergency Medicine Physician Providers in US
56
States with Emergency Medicine Physician
352
Avg Claims per Provider

SAM ABDUL, MD's 267 claims are below the specialty average of 352.

Nearby Emergency Medicine Physician Providers in West Virginia

Other clinicians with the same primary specialty enrolled in West Virginia, drawn from the same CMS NPPES roster as ABDUL.

Compare Emergency Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is SAM ABDUL, MD's specialty?
SAM ABDUL, MD specializes in Emergency Medicine Physician and practices in CHARLESTON, West Virginia. Credentials: MD.
How much does SAM ABDUL, MD prescribe under Medicare Part D?
In 2023, SAM ABDUL, MD wrote 267 Medicare Part D claims totaling $3K in drug costs for 205 beneficiaries.
What is SAM ABDUL, MD's Medicare quality score?
SAM ABDUL, MD has a CMS MIPS Final Score of 89.5594/100 (Quality: 70.4515, Cost: 100). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SAM ABDUL, MD located?
SAM ABDUL, MD is located at 3200 MACCORKLE AVE SE, CHARLESTON, WV, 25304. Phone: (304) 388-4170.
What is SAM ABDUL, MD's NPI number?
SAM ABDUL, MD's National Provider Identifier (NPI) is 1932187713, issued on 01/03/2006.
Does SAM ABDUL, MD prescribe opioids?
Yes, SAM ABDUL, MD had 28 opioid claims in 2023 with an opioid prescribing rate of 10.5%.
How many Emergency Medicine Physician providers are there in the US?
There are 64,398 Emergency Medicine Physician providers across 56 states in the US. The average Emergency Medicine Physician provider writes 352 Medicare Part D claims per year.
What drugs does SAM ABDUL, MD prescribe most often?
Based on 2023 Medicare Part D data, SAM ABDUL, MD's most frequently prescribed drugs include Prednisone, Hydrocodone-Acetaminophen, Ciprofloxacin Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SAM ABDUL, MD accept Medicare?
SAM ABDUL, MD appears in CMS Medicare data with 267 Part D claims and 205 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SAM ABDUL, MD's credentials?
SAM ABDUL, MD's NPI is 1932187713 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