2026 NPPES data Critical Care Medicine (Internal Medicine) Physician NPI 1689858011 DO
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SAMIR ABDELHADI, DO

Critical Care Medicine (Internal Medicine) Physician in EDGEWATER, 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
473
Medicare Part D claims · 73 beneficiaries · Critical Care Medicine (Internal Medicine) Physician avg: 1K
Generic prescribing
37%
generic claims · 63% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
68.3313/100
▼ 15 pts below national avg 83.1 · [object Object]
Industry payments
$177.44
6 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: SAMIR ABDELHADI, DO is a Critical Care Medicine (Internal Medicine) Physician ([object Object]) practicing in EDGEWATER, New Jersey with a Medicare Part D prescribing footprint of 473 claims across 73 beneficiaries — 63% brand-name prescribing . Their CMS MIPS Final Score of 68.3313/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $177.44 across 6 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: SAMIR ABDELHADI, DO reported a CMS MIPS final score of 68.3313 out of 100, below the 83.1 national average, and filed 473 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)

SAMIR ABDELHADI, DO practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

SAMIR ABDELHADI, DO at a glance

Below national average

NPI registry status

Active

Issued 12/20/2007

NPI 1689858011

Primary specialty

Critical Care Medicine (Internal Medicine) Physician

Mid-sized

6,631 US NPIs in this specialty

Medicare Part D claims

473 56% vs specialty avg

2023 prescription claims

Specialty avg: 1,069

MIPS final score

68.3313/100 14.768699999999995% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in New Jersey

How Critical Care Medicine (Internal Medicine) Physician compares to other specialties among New Jersey providers

New Jersey providers

Critical Care Medicine (Internal Medicine) Physician share within New Jersey

1. Critical Care Medicine (Internal Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Critical Care Medicine (Internal Medicine) Physician share within New Jersey

Medicare quality performance — MIPS

SAMIR ABDELHADI, DO's 2023 MIPS final score plotted against the Critical Care Medicine (Internal Medicine) Physician national average

Below national average
MIPS Final Score
68.3313/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Critical Care Medicine (Internal Medicine) Physician) — 68.3313/100 vs national avg 83.1

0%100%National avg83%68.3%
MIPS final score (Critical Care Medicine (Internal Medicine) Physician) — 68.3313/100 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).

SAMIR ABDELHADI, DO is a Critical Care Medicine (Internal Medicine) Physician provider practicing in EDGEWATER, New Jersey, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: DO. NPI: 1689858011. 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.

SAMIR ABDELHADI, DO appears in the CMS NPPES registry as a Critical Care Medicine (Internal Medicine) Physician provider holding DO credentials at 103 RIVER RD, EDGEWATER, NJ, 07020, with a listed phone of (201) 308-8995. NPI 1689858011 was issued on 12/20/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ABDELHADI 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 473 prescription claims written by this provider, covering 73 Medicare beneficiaries and totaling roughly $144K in drug spend, split 63% brand-name and 37% generic by claim count. 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 68.3313/100 for the 2023 performance year (Quality 90.878, Cost 74.28), compared with the national average of 83.1.

Critical Care Medicine (Internal Medicine) Physician is a mid-sized specialty nationwide, with 6,631 enrolled providers across 53 states and an average of 1,069 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

103 RIVER RD
EDGEWATER, NJ 07020

Provider Details

NPI 1689858011
Specialty Critical Care Medicine (Internal Medicine) Physician
Credentials DO
Gender Male
NPI Issued 12/20/2007

CMS Quality Score (MIPS)

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

68.3313
Final Score
Avg: 83.1
90.878
Quality
74.28
Cost

Reporting: Individual

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 SAMIR ABDELHADI, DO. Source: openpaymentsdata.cms.gov.

Total received

$177

Largest payer

INTUITIVE SURGICAL, 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 · Brand-heavy

SAMIR ABDELHADI, DO — brand share 63.0%
Specialty average (est.)

63% brand-name claims vs 37% generic, on 473 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.

473
Total Claims
$144K
Total Drug Cost
73
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
651
Total Day Supply
18,728
Brand vs Generic
63% brand / 37% generic
Brand Drug Cost
$141K
Generic Drug Cost
$3K

Patient Demographics

Average Patient Age
75.2 years
Avg HCC Risk Score
2.05
Gender Split
62% female / 38% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Trelegy Ellipta
Fluticasone/Umeclidin/Vilanter
107
Albuterol Sulfate Hfa
Albuterol Sulfate
76
Prednisone
47
Fluticasone Propionate
34
Breo Ellipta
Fluticasone/Vilanterol
31
Ventolin Hfa
Albuterol Sulfate
28
Montelukast Sodium
26
Pulmicort Flexhaler
Budesonide
18
Advair Diskus
Fluticasone Propion/Salmeterol
15
Flovent Hfa
Fluticasone Propionate
14

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

Critical Care Medicine (Internal Medicine) Physician Overview

How SAMIR ABDELHADI, DO fits within the Critical Care Medicine (Internal Medicine) Physician landscape nationally.

6,631
Critical Care Medicine (Internal Medicine) Physician Providers in US
53
States with Critical Care Medicine (Internal Medicine) Physician
1,069
Avg Claims per Provider

SAMIR ABDELHADI, DO's 473 claims are below the specialty average of 1,069.

Nearby Critical Care Medicine (Internal Medicine) Physician Providers in New Jersey

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

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

Frequently Asked Questions

What is SAMIR ABDELHADI, DO's specialty?
SAMIR ABDELHADI, DO specializes in Critical Care Medicine (Internal Medicine) Physician and practices in EDGEWATER, New Jersey. Credentials: DO.
How much does SAMIR ABDELHADI, DO prescribe under Medicare Part D?
In 2023, SAMIR ABDELHADI, DO wrote 473 Medicare Part D claims totaling $144K in drug costs for 73 beneficiaries.
What is SAMIR ABDELHADI, DO's Medicare quality score?
SAMIR ABDELHADI, DO has a CMS MIPS Final Score of 68.3313/100 (Quality: 90.878, Cost: 74.28). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SAMIR ABDELHADI, DO located?
SAMIR ABDELHADI, DO is located at 103 RIVER RD, EDGEWATER, NJ, 07020. Phone: (201) 308-8995.
What is SAMIR ABDELHADI, DO's NPI number?
SAMIR ABDELHADI, DO's National Provider Identifier (NPI) is 1689858011, issued on 12/20/2007.
Does SAMIR ABDELHADI, DO prescribe more brand-name or generic drugs?
SAMIR ABDELHADI, DO's prescribing is 63% brand-name and 37% generic drugs by claim count, with $141K in brand drug costs.
How many Critical Care Medicine (Internal Medicine) Physician providers are there in the US?
There are 6,631 Critical Care Medicine (Internal Medicine) Physician providers across 53 states in the US. The average Critical Care Medicine (Internal Medicine) Physician provider writes 1,069 Medicare Part D claims per year.
What drugs does SAMIR ABDELHADI, DO prescribe most often?
Based on 2023 Medicare Part D data, SAMIR ABDELHADI, DO's most frequently prescribed drugs include Trelegy Ellipta, Albuterol Sulfate Hfa, Prednisone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SAMIR ABDELHADI, DO accept Medicare?
SAMIR ABDELHADI, DO appears in CMS Medicare data with 473 Part D claims and 73 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SAMIR ABDELHADI, DO's credentials?
SAMIR ABDELHADI, DO's NPI is 1689858011 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.
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