NPI registry status
Active
2026 NPPES data Emergency Medicine Physician NPI 1093809527 M.D.
Verify on CMS → Santhosh Alex, M.D.
Emergency Medicine Physician in Jamaica, New York.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 64,463 in Emergency Medicine Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
104
Medicare Part D claims · 74 beneficiaries · Emergency Medicine Physician avg: 352
MIPS score
100/100
▲ 17 pts above national avg 83.1 · Exceptional
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Santhosh Alex, M.D. reported a CMS MIPS final score of 100/100 - above the 83.1 national average - and filed 104 Medicare Part D claims in 2023.
- 100/100
- MIPS score · +17 vs avg
- 104
- Part D claims, 2023
- Likely
- board-certified (heuristic)
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.
Santhosh Alex, M.D.'s MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
100 Top 9% higher than 91% of 477,587 scored providers
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
Where Santhosh Alex, M.D. sits
This provider among emergency medicine physician peers
Across the 14,967 emergency medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Santhosh Alex, M.D. writes more Part D claims than 34% of them and scores higher on MIPS quality than 91% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one emergency medicine physician peer from a representative sample of 60; the gold marker is Santhosh Alex, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Santhosh Alex, M.D. 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).
What does the federal data show about Santhosh Alex, M.D.?
High performer (top quartile)Primary specialty
Emergency Medicine Physician
Medicare Part D claims
104 70% vs specialty avg
MIPS final score
100/100 16.9 pts vs avg
Specialty distribution in New York
How Emergency Medicine Physician compares to other specialties among New York providers
Medicare quality performance, MIPS
Santhosh Alex, M.D.'s 2023 MIPS final score plotted against the Emergency Medicine Physician national average
- MIPS Final Score
- 100/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Emergency Medicine Physician) - 100/100 vs national avg 83.1
How MIPS and board certification work
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).
Santhosh Alex, M.D. appears in the CMS NPPES registry as an Emergency Medicine Physician provider holding M.D. credentials at 8900 VAN WYCK EXPRESSWAY, Jamaica, NY, 11418, with a listed phone of (718) 206-6600. NPI 1093809527 was issued on 10/02/2006.
Medicare Part D records for calendar year 2023 show 104 prescription claims written by this provider, covering 74 Medicare beneficiaries and totaling roughly $2K in drug spend. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 100/100 for the 2023 performance year (Quality 91.2, Cost 92.8), compared with the national average of 83.1.
Emergency Medicine Physician is a high-volume specialty nationwide, with 64,463 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
Provider Details
| NPI | 1093809527 |
|---|---|
| Specialty | Emergency Medicine Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 10/02/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
99.953
Final Score
Avg: 83.1
91.1861
Quality
92.8237
Cost
79
Promoting Interoperability
Reporting: Group practice
License & disciplinary context - New York NYSBPMC 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 ~100K New York medical licensees in 2023 - they are NOT specific to Santhosh Alex, M.D.. To verify Santhosh Alex, M.D.'s current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases
NYSBPMC 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 New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
104
Total Claims
$2K
Total Drug Cost
74
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 108
- Total Day Supply
- 1,459
- Generic Drug Cost
- $770
- Antibiotic Claims
- 40
Patient Demographics
- Average Patient Age
- 67.9 years
- Avg HCC Risk Score
- 1.41
- Gender Split
- 65% female / 35% male
- Age Distribution
- <65: 21, 65-74: 35, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Ibuprofen | 21 |
* 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 Santhosh Alex, M.D. fits within the Emergency Medicine Physician landscape nationally.
64,463
Emergency Medicine Physician Providers in US
56
States with Emergency Medicine Physician
352
Avg Claims per Provider
Santhosh Alex, M.D.'s 104 claims are below the specialty average of 352.
Nearby Emergency Medicine Physician Providers in New York
Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as Alex.
Dr. Matthew Abad
D.O.
Bronx, NY
Nabil Abazaid
New York, NY
Dr. Ethan Abbott
DO
Bronx, NY
Dr. Frederick Abbuhl
MD
Albany, NY
Dr. Minako Abe
MD
New York, NY
Compare Emergency Medicine Physician 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 New York medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Emergency Medicine Physician 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.
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Frequently Asked Questions
What is Santhosh Alex, M.D.'s specialty? ▼
Santhosh Alex, M.D. specializes in Emergency Medicine Physician and practices in Jamaica, New York. Credentials: M.D..
How much does Santhosh Alex, M.D. prescribe under Medicare Part D? ▼
In 2023, Santhosh Alex, M.D. wrote 104 Medicare Part D claims totaling $2K in drug costs for 74 beneficiaries.
What is Santhosh Alex, M.D.'s Medicare quality score? ▼
Santhosh Alex, M.D. has a CMS MIPS Final Score of 100/100 (Quality: 91.2, Cost: 92.8). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Santhosh Alex, M.D. located? ▼
Santhosh Alex, M.D. is located at 8900 VAN WYCK EXPRESSWAY, Jamaica, NY, 11418. Phone: (718) 206-6600.
What is Santhosh Alex, M.D.'s NPI number? ▼
Santhosh Alex, M.D.'s National Provider Identifier (NPI) is 1093809527, issued on 10/02/2006.
How many Emergency Medicine Physician providers are there in the US? ▼
There are 64,463 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 Santhosh Alex, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Santhosh Alex, M.D.'s most frequently prescribed drugs include Ibuprofen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Santhosh Alex, M.D. accept Medicare? ▼
Santhosh Alex, M.D. appears in CMS Medicare data with 104 Part D claims and 74 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Santhosh Alex, M.D.'s credentials? ▼
Santhosh Alex, M.D.'s NPI is 1093809527 with credentials M.D.. 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
View source datasets and methodology notes
- 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
Compiled from official public sources by the PlainDoctor editorial team.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.