NPI registry status
Active
2026 NPPES data Rheumatology Physician NPI 1629026273 MD PA
Verify on CMS → Shaikh Ali, MD PA
Rheumatology Physician in Tomball, Texas.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 6,377 in Rheumatology 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
8K
Medicare Part D claims · 903 beneficiaries · Rheumatology Physician avg: 2K
MIPS score
90.5/100
▲ 7 pts above national avg 83.5 · Exceptional
Industry payments
$3.0K
146 payments · CMS Open Payments (Sunshine Act)
What the federal data shows
Shaikh Ali, MD PA reported a CMS MIPS final score of 90.5/100 - above the 83.5 national average - and filed 7,562 Medicare Part D claims in 2024.
- 90.5/100
- MIPS score · +7 vs avg
- 8K
- Part D claims, 2024
- Likely
- board-certified (heuristic)
- ≥58th
- pct among measured MIPS (lower-bound band)
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.
Federal trust snapshot
What official records show about Shaikh Ali, MD PA
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1629026273), first enumerated 05/05/2006.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 7,562 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 90.5/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Industry payment transparency
$3.0K in reported industry payments (146 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- State context
State board disciplinary context
Texas statewide board action statistics are published annually — these figures describe aggregate state activity, not Shaikh Ali, MD PA's individual license status. Verify directly with the state medical board.
Source: TMB annual report 2023
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1629026273 · Rheumatology Physician
NPI-10 · ENUM-LEGACY · TAX-MID · MIPS-ABOVE · RX-MID · BOOK-THIN · PHOTO-FINISH
- NPI-10 1629026273
- ENUM-LEGACY 2006
- TAX-MID 6K Rheumatology Physician
- MIPS-ABOVE 90.5/100
- RX-MID 7,562
- BOOK-THIN 417 in Texas
- PHOTO-FINISH Christine Thai · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Ali · this provi…
Ali · this provider
90.5 MIPS pts
- Christine Thai ·…
Christine Thai
90.5 MIPS pts
- Nannette Crowley…
Nannette Crowley
90.5 MIPS pts
- Michael Allen · …
Michael Allen
90.6 MIPS pts
- Marc Storch · near
Marc Storch
90.6 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Shaikh Ali, MD PA's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
91 ≥ 58th percentile 58% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Shaikh Ali, MD PA sits
This provider among rheumatology physician peers
Across the 1,970 rheumatology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Shaikh Ali, MD PA writes more Part D claims than 97% of them and scores higher on MIPS quality than 58% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one rheumatology physician peer from a representative sample of 60; the gold marker is Shaikh Ali, MD PA. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Shaikh Ali, MD PA 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 Shaikh Ali, MD PA?
High performer (top quartile)Primary specialty
Rheumatology Physician
Medicare Part D claims
7,562 267% vs specialty avg
MIPS final score
90.5/100 7 pts vs avg
Specialty distribution in Texas
How Rheumatology Physician compares to other specialties among Texas providers
Medicare quality performance, MIPS
Shaikh Ali, MD PA's 2023 MIPS final score plotted against the Rheumatology Physician national average
- MIPS Final Score
- 90.5/100
- vs 83.5 national avg · 2023 performance year
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).
Practice Address
Provider Details
| NPI | 1629026273 |
|---|---|
| Specialty | Rheumatology Physician |
| Credentials | MD PA |
| Gender | Male |
| NPI Issued | 05/05/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
90.5297
Final Score
Measured-score avg: 83.5
82.7813
Quality
100
Promoting Interoperability
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 Shaikh Ali, MD PA. Source: openpaymentsdata.cms.gov.
Total received
$3.0K
Largest payer
Amgen 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.
License & disciplinary context - Texas TMB 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 ~77K Texas medical licensees in 2023 - they are NOT specific to Shaikh Ali, MD PA. To verify Shaikh Ali, MD PA's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases
TMB 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 Texas 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 2024.
7,562
Total Claims
$5.9M
Total Drug Cost
903
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 14,247.267
- Total Day Supply
- 421,457
- Generic Drug Cost
- $151K
- Opioid Claims
- 410 (5.4% rate)
- Antibiotic Claims
- 32
Patient Demographics
- Average Patient Age
- 72.7 years
- Avg HCC Risk Score
- 1.83
- Gender Split
- 77% female / 23% male
- Age Distribution
- <65: 113, 65-74: 410, 75-84: 317, 85+: 63
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Shaikh Ali, MD PA prescribes most
Top Medicare Part D drugs by claim count, 2024
- Methotrexate
Methotrexate
1,051 claims
- Prednisone
Prednisone
824 claims
- Leflunomide
Leflunomide
740 claims
- Alendronate Sodium 399
Alendronate Sodium
399 claims
- Hydroxychloroquine… 351
Hydroxychloroquine Sulfate
351 claims
- Tramadol Hcl 268
Tramadol Hcl
268 claims
- Enbrel Sureclick 265
Enbrel Sureclick
265 claims
- Folic Acid 210
Folic Acid
210 claims
| Drug | Claims |
|---|---|
| Methotrexate Methotrexate Sodium | 1,051 |
| Prednisone | 824 |
| Leflunomide | 740 |
| Alendronate Sodium | 399 |
| Hydroxychloroquine Sulfate | 351 |
| Tramadol Hcl | 268 |
| Enbrel Sureclick Etanercept | 265 |
| Folic Acid | 210 |
| Gabapentin | 205 |
| Celecoxib | 197 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Rheumatology Physician Overview
How Shaikh Ali, MD PA fits within the Rheumatology Physician landscape nationally.
6,377
Rheumatology Physician Providers in US
52
States with Rheumatology Physician
2,058
Avg Claims per Provider
Shaikh Ali, MD PA's 7,562 claims are above the specialty average of 2,058.
Nationwide Rheumatology Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Ali, both outside Texas so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (90.5 here).
Same NPPES enumeration year (2006)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Rheumatology Physician Providers in Texas
Other clinicians with the same primary specialty enrolled in Texas, drawn from the same CMS NPPES roster as Ali.
One of 417 Rheumatology Physician providers enrolled in Texas, 5 are shown here.
Dr. Michael Abel
MD
Fredericksburg, TX
Dr. Tareq Abou-Khamis
M.D.
Houston, TX
Dr. Robert Abresch
M.D.
El Paso, TX
Dr. Sampada Acharya
MD
Fort Worth, TX
Dr. Waffiyah Afridi
M.D.
Farmers Branch, TX
Compare Rheumatology Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Shaikh Ali, MD PA's specialty? ▼
Shaikh Ali, MD PA specializes in Rheumatology Physician and practices in Tomball, Texas. Credentials: MD PA.
How much does Shaikh Ali, MD PA prescribe under Medicare Part D? ▼
In 2024, Shaikh Ali, MD PA wrote 7,562 Medicare Part D claims totaling $5.9M in drug costs for 903 beneficiaries.
What is Shaikh Ali, MD PA's Medicare quality score? ▼
Shaikh Ali, MD PA has a CMS MIPS Final Score of 90.5/100 (Quality: 82.8). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Shaikh Ali, MD PA located? ▼
Shaikh Ali, MD PA is located at 455 SCHOOL ST, Tomball, TX, 77375. Phone: (281) 357-0666.
What is Shaikh Ali, MD PA's NPI number? ▼
Shaikh Ali, MD PA's National Provider Identifier (NPI) is 1629026273, issued on 05/05/2006.
Does Shaikh Ali, MD PA prescribe opioids? ▼
Yes, Shaikh Ali, MD PA had 410 opioid claims in 2024 with an opioid prescribing rate of 5.4%.
How many Rheumatology Physician providers are there in the US? ▼
There are 6,377 Rheumatology Physician providers across 52 states in the US. The average Rheumatology Physician provider writes 2,058 Medicare Part D claims per year.
What drugs does Shaikh Ali, MD PA prescribe most often? ▼
Based on 2024 Medicare Part D data, Shaikh Ali, MD PA's most frequently prescribed drugs include Methotrexate, Prednisone, Leflunomide. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Shaikh Ali, MD PA accept Medicare? ▼
Shaikh Ali, MD PA appears in CMS Medicare data with 7,562 Part D claims and 903 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Shaikh Ali, MD PA's credentials? ▼
Shaikh Ali, MD PA's NPI is 1629026273 with credentials MD PA. 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 (2024). 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 August 2026 (NPPES) / 2024 (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
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 August 2026.