2026 NPPES data Endocrinology, Diabetes & Metabolism Physician NPI 1487780755 MD
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SHAMSA ALI, MD

Endocrinology, Diabetes & Metabolism Physician in WARREN, Michigan. 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
5K
Medicare Part D claims · 704 beneficiaries · Endocrinology, Diabetes & Metabolism Physician avg: 3K
Generic prescribing
50%
generic claims · 50% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75/100
▼ 8 pts below national avg 83.1 · [object Object]
Industry payments
$1.6K
97 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: SHAMSA ALI, MD is a Endocrinology, Diabetes & Metabolism Physician ([object Object]) practicing in WARREN, Michigan with a Medicare Part D prescribing footprint of 5K claims across 704 beneficiaries — 50% brand-name prescribing . Their CMS MIPS Final Score of 75/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $1.6K across 97 transactions are disclosed under CMS Open Payments (Sunshine Act).

What the federal data shows

SHAMSA ALI, MD reported a CMS MIPS final score of 75/100 — below the 83.1 national average — and filed 5,335 Medicare Part D claims in 2023.

75/100
MIPS score · -8 vs avg
5K
Part D claims, 2023
50%
generic prescribing
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.

SHAMSA ALI, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

75 15th percentile higher than 15% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

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

Board certification likely (heuristic — not verified)

SHAMSA ALI, MD 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).

SHAMSA ALI, MD at a glance

Below national average

NPI registry status

Active

Issued 02/23/2007

NPI 1487780755

Primary specialty

Endocrinology, Diabetes & Metabolism Physician

Mid-sized

7,852 US NPIs in this specialty

Medicare Part D claims

5,335 102% vs specialty avg

2023 prescription claims

Specialty avg: 2,639

MIPS final score

75/100 8.099999999999994% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Michigan

How Endocrinology, Diabetes & Metabolism Physician compares to other specialties among Michigan providers

Michigan providers

Endocrinology, Diabetes & Metabolism Physician share within Michigan

1. Endocrinology, Diabetes & Metabolism Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Endocrinology, Diabetes & Metabolism Physician share within Michigan

Medicare quality performance — MIPS

SHAMSA ALI, MD's 2023 MIPS final score plotted against the Endocrinology, Diabetes & Metabolism Physician national average

Below national average
MIPS Final Score
75/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Endocrinology, Diabetes & Metabolism Physician) — 75/100 vs national avg 83.1

0%100%National avg83%75%
MIPS final score (Endocrinology, Diabetes & Metabolism Physician) — 75/100 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).

SHAMSA ALI, MD is a Endocrinology, Diabetes & Metabolism Physician provider practicing in WARREN, Michigan, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1487780755. 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.

SHAMSA ALI, MD appears in the CMS NPPES registry as a Endocrinology, Diabetes & Metabolism Physician provider holding MD credentials at 28001 SCHOENHERR RD STE 1, WARREN, MI, 48088, with a listed phone of (586) 365-7555. NPI 1487780755 was issued on 02/23/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ALI 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 5,335 prescription claims written by this provider, covering 704 Medicare beneficiaries and totaling roughly $3.4 million in drug spend, split 50% brand-name and 50% 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 75/100 for the 2023 performance year, compared with the national average of 83.1.

Endocrinology, Diabetes & Metabolism Physician is a mid-sized specialty nationwide, with 7,852 enrolled providers across 54 states and an average of 2,639 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

28001 SCHOENHERR RD STE 1
WARREN, MI 48088

Provider Details

NPI 1487780755
Specialty Endocrinology, Diabetes & Metabolism Physician
Credentials MD
Gender Female
NPI Issued 02/23/2007

CMS Quality Score (MIPS)

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

75
Final Score
Avg: 83.1

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 SHAMSA ALI, MD. Source: openpaymentsdata.cms.gov.

Total received

$1.6K

Largest payer

Lilly USA, LLC

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 — Michigan MI-BOM 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 ~41K Michigan medical licensees in 2023 — they are NOT specific to SHAMSA ALI, MD. To verify SHAMSA ALI, MD's current license status, search the MI-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

123
Total board actions, Michigan 2023
Across 120 cases
3.00
Actions per 1,000 licensees
Michigan statewide rate
probation
Most common action type
44 cases

MI-BOM 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 Michigan disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Brand-heavy

SHAMSA ALI, MD — brand share 50.0%
Specialty average (est.)

50% brand-name claims vs 50% generic, on 5,335 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.

5,335
Total Claims
$3.4M
Total Drug Cost
704
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
11,950
Total Day Supply
355,857
Brand vs Generic
50% brand / 50% generic
Brand Drug Cost
$3.3M
Generic Drug Cost
$53K

Patient Demographics

Average Patient Age
70.5 years
Avg HCC Risk Score
1.58
Gender Split
57% female / 43% male
Age Distribution
<65: 113, 65-74: 361, 75-84: 190, 85+: 40

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Levothyroxine Sodium
441
Trulicity
Dulaglutide
344
Metformin Hcl
311
Farxiga
Dapagliflozin Propanediol
295
Metformin Hcl Er
Metformin Hcl
256
Ozempic
Semaglutide
244
Pioglitazone Hcl
234
Synthroid
Levothyroxine Sodium
225
Jardiance
Empagliflozin
220
Glimepiride
190

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

Endocrinology, Diabetes & Metabolism Physician Overview

How SHAMSA ALI, MD fits within the Endocrinology, Diabetes & Metabolism Physician landscape nationally.

7,852
Endocrinology, Diabetes & Metabolism Physician Providers in US
54
States with Endocrinology, Diabetes & Metabolism Physician
2,639
Avg Claims per Provider

SHAMSA ALI, MD's 5,335 claims are above the specialty average of 2,639.

Nearby Endocrinology, Diabetes & Metabolism Physician Providers in Michigan

Other clinicians with the same primary specialty enrolled in Michigan, drawn from the same CMS NPPES roster as ALI.

Compare Endocrinology, Diabetes & Metabolism Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is SHAMSA ALI, MD's specialty?
SHAMSA ALI, MD specializes in Endocrinology, Diabetes & Metabolism Physician and practices in WARREN, Michigan. Credentials: MD.
How much does SHAMSA ALI, MD prescribe under Medicare Part D?
In 2023, SHAMSA ALI, MD wrote 5,335 Medicare Part D claims totaling $3.4M in drug costs for 704 beneficiaries.
What is SHAMSA ALI, MD's Medicare quality score?
SHAMSA ALI, MD has a CMS MIPS Final Score of 75/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SHAMSA ALI, MD located?
SHAMSA ALI, MD is located at 28001 SCHOENHERR RD STE 1, WARREN, MI, 48088. Phone: (586) 365-7555.
What is SHAMSA ALI, MD's NPI number?
SHAMSA ALI, MD's National Provider Identifier (NPI) is 1487780755, issued on 02/23/2007.
Does SHAMSA ALI, MD prescribe more brand-name or generic drugs?
SHAMSA ALI, MD's prescribing is 50% brand-name and 50% generic drugs by claim count, with $3.3M in brand drug costs.
How many Endocrinology, Diabetes & Metabolism Physician providers are there in the US?
There are 7,852 Endocrinology, Diabetes & Metabolism Physician providers across 54 states in the US. The average Endocrinology, Diabetes & Metabolism Physician provider writes 2,639 Medicare Part D claims per year.
What drugs does SHAMSA ALI, MD prescribe most often?
Based on 2023 Medicare Part D data, SHAMSA ALI, MD's most frequently prescribed drugs include Levothyroxine Sodium, Trulicity, Metformin Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SHAMSA ALI, MD accept Medicare?
SHAMSA ALI, MD appears in CMS Medicare data with 5,335 Part D claims and 704 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SHAMSA ALI, MD's credentials?
SHAMSA ALI, MD's NPI is 1487780755 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