2026 NPPES data Gastroenterology Physician NPI 1548354939 MD
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SHAZIA RAFIQ, MD

Gastroenterology Physician in ALBUQUERQUE, New Mexico. 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
143
Medicare Part D claims · 59 beneficiaries · Gastroenterology Physician avg: 833
Generic prescribing
74%
generic claims · 26% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
54.1797/100
▼ 29 pts below national avg 83.1 · [object Object]
Industry payments
$681.08
26 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: SHAZIA RAFIQ, MD is a Gastroenterology Physician ([object Object]) practicing in ALBUQUERQUE, New Mexico with a Medicare Part D prescribing footprint of 143 claims across 59 beneficiaries — 26% brand-name prescribing . Their CMS MIPS Final Score of 54.1797/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $681.08 across 26 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: SHAZIA RAFIQ, MD reported a CMS MIPS final score of 54.1797 out of 100, below the 83.1 national average, and filed 143 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)

SHAZIA RAFIQ, 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).

SHAZIA RAFIQ, MD at a glance

Below national average

NPI registry status

Active

Issued 10/03/2006

NPI 1548354939

Primary specialty

Gastroenterology Physician

Mid-sized

16,567 US NPIs in this specialty

Medicare Part D claims

143 83% vs specialty avg

2023 prescription claims

Specialty avg: 833

MIPS final score

54.1797/100 28.920299999999997% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in New Mexico

How Gastroenterology Physician compares to other specialties among New Mexico providers

New Mexico providers

Gastroenterology Physician share within New Mexico

1. Gastroenterology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Gastroenterology Physician share within New Mexico

Medicare quality performance — MIPS

SHAZIA RAFIQ, MD's 2023 MIPS final score plotted against the Gastroenterology Physician national average

Below national average
MIPS Final Score
54.1797/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Gastroenterology Physician) — 54.1797/100 vs national avg 83.1

0%100%National avg83%54.2%
MIPS final score (Gastroenterology Physician) — 54.1797/100 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).

SHAZIA RAFIQ, MD is a Gastroenterology Physician provider practicing in ALBUQUERQUE, New Mexico, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1548354939. 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.

SHAZIA RAFIQ, MD appears in the CMS NPPES registry as a Gastroenterology Physician provider holding MD credentials at 1501 SAN PEDRO DR SE, ALBUQUERQUE, NM, 87108, with a listed phone of (505) 265-1711. NPI 1548354939 was issued on 10/03/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what RAFIQ 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 143 prescription claims written by this provider, covering 59 Medicare beneficiaries and totaling roughly $326K in drug spend, split 26% brand-name and 74% 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 54.1797/100 for the 2023 performance year (Quality 61.892, Cost 68.707), compared with the national average of 83.1.

Gastroenterology Physician is a mid-sized specialty nationwide, with 16,567 enrolled providers across 54 states and an average of 833 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

1501 SAN PEDRO DR SE
ALBUQUERQUE, NM 87108

Provider Details

NPI 1548354939
Specialty Gastroenterology Physician
Credentials MD
Gender Female
NPI Issued 10/03/2006

CMS Quality Score (MIPS)

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

54.1797
Final Score
Avg: 83.1
61.892
Quality
68.707
Cost
0
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where SHAZIA RAFIQ, 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.

ROCKY MOUNTAIN GASTROENTEROLOGY ASSOCIATES, PLLC
CENTENNIAL, CO

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

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 SHAZIA RAFIQ, MD. Source: openpaymentsdata.cms.gov.

Total received

$681

Largest payer

Intercept Pharmaceuticals, 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 · Above average

SHAZIA RAFIQ, MD — brand share 26.0%
Specialty average (est.)

26% brand-name claims vs 74% generic, on 143 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.

143
Total Claims
$326K
Total Drug Cost
59
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
244
Total Day Supply
6,882
Brand vs Generic
26% brand / 74% generic
Brand Drug Cost
$320K
Generic Drug Cost
$5K
Antibiotic Claims
12

Patient Demographics

Average Patient Age
71.7 years
Avg HCC Risk Score
1.19
Gender Split
64% female / 36% 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
Omeprazole
51
Pantoprazole Sodium
12
Lansoprazole
11
Stelara
Ustekinumab
11

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

Gastroenterology Physician Overview

How SHAZIA RAFIQ, MD fits within the Gastroenterology Physician landscape nationally.

16,567
Gastroenterology Physician Providers in US
54
States with Gastroenterology Physician
833
Avg Claims per Provider

SHAZIA RAFIQ, MD's 143 claims are below the specialty average of 833.

Nearby Gastroenterology Physician Providers in New Mexico

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

Compare Gastroenterology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is SHAZIA RAFIQ, MD's specialty?
SHAZIA RAFIQ, MD specializes in Gastroenterology Physician and practices in ALBUQUERQUE, New Mexico. Credentials: MD.
How much does SHAZIA RAFIQ, MD prescribe under Medicare Part D?
In 2023, SHAZIA RAFIQ, MD wrote 143 Medicare Part D claims totaling $326K in drug costs for 59 beneficiaries.
What is SHAZIA RAFIQ, MD's Medicare quality score?
SHAZIA RAFIQ, MD has a CMS MIPS Final Score of 54.1797/100 (Quality: 61.892, Cost: 68.707). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SHAZIA RAFIQ, MD located?
SHAZIA RAFIQ, MD is located at 1501 SAN PEDRO DR SE, ALBUQUERQUE, NM, 87108. Phone: (505) 265-1711.
What is SHAZIA RAFIQ, MD's NPI number?
SHAZIA RAFIQ, MD's National Provider Identifier (NPI) is 1548354939, issued on 10/03/2006.
Does SHAZIA RAFIQ, MD prescribe more brand-name or generic drugs?
SHAZIA RAFIQ, MD's prescribing is 26% brand-name and 74% generic drugs by claim count, with $320K in brand drug costs.
How many Gastroenterology Physician providers are there in the US?
There are 16,567 Gastroenterology Physician providers across 54 states in the US. The average Gastroenterology Physician provider writes 833 Medicare Part D claims per year.
What drugs does SHAZIA RAFIQ, MD prescribe most often?
Based on 2023 Medicare Part D data, SHAZIA RAFIQ, MD's most frequently prescribed drugs include Omeprazole, Pantoprazole Sodium, Lansoprazole. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SHAZIA RAFIQ, MD accept Medicare?
SHAZIA RAFIQ, MD appears in CMS Medicare data with 143 Part D claims and 59 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SHAZIA RAFIQ, MD's credentials?
SHAZIA RAFIQ, MD's NPI is 1548354939 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