2026 NPPES data Pulmonary Disease Physician NPI 1245679141 M.D.
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SHEHABALDIN ALQALYOOBI, M.D.

Pulmonary Disease Physician in SCOTTSDALE, Arizona. 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
840
Medicare Part D claims · 99 beneficiaries · Pulmonary Disease Physician avg: 1K
Generic prescribing
48%
generic claims · 52% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
98.333/100
▲ 15 pts above national avg 83.1 · [object Object]
Industry payments
$450.77
4 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: SHEHABALDIN ALQALYOOBI, M.D. is a Pulmonary Disease Physician ([object Object]) practicing in SCOTTSDALE, Arizona with a Medicare Part D prescribing footprint of 840 claims across 99 beneficiaries — 52% brand-name prescribing . Their CMS MIPS Final Score of 98.333/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $450.77 across 4 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: SHEHABALDIN ALQALYOOBI, M.D. reported a CMS MIPS final score of 98.333 out of 100, above the 83.1 national average, and filed 840 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)

SHEHABALDIN ALQALYOOBI, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

SHEHABALDIN ALQALYOOBI, M.D. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 06/24/2013

NPI 1245679141

Primary specialty

Pulmonary Disease Physician

Mid-sized

9,271 US NPIs in this specialty

Medicare Part D claims

840 42% vs specialty avg

2023 prescription claims

Specialty avg: 1,457

MIPS final score

98.333/100 15.233000000000004% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Arizona

How Pulmonary Disease Physician compares to other specialties among Arizona providers

Arizona providers

Pulmonary Disease Physician share within Arizona

1. Pulmonary Disease Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pulmonary Disease Physician share within Arizona

Medicare quality performance — MIPS

SHEHABALDIN ALQALYOOBI, M.D.'s 2023 MIPS final score plotted against the Pulmonary Disease Physician national average

High performer (top quartile)
MIPS Final Score
98.333/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pulmonary Disease Physician) — 98.333/100 vs national avg 83.1

0%100%National avg83%98.3%
MIPS final score (Pulmonary Disease Physician) — 98.333/100 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).

SHEHABALDIN ALQALYOOBI, M.D. is a Pulmonary Disease Physician provider practicing in SCOTTSDALE, Arizona, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1245679141. 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.

SHEHABALDIN ALQALYOOBI, M.D. appears in the CMS NPPES registry as a Pulmonary Disease Physician provider holding M.D. credentials at 13400 E SHEA BLVD, SCOTTSDALE, AZ, 85259, with a listed phone of (480) 301-8000. NPI 1245679141 was issued on 06/24/2013. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ALQALYOOBI 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 840 prescription claims written by this provider, covering 99 Medicare beneficiaries and totaling roughly $807K in drug spend, split 52% brand-name and 48% 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 98.333/100 for the 2023 performance year (Quality 82.9398), compared with the national average of 83.1.

Pulmonary Disease Physician is a mid-sized specialty nationwide, with 9,271 enrolled providers across 53 states and an average of 1,457 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

13400 E SHEA BLVD
SCOTTSDALE, AZ 85259

Provider Details

NPI 1245679141
Specialty Pulmonary Disease Physician
Credentials M.D.
Gender Male
NPI Issued 06/24/2013

CMS Quality Score (MIPS)

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

98.333
Final Score
Avg: 83.1
82.9398
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where SHEHABALDIN ALQALYOOBI, M.D. 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.

EAST CAROLINA UNIVERSITY
GREENVILLE, NC
MAYO CLINIC ARIZONA
SCOTTSDALE, AZ

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 SHEHABALDIN ALQALYOOBI, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$451

Largest payer

Boehringer Ingelheim 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 · Brand-heavy

SHEHABALDIN ALQALYOOBI, M.D. — brand share 52.0%
Specialty average (est.)

52% brand-name claims vs 48% generic, on 840 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.

840
Total Claims
$807K
Total Drug Cost
99
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,206
Total Day Supply
33,836
Brand vs Generic
52% brand / 48% generic
Brand Drug Cost
$791K
Generic Drug Cost
$16K
Antibiotic Claims
25

Patient Demographics

Average Patient Age
66.7 years
Avg HCC Risk Score
2.00
Gender Split
71% female / 29% male
Age Distribution
<65: 41, 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
Albuterol Sulfate Hfa
Albuterol Sulfate
87
Montelukast Sodium
74
Prednisone
73
Spiriva Respimat
Tiotropium Bromide
67
Symbicort
Budesonide/Formoterol Fumarate
59
Mycophenolate Mofetil
43
Trelegy Ellipta
Fluticasone/Umeclidin/Vilanter
43
Nucala
Mepolizumab
38
Fluticasone Propionate
35
Breo Ellipta
Fluticasone/Vilanterol
33

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

Pulmonary Disease Physician Overview

How SHEHABALDIN ALQALYOOBI, M.D. fits within the Pulmonary Disease Physician landscape nationally.

9,271
Pulmonary Disease Physician Providers in US
53
States with Pulmonary Disease Physician
1,457
Avg Claims per Provider

SHEHABALDIN ALQALYOOBI, M.D.'s 840 claims are below the specialty average of 1,457.

Nearby Pulmonary Disease Physician Providers in Arizona

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

Compare Pulmonary Disease Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is SHEHABALDIN ALQALYOOBI, M.D.'s specialty?
SHEHABALDIN ALQALYOOBI, M.D. specializes in Pulmonary Disease Physician and practices in SCOTTSDALE, Arizona. Credentials: M.D..
How much does SHEHABALDIN ALQALYOOBI, M.D. prescribe under Medicare Part D?
In 2023, SHEHABALDIN ALQALYOOBI, M.D. wrote 840 Medicare Part D claims totaling $807K in drug costs for 99 beneficiaries.
What is SHEHABALDIN ALQALYOOBI, M.D.'s Medicare quality score?
SHEHABALDIN ALQALYOOBI, M.D. has a CMS MIPS Final Score of 98.333/100 (Quality: 82.9398). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SHEHABALDIN ALQALYOOBI, M.D. located?
SHEHABALDIN ALQALYOOBI, M.D. is located at 13400 E SHEA BLVD, SCOTTSDALE, AZ, 85259. Phone: (480) 301-8000.
What is SHEHABALDIN ALQALYOOBI, M.D.'s NPI number?
SHEHABALDIN ALQALYOOBI, M.D.'s National Provider Identifier (NPI) is 1245679141, issued on 06/24/2013.
Does SHEHABALDIN ALQALYOOBI, M.D. prescribe more brand-name or generic drugs?
SHEHABALDIN ALQALYOOBI, M.D.'s prescribing is 52% brand-name and 48% generic drugs by claim count, with $791K in brand drug costs.
How many Pulmonary Disease Physician providers are there in the US?
There are 9,271 Pulmonary Disease Physician providers across 53 states in the US. The average Pulmonary Disease Physician provider writes 1,457 Medicare Part D claims per year.
What drugs does SHEHABALDIN ALQALYOOBI, M.D. prescribe most often?
Based on 2023 Medicare Part D data, SHEHABALDIN ALQALYOOBI, M.D.'s most frequently prescribed drugs include Albuterol Sulfate Hfa, Montelukast Sodium, Prednisone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SHEHABALDIN ALQALYOOBI, M.D. accept Medicare?
SHEHABALDIN ALQALYOOBI, M.D. appears in CMS Medicare data with 840 Part D claims and 99 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SHEHABALDIN ALQALYOOBI, M.D.'s credentials?
SHEHABALDIN ALQALYOOBI, M.D.'s NPI is 1245679141 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

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