2026 NPPES data Internal Medicine Physician NPI 1578851697 M.D.
Verify on CMS →

SHERENE ARBABI, M.D.

Internal Medicine Physician in NEWPORT BEACH, California. 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
201
Medicare Part D claims · 113 beneficiaries · Internal Medicine Physician avg: 3K
MIPS score
44.0236/100
▼ 39 pts below national avg 83.1 · [object Object]
What the federal data reveals: SHERENE ARBABI, M.D. is a Internal Medicine Physician ([object Object]) practicing in NEWPORT BEACH, California with a Medicare Part D prescribing footprint of 201 claims across 113 beneficiaries . Their CMS MIPS Final Score of 44.0236/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: SHERENE ARBABI, M.D. reported a CMS MIPS final score of 44.0236 out of 100, below the 83.1 national average, and filed 201 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)

SHERENE ARBABI, 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).

SHERENE ARBABI, M.D. at a glance

Below national average

NPI registry status

Active

Issued 07/11/2011

NPI 1578851697

Primary specialty

Internal Medicine Physician

High-volume

172,858 US NPIs in this specialty

Medicare Part D claims

201 93% vs specialty avg

2023 prescription claims

Specialty avg: 2,716

MIPS final score

44.0236/100 39.07639999999999% pts

Below average band

vs 83.1 national avg

Specialty distribution in California

How Internal Medicine Physician compares to other specialties among California providers

California providers

Internal Medicine Physician share within California

1. Internal Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Internal Medicine Physician share within California

Medicare quality performance — MIPS

SHERENE ARBABI, M.D.'s 2023 MIPS final score plotted against the Internal Medicine Physician national average

Below national average
MIPS Final Score
44.0236/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Internal Medicine Physician) — 44.0236/100 vs national avg 83.1

0%100%National avg83%44%
MIPS final score (Internal Medicine Physician) — 44.0236/100 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).

SHERENE ARBABI, M.D. is a Internal Medicine Physician provider practicing in NEWPORT BEACH, California, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1578851697. 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.

SHERENE ARBABI, M.D. appears in the CMS NPPES registry as a Internal Medicine Physician provider holding M.D. credentials at 1 HOAG DR, NEWPORT BEACH, CA, 92663, with a listed phone of (949) 610-7245. NPI 1578851697 was issued on 07/11/2011. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ARBABI 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 201 prescription claims written by this provider, covering 113 Medicare beneficiaries and totaling roughly $9K in drug spend. 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 44.0236/100 for the 2023 performance year (Quality 41.1412, Cost 56.3393), compared with the national average of 83.1.

Internal Medicine Physician is a high-volume specialty nationwide, with 172,858 enrolled providers across 56 states and an average of 2,716 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

1 HOAG DR
NEWPORT BEACH, CA 92663

Provider Details

NPI 1578851697
Specialty Internal Medicine Physician
Credentials M.D.
Gender Female
NPI Issued 07/11/2011

CMS Quality Score (MIPS)

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

44.0236
Final Score
Avg: 83.1
41.1412
Quality
56.3393
Cost

Reporting: Group practice

License & disciplinary context — California MBC 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 ~150K California medical licensees in 2023 — they are NOT specific to SHERENE ARBABI, M.D.. To verify SHERENE ARBABI, M.D.'s current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC 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 California 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.

201
Total Claims
$9K
Total Drug Cost
113
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
211
Total Day Supply
4,178
Generic Drug Cost
$4K
Antibiotic Claims
48

Patient Demographics

Average Patient Age
78.6 years
Avg HCC Risk Score
2.06
Gender Split
49% female / 51% 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
Prednisone
12

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

Internal Medicine Physician Overview

How SHERENE ARBABI, M.D. fits within the Internal Medicine Physician landscape nationally.

172,858
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider

SHERENE ARBABI, M.D.'s 201 claims are below the specialty average of 2,716.

Nearby Internal Medicine Physician Providers in California

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

Compare Internal Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is SHERENE ARBABI, M.D.'s specialty?
SHERENE ARBABI, M.D. specializes in Internal Medicine Physician and practices in NEWPORT BEACH, California. Credentials: M.D..
How much does SHERENE ARBABI, M.D. prescribe under Medicare Part D?
In 2023, SHERENE ARBABI, M.D. wrote 201 Medicare Part D claims totaling $9K in drug costs for 113 beneficiaries.
What is SHERENE ARBABI, M.D.'s Medicare quality score?
SHERENE ARBABI, M.D. has a CMS MIPS Final Score of 44.0236/100 (Quality: 41.1412, Cost: 56.3393). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SHERENE ARBABI, M.D. located?
SHERENE ARBABI, M.D. is located at 1 HOAG DR, NEWPORT BEACH, CA, 92663. Phone: (949) 610-7245.
What is SHERENE ARBABI, M.D.'s NPI number?
SHERENE ARBABI, M.D.'s National Provider Identifier (NPI) is 1578851697, issued on 07/11/2011.
How many Internal Medicine Physician providers are there in the US?
There are 172,858 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
What drugs does SHERENE ARBABI, M.D. prescribe most often?
Based on 2023 Medicare Part D data, SHERENE ARBABI, M.D.'s most frequently prescribed drugs include Prednisone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SHERENE ARBABI, M.D. accept Medicare?
SHERENE ARBABI, M.D. appears in CMS Medicare data with 201 Part D claims and 113 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SHERENE ARBABI, M.D.'s credentials?
SHERENE ARBABI, M.D.'s NPI is 1578851697 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