NPI registry status
Active
2026 NPPES data Pediatric Cardiology Physician NPI 1265410757 M.D.
Verify on CMS → Sherif Tawfik, M.D.
Pediatric Cardiology Physician in Fairfax, Virginia.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 2,529 in Pediatric Cardiology 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
17
Medicare Part D claims · Pediatric Cardiology Physician avg: 77
MIPS score
81.3/100
▼ 2 pts below national avg 83.1 · Above neutral
Industry payments
$111.15
1 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Sherif Tawfik, M.D. reported a CMS MIPS final score of 81.3/100 - below the 83.1 national average - and filed 17 Medicare Part D claims in 2023.
- 81.3/100
- MIPS score · -2 vs avg
- 17
- Part D claims, 2023
- 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.
Sherif Tawfik, M.D.'s MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
81 36th percentile higher than 36% of 477,587 scored providers
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
Where Sherif Tawfik, M.D. sits
This provider among pediatric cardiology physician peers
Across the 67 pediatric cardiology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Sherif Tawfik, M.D. writes more Part D claims than 15% of them and scores higher on MIPS quality than 27% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one pediatric cardiology physician peer from a representative sample of 60; the gold marker is Sherif Tawfik, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Sherif Tawfik, M.D. 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).
What does the federal data show about Sherif Tawfik, M.D.?
Near national averagePrimary specialty
Pediatric Cardiology Physician
Medicare Part D claims
17 78% vs specialty avg
MIPS final score
81.3/100 1.8 pts vs avg
Specialty distribution in Virginia
How Pediatric Cardiology Physician compares to other specialties among Virginia providers
Medicare quality performance, MIPS
Sherif Tawfik, M.D.'s 2023 MIPS final score plotted against the Pediatric Cardiology Physician national average
- MIPS Final Score
- 81.3/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Pediatric Cardiology Physician) - 81.3/100 vs national avg 83.1
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).
Sherif Tawfik, M.D. appears in the CMS NPPES registry as a Pediatric Cardiology Physician provider holding M.D. credentials at 8260 WILLOW OAKS CORPORATE DR STE 400, Fairfax, VA, 22031, with a listed phone of (703) 573-0504. NPI 1265410757 was issued on 01/04/2006.
Medicare Part D records for calendar year 2023 show 17 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $386 in drug spend. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 81.3/100 for the 2023 performance year (Quality 70.8, Cost 66.8), compared with the national average of 83.1.
Pediatric Cardiology Physician is a narrow specialty nationwide, with 2,529 enrolled providers across 51 states and an average of 77 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
Provider Details
| NPI | 1265410757 |
|---|---|
| Specialty | Pediatric Cardiology Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 01/04/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
81.283
Final Score
Avg: 83.1
70.77
Quality
66.84
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Sherif Tawfik, 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.
Inova Health Care Services
Falls Church, VA
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 Sherif Tawfik, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$111
Largest payer
Medtronic, 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.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
17
Total Claims
$386
Total Drug Cost
N/A
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 45
- Total Day Supply
- 1,322
- Brand Drug Cost
- $0
- Generic Drug Cost
- $386
Patient Demographics
- Average Patient Age
- 39.2 years
- Avg HCC Risk Score
- 1.19
Pediatric Cardiology Physician Overview
How Sherif Tawfik, M.D. fits within the Pediatric Cardiology Physician landscape nationally.
2,529
Pediatric Cardiology Physician Providers in US
51
States with Pediatric Cardiology Physician
77
Avg Claims per Provider
Sherif Tawfik, M.D.'s 17 claims are below the specialty average of 77.
Nearby Pediatric Cardiology Physician Providers in Virginia
Other clinicians with the same primary specialty enrolled in Virginia, drawn from the same CMS NPPES roster as Tawfik.
Dr. Gerald Albrecht
M.D.
Richmond, VA
Dr. Tracy Alderson
M.D.
Norfolk, VA
Dr. Haysam Baho
M.D.
Manassas, VA
Dr. Scott Balderston
M.D.
Portsmouth, VA
Dr. Rula Balluz
MD
Roanoke, VA
Compare Pediatric Cardiology Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Virginia medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Pediatric Cardiology Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Sherif Tawfik, M.D.'s specialty? ▼
Sherif Tawfik, M.D. specializes in Pediatric Cardiology Physician and practices in Fairfax, Virginia. Credentials: M.D..
How much does Sherif Tawfik, M.D. prescribe under Medicare Part D? ▼
In 2023, Sherif Tawfik, M.D. wrote 17 Medicare Part D claims totaling $386 in drug costs for N/A beneficiaries.
What is Sherif Tawfik, M.D.'s Medicare quality score? ▼
Sherif Tawfik, M.D. has a CMS MIPS Final Score of 81.3/100 (Quality: 70.8, Cost: 66.8). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Sherif Tawfik, M.D. located? ▼
Sherif Tawfik, M.D. is located at 8260 WILLOW OAKS CORPORATE DR STE 400, Fairfax, VA, 22031. Phone: (703) 573-0504.
What is Sherif Tawfik, M.D.'s NPI number? ▼
Sherif Tawfik, M.D.'s National Provider Identifier (NPI) is 1265410757, issued on 01/04/2006.
How many Pediatric Cardiology Physician providers are there in the US? ▼
There are 2,529 Pediatric Cardiology Physician providers across 51 states in the US. The average Pediatric Cardiology Physician provider writes 77 Medicare Part D claims per year.
Does Sherif Tawfik, M.D. accept Medicare? ▼
Sherif Tawfik, M.D. appears in CMS Medicare data with 17 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Sherif Tawfik, M.D.'s credentials? ▼
Sherif Tawfik, M.D.'s NPI is 1265410757 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
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 (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
Compiled from official public sources by the PlainDoctor editorial team.