NPI registry status
Active
2026 NPPES data Legal Medicine NPI 1396785192 M.D.
Verify on CMS → Simin Sistani, M.D.
Legal Medicine in Towson, Maryland.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,065 in Legal Medicine, 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
196
Medicare Part D claims · 90 beneficiaries · Legal Medicine avg: 3K
Generic prescribing
90%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
90.6/100
▲ 8 pts above national avg 83.1 · Exceptional
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
Simin Sistani, M.D. reported a CMS MIPS final score of 90.6/100 - above the 83.1 national average - and filed 196 Medicare Part D claims in 2023.
- 90.6/100
- MIPS score · +8 vs avg
- 196
- Part D claims, 2023
- 90%
- generic prescribing
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.
Simin Sistani, 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
91 Top 40% higher than 60% 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 Simin Sistani, M.D. sits
This provider among legal medicine peers
Across the 93 legal medicine providers who report both Medicare Part D prescribing and a MIPS quality score, Simin Sistani, M.D. writes more Part D claims than 16% of them and scores higher on MIPS quality than 63% - placing this provider in the lower-volume, high-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 legal medicine peer from a representative sample of 60; the gold marker is Simin Sistani, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Simin Sistani, M.D.?
High performer (top quartile)Primary specialty
Legal Medicine
Medicare Part D claims
196 93% vs specialty avg
MIPS final score
90.6/100 7.5 pts vs avg
Specialty distribution in Maryland
How Legal Medicine compares to other specialties among Maryland providers
Medicare quality performance, MIPS
Simin Sistani, M.D.'s 2023 MIPS final score plotted against the Legal Medicine national average
- MIPS Final Score
- 90.6/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Legal Medicine) - 90.6/100 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).
Simin Sistani, M.D. appears in the CMS NPPES registry as a Legal Medicine provider holding M.D. credentials at 25 DUNVALE RD, Towson, MD, 21204, with a listed phone of (410) 296-2399. NPI 1396785192 was issued on 06/08/2006.
Medicare Part D records for calendar year 2023 show 196 prescription claims written by this provider, covering 90 Medicare beneficiaries and totaling roughly $8K in drug spend, split 10% brand-name and 90% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 90.6/100 for the 2023 performance year (Quality 90.6, Cost 58.9), compared with the national average of 83.1.
Legal Medicine is a narrow specialty nationwide, with 1,065 enrolled providers across 51 states and an average of 2,821 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 | 1396785192 |
|---|---|
| Specialty | Legal Medicine |
| Credentials | M.D. |
| Gender | Female |
| NPI Issued | 06/08/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
90.6005
Final Score
Avg: 83.1
90.5623
Quality
58.9278
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Simin Sistani, 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.
Medstar Medical Group II LLC
Baltimore, MD
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Brand vs generic prescribing mix · Typical
Simin Sistani, M.D. - brand share 10.0%
Legal Medicine average
10% brand-name claims vs 90% generic, on 196 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.
196
Total Claims
$8K
Total Drug Cost
90
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 208
- Total Day Supply
- 3,790
- Brand vs Generic
- 10% brand / 90% generic
- Brand Drug Cost
- $5K
- Generic Drug Cost
- $3K
- Antibiotic Claims
- 49
Patient Demographics
- Average Patient Age
- 70.2 years
- Avg HCC Risk Score
- 3.91
- Gender Split
- 54% female / 46% male
- Age Distribution
- <65: 22, 65-74: 38, 75-84: 18, 85+: 12
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Pantoprazole Sodium | 18 |
| Prednisone | 18 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Legal Medicine Overview
How Simin Sistani, M.D. fits within the Legal Medicine landscape nationally.
1,065
Legal Medicine Providers in US
51
States with Legal Medicine
2,821
Avg Claims per Provider
Simin Sistani, M.D.'s 196 claims are below the specialty average of 2,821.
Nearby Legal Medicine Providers in Maryland
Other clinicians with the same primary specialty enrolled in Maryland, drawn from the same CMS NPPES roster as Sistani.
Dr. George Albright
M.D.
Timonium, MD
Dr. Zabiullah Ali
M.D.
Baltimore, MD
Dr. Akinlawon Ayeni
M.D.
Largo, MD
Dr. Fariba Baghai
M.D.
Hyattsville, MD
Dr. Nalini Bhargava
M.D
Baltimore, MD
Compare Legal Medicine 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 Maryland medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Legal Medicine 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 Simin Sistani, M.D.'s specialty? ▼
Simin Sistani, M.D. specializes in Legal Medicine and practices in Towson, Maryland. Credentials: M.D..
How much does Simin Sistani, M.D. prescribe under Medicare Part D? ▼
In 2023, Simin Sistani, M.D. wrote 196 Medicare Part D claims totaling $8K in drug costs for 90 beneficiaries.
What is Simin Sistani, M.D.'s Medicare quality score? ▼
Simin Sistani, M.D. has a CMS MIPS Final Score of 90.6/100 (Quality: 90.6, Cost: 58.9). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Simin Sistani, M.D. located? ▼
Simin Sistani, M.D. is located at 25 DUNVALE RD, Towson, MD, 21204. Phone: (410) 296-2399.
What is Simin Sistani, M.D.'s NPI number? ▼
Simin Sistani, M.D.'s National Provider Identifier (NPI) is 1396785192, issued on 06/08/2006.
Does Simin Sistani, M.D. prescribe more brand-name or generic drugs? ▼
Simin Sistani, M.D.'s prescribing is 10% brand-name and 90% generic drugs by claim count, with $5K in brand drug costs.
How many Legal Medicine providers are there in the US? ▼
There are 1,065 Legal Medicine providers across 51 states in the US. The average Legal Medicine provider writes 2,821 Medicare Part D claims per year.
What drugs does Simin Sistani, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Simin Sistani, M.D.'s most frequently prescribed drugs include Pantoprazole Sodium, Prednisone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Simin Sistani, M.D. accept Medicare? ▼
Simin Sistani, M.D. appears in CMS Medicare data with 196 Part D claims and 90 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Simin Sistani, M.D.'s credentials? ▼
Simin Sistani, M.D.'s NPI is 1396785192 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.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.