NPI registry status
Active
2026 NPPES data Endocrinology, Diabetes & Metabolism Physician NPI 1801032529 M.D.
Verify on CMS → Sumbul Ali, M.D.
Endocrinology, Diabetes & Metabolism Physician in Spring Hill, Florida.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 7,852 in Endocrinology, Diabetes & Metabolism 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
6K
Medicare Part D claims · 787 beneficiaries · Endocrinology, Diabetes & Metabolism Physician avg: 3K
Generic prescribing
35%
generic claims · 52% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$651.77
34 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
Sumbul Ali, M.D. filed 6,108 Medicare Part D claims in 2023 as a Endocrinology, Diabetes & Metabolism Physician in Spring Hill, Florida, prescribing 35% generic.
- 6K
- Part D claims, 2023
- 35%
- generic prescribing
- 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.
Sumbul Ali, M.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
6,108 Top 5% higher than 95% of 1,370,886 prescribers
Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023
✓
Board certification likely (heuristic, not verified)
Sumbul Ali, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 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 Sumbul Ali, M.D.?
Quality data not reportedPrimary specialty
Endocrinology, Diabetes & Metabolism Physician
Medicare Part D claims
6,108 131% vs specialty avg
Specialty distribution in Florida
How Endocrinology, Diabetes & Metabolism Physician compares to other specialties among Florida providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Endocrinology, Diabetes & Metabolism Physician. Verify directly:
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).
Sumbul Ali, M.D. appears in the CMS NPPES registry as a Endocrinology, Diabetes & Metabolism Physician provider holding M.D. credentials at 14690 SPRING HILL DR STE 206, Spring Hill, FL, 34609, with a listed phone of (352) 799-4206. NPI 1801032529 was issued on 12/30/2008.
Medicare Part D records for calendar year 2023 show 6,108 prescription claims written by this provider, covering 787 Medicare beneficiaries and totaling roughly $3.9 million in drug spend, split 52% brand-name and 35% generic by claim count.
Endocrinology, Diabetes & Metabolism Physician is a mid-sized specialty nationwide, with 7,852 enrolled providers across 54 states and an average of 2,639 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 | 1801032529 |
|---|---|
| Specialty | Endocrinology, Diabetes & Metabolism Physician |
| Credentials | M.D. |
| Gender | Female |
| NPI Issued | 12/30/2008 |
Hospital and facility affiliations
Facilities where Sumbul Ali, 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.
Access Health Care Physicians LLC
Spring Hill, FL
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 Sumbul Ali, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$652
Largest payer
Novo Nordisk 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.
License & disciplinary context - Florida FLDOH 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 ~75K Florida medical licensees in 2023 - they are NOT specific to Sumbul Ali, M.D.. To verify Sumbul Ali, M.D.'s current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases
FLDOH 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 Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Brand-heavy
Sumbul Ali, M.D. - brand share 52.0%
Endocrinology, Diabetes & Metabolism Physician average
52% brand-name claims vs 35% generic, on 6,108 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.
6,108
Total Claims
$3.9M
Total Drug Cost
787
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 14,177
- Total Day Supply
- 421,504
- Brand vs Generic
- 52% brand / 35% generic
- Brand Drug Cost
- $3.6M
- Generic Drug Cost
- $78K
Patient Demographics
- Average Patient Age
- 69.1 years
- Avg HCC Risk Score
- 2.41
- Gender Split
- 60% female / 40% male
- Age Distribution
- <65: 188, 65-74: 372, 75-84: 188, 85+: 39
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Sumbul Ali, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Ozempic
Ozempic
551 claims
- Metformin Hcl
Metformin Hcl
425 claims
- Levothyroxine Sodium
Levothyroxine Sodium
407 claims
- Novolog Flexpen
Novolog Flexpen
264 claims
- Jardiance 196
Jardiance
196 claims
- Methimazole 172
Methimazole
172 claims
- Tresiba Flextouch … 137
Tresiba Flextouch U-100
137 claims
- Novolin 70-30 Flex… 136
Novolin 70-30 Flexpen
136 claims
| Drug | Claims |
|---|---|
| Ozempic Semaglutide | 551 |
| Metformin Hcl | 425 |
| Levothyroxine Sodium | 407 |
| Novolog Flexpen Insulin Aspart | 264 |
| Jardiance Empagliflozin | 196 |
| Methimazole | 172 |
| Tresiba Flextouch U-100 Insulin Degludec | 137 |
| Novolin 70-30 Flexpen Insulin Nph Hum/Reg Insulin Hm | 136 |
| Glipizide | 135 |
| Novolog Insulin Aspart | 123 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Endocrinology, Diabetes & Metabolism Physician in FL →
All providers in Florida →
Compare specialties →
Endocrinology, Diabetes & Metabolism Physician Overview
How Sumbul Ali, M.D. fits within the Endocrinology, Diabetes & Metabolism Physician landscape nationally.
7,852
Endocrinology, Diabetes & Metabolism Physician Providers in US
54
States with Endocrinology, Diabetes & Metabolism Physician
2,639
Avg Claims per Provider
Sumbul Ali, M.D.'s 6,108 claims are above the specialty average of 2,639.
Nearby Endocrinology, Diabetes & Metabolism Physician Providers in Florida
Other clinicians with the same primary specialty enrolled in Florida, drawn from the same CMS NPPES roster as Ali.
Dr. Ejigayehu Abate
MD
Jacksonville, FL
Dr. Susan Abend
M.D.
Sarasota, FL
Dr. Daisy Acevedo Morales
MD
South Miami, FL
Dr. Brenda Acosta Ashby
MD
Doral, FL
Dr. Adriane Adami
APRN
Panama City, FL
Compare Endocrinology, Diabetes & Metabolism 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 Florida medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Endocrinology, Diabetes & Metabolism 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.
Healthcare Guides
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Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
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How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
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Frequently Asked Questions
What is Sumbul Ali, M.D.'s specialty? ▼
Sumbul Ali, M.D. specializes in Endocrinology, Diabetes & Metabolism Physician and practices in Spring Hill, Florida. Credentials: M.D..
How much does Sumbul Ali, M.D. prescribe under Medicare Part D? ▼
In 2023, Sumbul Ali, M.D. wrote 6,108 Medicare Part D claims totaling $3.9M in drug costs for 787 beneficiaries.
Where is Sumbul Ali, M.D. located? ▼
Sumbul Ali, M.D. is located at 14690 SPRING HILL DR STE 206, Spring Hill, FL, 34609. Phone: (352) 799-4206.
What is Sumbul Ali, M.D.'s NPI number? ▼
Sumbul Ali, M.D.'s National Provider Identifier (NPI) is 1801032529, issued on 12/30/2008.
Does Sumbul Ali, M.D. prescribe more brand-name or generic drugs? ▼
Sumbul Ali, M.D.'s prescribing is 52% brand-name and 35% generic drugs by claim count, with $3.6M in brand drug costs.
How many Endocrinology, Diabetes & Metabolism Physician providers are there in the US? ▼
There are 7,852 Endocrinology, Diabetes & Metabolism Physician providers across 54 states in the US. The average Endocrinology, Diabetes & Metabolism Physician provider writes 2,639 Medicare Part D claims per year.
What drugs does Sumbul Ali, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Sumbul Ali, M.D.'s most frequently prescribed drugs include Ozempic, Metformin Hcl, Levothyroxine Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Sumbul Ali, M.D. accept Medicare? ▼
Sumbul Ali, M.D. appears in CMS Medicare data with 6,108 Part D claims and 787 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Sumbul Ali, M.D.'s credentials? ▼
Sumbul Ali, M.D.'s NPI is 1801032529 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.
- 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.