NPI registry status
Active
2026 NPPES data Pulmonary Disease Physician NPI 1194790857 MD
Verify on CMS → Sunoj Abraham, MD
Pulmonary Disease Physician in Crystal River, 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 9,271 in Pulmonary Disease 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
2K
Medicare Part D claims · 410 beneficiaries · Pulmonary Disease Physician avg: 1K
Generic prescribing
0%
generic claims · 52% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
100/100
▲ 17 pts above national avg 83.1 · Exceptional
Industry payments
$1.6K
50 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
Sunoj Abraham, MD reported a CMS MIPS final score of 100/100 - above the 83.1 national average - and filed 1,634 Medicare Part D claims in 2023.
- 100/100
- MIPS score · +17 vs avg
- 2K
- Part D claims, 2023
- 0%
- 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.
Sunoj Abraham, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
100 Top 7% higher than 93% 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 Sunoj Abraham, MD sits
This provider among pulmonary disease physician peers
Across the 2,676 pulmonary disease physician providers who report both Medicare Part D prescribing and a MIPS quality score, Sunoj Abraham, MD writes more Part D claims than 64% of them and scores higher on MIPS quality than 93% - placing this provider in the high-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 pulmonary disease physician peer from a representative sample of 60; the gold marker is Sunoj Abraham, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Sunoj Abraham, MD 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 Sunoj Abraham, MD?
High performer (top quartile)Primary specialty
Pulmonary Disease Physician
Medicare Part D claims
1,634 12% vs specialty avg
MIPS final score
100/100 16.9 pts vs avg
Specialty distribution in Florida
How Pulmonary Disease Physician compares to other specialties among Florida providers
Medicare quality performance, MIPS
Sunoj Abraham, MD's 2023 MIPS final score plotted against the Pulmonary Disease Physician national average
- MIPS Final Score
- 100/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Pulmonary Disease Physician) - 100/100 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).
Sunoj Abraham, MD appears in the CMS NPPES registry as a Pulmonary Disease Physician provider holding MD credentials at 5616 W NORVELL BRYANT HWY, Crystal River, FL, 34429, with a listed phone of (352) 795-1999. NPI 1194790857 was issued on 02/17/2006.
Medicare Part D records for calendar year 2023 show 1,634 prescription claims written by this provider, covering 410 Medicare beneficiaries and totaling roughly $1.2 million in drug spend, split 52% brand-name and 0% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 100/100 for the 2023 performance year, 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
Provider Details
| NPI | 1194790857 |
|---|---|
| Specialty | Pulmonary Disease Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 02/17/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
100
Final Score
Avg: 83.1
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Sunoj Abraham, MD 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.
Manoj B Shukla MD PA
Crystal River, 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 Sunoj Abraham, MD. Source: openpaymentsdata.cms.gov.
Total received
$1.6K
Largest payer
AstraZeneca Pharmaceuticals LP
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 Sunoj Abraham, MD. To verify Sunoj Abraham, MD'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
Sunoj Abraham, MD - brand share 52.0%
Pulmonary Disease Physician average
52% brand-name claims vs 0% generic, on 1,634 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.
1,634
Total Claims
$1.2M
Total Drug Cost
410
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 3,118
- Total Day Supply
- 87,168
- Brand vs Generic
- 52% brand / 0% generic
- Brand Drug Cost
- $1.2M
- Antibiotic Claims
- 125
Patient Demographics
- Average Patient Age
- 74.5 years
- Avg HCC Risk Score
- 2.39
- Gender Split
- 55% female / 45% male
- Age Distribution
- <65: 30, 65-74: 168, 75-84: 171, 85+: 41
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Sunoj Abraham, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Trelegy Ellipta
Trelegy Ellipta
267 claims
- Albuterol Sulfate …
Albuterol Sulfate Hfa
175 claims
- Prednisone
Prednisone
133 claims
- Breztri Aerosphere 97
Breztri Aerosphere
97 claims
- Breo Ellipta 93
Breo Ellipta
93 claims
- Anoro Ellipta 83
Anoro Ellipta
83 claims
- Montelukast Sodium 73
Montelukast Sodium
73 claims
- Amoxicillin-Clavul… 44
Amoxicillin-Clavulanate Potass
44 claims
| Drug | Claims |
|---|---|
| Trelegy Ellipta Fluticasone/Umeclidin/Vilanter | 267 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 175 |
| Prednisone | 133 |
| Breztri Aerosphere Budesonide/Glycopyr/Formoterol | 97 |
| Breo Ellipta Fluticasone/Vilanterol | 93 |
| Anoro Ellipta Umeclidinium Brm/Vilanterol Tr | 83 |
| Montelukast Sodium | 73 |
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 44 |
| Azithromycin | 42 |
| Symbicort Budesonide/Formoterol Fumarate | 35 |
* 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 Sunoj Abraham, MD 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
Sunoj Abraham, MD's 1,634 claims are above the specialty average of 1,457.
Nearby Pulmonary Disease Physician Providers in Florida
Other clinicians with the same primary specialty enrolled in Florida, drawn from the same CMS NPPES roster as Abraham.
Dr. Ahmed Abdel Fadil
MD
Tampa, FL
David Abia Trujillo
Jacksonville, FL
Dr. Yaw Abu
M.D
Belle Glade, FL
Dr. Abeer Abutaleb
M.D.
Pensacola, FL
Dr. Juan Acevedo-Crespo
M.D.
Coral Gables, FL
Compare Pulmonary Disease 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 Pulmonary Disease 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 Sunoj Abraham, MD's specialty? ▼
Sunoj Abraham, MD specializes in Pulmonary Disease Physician and practices in Crystal River, Florida. Credentials: MD.
How much does Sunoj Abraham, MD prescribe under Medicare Part D? ▼
In 2023, Sunoj Abraham, MD wrote 1,634 Medicare Part D claims totaling $1.2M in drug costs for 410 beneficiaries.
What is Sunoj Abraham, MD's Medicare quality score? ▼
Sunoj Abraham, MD has a CMS MIPS Final Score of 100/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Sunoj Abraham, MD located? ▼
Sunoj Abraham, MD is located at 5616 W NORVELL BRYANT HWY, Crystal River, FL, 34429. Phone: (352) 795-1999.
What is Sunoj Abraham, MD's NPI number? ▼
Sunoj Abraham, MD's National Provider Identifier (NPI) is 1194790857, issued on 02/17/2006.
Does Sunoj Abraham, MD prescribe more brand-name or generic drugs? ▼
Sunoj Abraham, MD's prescribing is 52% brand-name and 0% generic drugs by claim count, with $1.2M 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 Sunoj Abraham, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Sunoj Abraham, MD's most frequently prescribed drugs include Trelegy Ellipta, Albuterol Sulfate Hfa, Prednisone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Sunoj Abraham, MD accept Medicare? ▼
Sunoj Abraham, MD appears in CMS Medicare data with 1,634 Part D claims and 410 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Sunoj Abraham, MD's credentials? ▼
Sunoj Abraham, MD's NPI is 1194790857 with credentials MD. 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.