2026 NPPES data Gastroenterology Physician NPI 1942320288 M.D., M.S
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Syed Fehmi, M.D., M.S

Gastroenterology Physician in La Jolla, California.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 16,601 in Gastroenterology 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
455
Medicare Part D claims · 282 beneficiaries · Gastroenterology Physician avg: 833
Generic prescribing
79%
generic claims · 21% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75/100
CMS neutral threshold · no category scores published
Industry payments
$192.64
2 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

Syed Fehmi, M.D., M.S carries the neutral CMS MIPS final score of 75/100, assigned where no category was scored - and filed 455 Medicare Part D claims in 2023.

75/100
CMS neutral score · not measured
455
Part D claims, 2023
79%
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.

Syed Fehmi, M.D., M.S's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023, across all CMS prescribers nationally

455 ≥ 62nd percentile 62% of 1,370,886 prescribers are in lower value bands

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). This entry sits in this band. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2K+: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

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.

The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.

Source CMS Medicare Part D Prescriber Public Use File · 2023

Board certification likely (heuristic, not verified)

Syed Fehmi, M.D., M.S 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 Syed Fehmi, M.D., M.S?

CMS neutral score, not measured

NPI registry status

Active

Issued 03/30/2007

NPI 1942320288

Primary specialty

Gastroenterology Physician

Mid-sized

16,601 US NPIs in this specialty

Medicare Part D claims

455 45% vs specialty avg

2023 prescription claims

Specialty avg: 833

MIPS final score

75/100

CMS neutral score, not measured

No category scores published; CMS assigned the performance threshold

Specialty distribution in California

How Gastroenterology Physician compares to other specialties among California providers

California providers
Behavior Technician17.3%Marriage & Family Therapist5.5%Student in an Organized Heal…5%Mental Health Counselor3.9%Pharmacist3.5%Clinical Social Worker3.1%Gastroenterology Physician0.2%
Largest specialties in California (% of in-state providers)

MIPS score not measured

CMS assigned a neutral 75/100 threshold

CMS did not publish any Quality, Cost, Promoting Interoperability, or Improvement Activities category score for this clinician. This administrative threshold is not comparable with the national average of clinicians whose MIPS score was measured.

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).

Syed Fehmi, M.D., M.S appears in the CMS NPPES registry as a Gastroenterology Physician provider holding M.D., M.S credentials at 9300 CAMPUS POINT DR, La Jolla, CA, 92037, with a listed phone of (409) 789-6938. NPI 1942320288 was issued on 03/30/2007.

Medicare Part D records for calendar year 2023 show 455 prescription claims written by this provider, covering 282 Medicare beneficiaries and totaling roughly $54K in drug spend, split 21% brand-name and 79% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider carries a Final Score of 75/100 for the 2023 performance year, but CMS published no Quality, Promoting Interoperability, Improvement Activity or Cost score: this is the neutral performance threshold CMS assigns where nothing was scored, so it is not comparable with clinicians whose score was measured.

Gastroenterology Physician is a mid-sized specialty nationwide, with 16,601 enrolled providers across 54 states and an average of 833 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

9300 CAMPUS POINT DR
La Jolla, CA 92037

Provider Details

NPI 1942320288
Specialty Gastroenterology Physician
Credentials M.D., M.S
Gender Male
NPI Issued 03/30/2007

CMS Quality Score (MIPS)

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

75
Final Score
CMS neutral threshold · not measured

Reporting: Group practice

Hospital and facility affiliations

Facilities where Syed Fehmi, M.D., M.S 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.

Regents OF The University OF California
San Diego, CA

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 Syed Fehmi, M.D., M.S. Source: openpaymentsdata.cms.gov.

Total received

$193

Largest payer

Madrigal Pharmaceuticals

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 - 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 Syed Fehmi, M.D., M.S. To verify Syed Fehmi, M.D., M.S'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.

Brand vs generic prescribing mix · Typical

Syed Fehmi, M.D., M.S - brand share 21.0%
Gastroenterology Physician average

21% brand-name claims vs 79% generic, on 455 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.

455
Total Claims
$54K
Total Drug Cost
282
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
583
Total Day Supply
9,197
Brand vs Generic
21% brand / 79% generic
Brand Drug Cost
$36K
Generic Drug Cost
$18K
Antibiotic Claims
28

Patient Demographics

Average Patient Age
72.5 years
Avg HCC Risk Score
1.40
Gender Split
49% female / 51% male
Age Distribution
<65: 21, 65-74: 158, 75-84: 89, 85+: 14

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What Syed Fehmi, M.D., M.S prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Omeprazole
60
Pantoprazole Sodium
29
Lansoprazole
24
Famotidine
17
Ciprofloxacin Hcl
16
Gavilyte-C
"Peg3350/Sod Sulf
N/A
Gavilyte-G
"Peg3350/Sod Sulf
N/A
Sod Sulf-Potass Sulf-Mag Sulf
"Sodium
N/A
Suprep
"Sodium
N/A

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

Gastroenterology Physician Overview

How Syed Fehmi, M.D., M.S fits within the Gastroenterology Physician landscape nationally.

16,601
Gastroenterology Physician Providers in US
54
States with Gastroenterology Physician
833
Avg Claims per Provider

Syed Fehmi, M.D., M.S's 455 claims are below the specialty average of 833.

Nearby Gastroenterology Physician Providers in California

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

Compare Gastroenterology 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 California medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Gastroenterology 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.

Frequently Asked Questions

What is Syed Fehmi, M.D., M.S's specialty?
Syed Fehmi, M.D., M.S specializes in Gastroenterology Physician and practices in La Jolla, California. Credentials: M.D., M.S.
How much does Syed Fehmi, M.D., M.S prescribe under Medicare Part D?
In 2023, Syed Fehmi, M.D., M.S wrote 455 Medicare Part D claims totaling $54K in drug costs for 282 beneficiaries.
What is Syed Fehmi, M.D., M.S's Medicare quality score?
Syed Fehmi, M.D., M.S has a CMS MIPS Final Score of 75/100. CMS published no Quality, Promoting Interoperability, Improvement Activity or Cost score for this clinician, so the final score is the neutral performance threshold CMS assigns rather than a measured result. The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Syed Fehmi, M.D., M.S located?
Syed Fehmi, M.D., M.S is located at 9300 CAMPUS POINT DR, La Jolla, CA, 92037. Phone: (409) 789-6938.
What is Syed Fehmi, M.D., M.S's NPI number?
Syed Fehmi, M.D., M.S's National Provider Identifier (NPI) is 1942320288, issued on 03/30/2007.
Does Syed Fehmi, M.D., M.S prescribe more brand-name or generic drugs?
Syed Fehmi, M.D., M.S's prescribing is 21% brand-name and 79% generic drugs by claim count, with $36K in brand drug costs.
How many Gastroenterology Physician providers are there in the US?
There are 16,601 Gastroenterology Physician providers across 54 states in the US. The average Gastroenterology Physician provider writes 833 Medicare Part D claims per year.
What drugs does Syed Fehmi, M.D., M.S prescribe most often?
Based on 2023 Medicare Part D data, Syed Fehmi, M.D., M.S's most frequently prescribed drugs include Omeprazole, Pantoprazole Sodium, Lansoprazole. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Syed Fehmi, M.D., M.S accept Medicare?
Syed Fehmi, M.D., M.S appears in CMS Medicare data with 455 Part D claims and 282 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Syed Fehmi, M.D., M.S's credentials?
Syed Fehmi, M.D., M.S's NPI is 1942320288 with credentials M.D., M.S. 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

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.