2026 NPPES data Colon & Rectal Surgery Physician NPI 1700509452 MD, PHD
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USAMA AHMED ALI, MD, PHD

Colon & Rectal Surgery Physician in NEW YORK, New York. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
33
Medicare Part D claims · 18 beneficiaries · Colon & Rectal Surgery Physician avg: 196
MIPS score
100/100
▲ 17 pts above national avg 83.1 · [object Object]
Industry payments
$1.1K
5 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: USAMA AHMED ALI, MD, PHD is a Colon & Rectal Surgery Physician ([object Object]) practicing in NEW YORK, New York with a Medicare Part D prescribing footprint of 33 claims across 18 beneficiaries . Their CMS MIPS Final Score of 100/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $1.1K across 5 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: USAMA AHMED ALI, MD, PHD reported a CMS MIPS final score of 100 out of 100, above the 83.1 national average, and filed 33 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

USAMA AHMED ALI, MD, PHD 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).

USAMA AHMED ALI, MD, PHD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 09/19/2022

NPI 1700509452

Primary specialty

Colon & Rectal Surgery Physician

Niche

1,608 US NPIs in this specialty

Medicare Part D claims

33 83% vs specialty avg

2023 prescription claims

Specialty avg: 196

MIPS final score

100/100 16.900000000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in New York

How Colon & Rectal Surgery Physician compares to other specialties among New York providers

New York providers

Colon & Rectal Surgery Physician share within New York

1. Colon & Rectal Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Colon & Rectal Surgery Physician share within New York

Medicare quality performance — MIPS

USAMA AHMED ALI, MD, PHD's 2023 MIPS final score plotted against the Colon & Rectal Surgery Physician national average

High performer (top quartile)
MIPS Final Score
100/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Colon & Rectal Surgery Physician) — 100/100 vs national avg 83.1

0%100%National avg83%99%
MIPS final score (Colon & Rectal Surgery Physician) — 100/100 vs national avg 83.1

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).

USAMA AHMED ALI, MD, PHD is a Colon & Rectal Surgery Physician provider practicing in NEW YORK, New York, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD, PHD. NPI: 1700509452. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

USAMA AHMED ALI, MD, PHD appears in the CMS NPPES registry as a Colon & Rectal Surgery Physician provider holding MD, PHD credentials at 161 FORT WASHINGTON AVE, NEW YORK, NY, 10032, with a listed phone of (212) 342-1155. NPI 1700509452 was issued on 09/19/2022. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what AHMED ALI most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 33 prescription claims written by this provider, covering 18 Medicare beneficiaries and totaling roughly $289 in drug spend. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 100/100 for the 2023 performance year (Quality 86.8066), compared with the national average of 83.1.

Colon & Rectal Surgery Physician is a narrow specialty nationwide, with 1,608 enrolled providers across 50 states and an average of 196 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

161 FORT WASHINGTON AVE
NEW YORK, NY 10032

Provider Details

NPI 1700509452
Specialty Colon & Rectal Surgery Physician
Credentials MD, PHD
Gender Male
NPI Issued 09/19/2022

CMS Quality Score (MIPS)

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

100
Final Score
Avg: 83.1
86.8066
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where USAMA AHMED ALI, MD, PHD 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.

TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK
NEW YORK, NY

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 USAMA AHMED ALI, MD, PHD. Source: openpaymentsdata.cms.gov.

Total received

$1.1K

Largest payer

INTUITIVE SURGICAL, 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 — New York NYSBPMC 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 ~100K New York medical licensees in 2023 — they are NOT specific to USAMA AHMED ALI, MD, PHD. To verify USAMA AHMED ALI, MD, PHD's current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases

NYSBPMC 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 New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

33
Total Claims
$289
Total Drug Cost
18
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
33
Total Day Supply
175
Generic Drug Cost
$257
Antibiotic Claims
11

Patient Demographics

Average Patient Age
67.9 years
Avg HCC Risk Score
2.19

Colon & Rectal Surgery Physician Overview

How USAMA AHMED ALI, MD, PHD fits within the Colon & Rectal Surgery Physician landscape nationally.

1,608
Colon & Rectal Surgery Physician Providers in US
50
States with Colon & Rectal Surgery Physician
196
Avg Claims per Provider

USAMA AHMED ALI, MD, PHD's 33 claims are below the specialty average of 196.

Nearby Colon & Rectal Surgery Physician Providers in New York

Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as AHMED ALI.

Compare Colon & Rectal Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is USAMA AHMED ALI, MD, PHD's specialty?
USAMA AHMED ALI, MD, PHD specializes in Colon & Rectal Surgery Physician and practices in NEW YORK, New York. Credentials: MD, PHD.
How much does USAMA AHMED ALI, MD, PHD prescribe under Medicare Part D?
In 2023, USAMA AHMED ALI, MD, PHD wrote 33 Medicare Part D claims totaling $289 in drug costs for 18 beneficiaries.
What is USAMA AHMED ALI, MD, PHD's Medicare quality score?
USAMA AHMED ALI, MD, PHD has a CMS MIPS Final Score of 100/100 (Quality: 86.8066). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is USAMA AHMED ALI, MD, PHD located?
USAMA AHMED ALI, MD, PHD is located at 161 FORT WASHINGTON AVE, NEW YORK, NY, 10032. Phone: (212) 342-1155.
What is USAMA AHMED ALI, MD, PHD's NPI number?
USAMA AHMED ALI, MD, PHD's National Provider Identifier (NPI) is 1700509452, issued on 09/19/2022.
How many Colon & Rectal Surgery Physician providers are there in the US?
There are 1,608 Colon & Rectal Surgery Physician providers across 50 states in the US. The average Colon & Rectal Surgery Physician provider writes 196 Medicare Part D claims per year.
Does USAMA AHMED ALI, MD, PHD accept Medicare?
USAMA AHMED ALI, MD, PHD appears in CMS Medicare data with 33 Part D claims and 18 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify USAMA AHMED ALI, MD, PHD's credentials?
USAMA AHMED ALI, MD, PHD's NPI is 1700509452 with credentials MD, PHD. 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

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