2026 NPPES data Family Medicine Physician NPI 1780258624 MD
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ZAENAB ALI, MD

Family Medicine Physician in EDGEWOOD, Kentucky. 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
124
Medicare Part D claims · 22 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
89%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
What the federal data reveals: ZAENAB ALI, MD is a Family Medicine Physician ([object Object]) practicing in EDGEWOOD, Kentucky with a Medicare Part D prescribing footprint of 124 claims across 22 beneficiaries — 11% brand-name prescribing .

What stands out: ZAENAB ALI, MD filed 124 Medicare Part D claims in 2023 across EDGEWOOD, Kentucky. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

ZAENAB ALI, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

ZAENAB ALI, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 05/15/2021

NPI 1780258624

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

124 96% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

Specialty distribution in Kentucky

How Family Medicine Physician compares to other specialties among Kentucky providers

Kentucky providers

Family Medicine Physician share within Kentucky

1. Family Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Family Medicine Physician share within Kentucky

Specialty board-certification context

Estimated specialty board-certified rate — Family Medicine Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Family Medicine Physician ABMS/AOA estimate

Est. board-certified rate (Family Medicine Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Family Medicine Physician) — ABMS / AOA estimate

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).

ZAENAB ALI, MD is a Family Medicine Physician provider practicing in EDGEWOOD, Kentucky, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1780258624. 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.

ZAENAB ALI, MD appears in the CMS NPPES registry as a Family Medicine Physician provider holding MD credentials at 413 S LOOP RD, EDGEWOOD, KY, 41017, with a listed phone of (859) 301-3800. NPI 1780258624 was issued on 05/15/2021. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what 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 124 prescription claims written by this provider, covering 22 Medicare beneficiaries and totaling roughly $9K in drug spend, split 11% brand-name and 89% generic by claim count. 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.

Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 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

413 S LOOP RD
EDGEWOOD, KY 41017

Provider Details

NPI 1780258624
Specialty Family Medicine Physician
Credentials MD
Gender Female
NPI Issued 05/15/2021

Hospital and facility affiliations

Facilities where ZAENAB ALI, 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.

ST ELIZABETH MEDICAL CENTER, INC
EDGEWOOD, KY
SUMMIT MEDICAL GROUP INC
EDGEWOOD, KY

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

ZAENAB ALI, MD — brand share 11.0%
Specialty average (est.)

11% brand-name claims vs 89% generic, on 124 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.

124
Total Claims
$9K
Total Drug Cost
22
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
169
Total Day Supply
4,538
Brand vs Generic
11% brand / 89% generic
Brand Drug Cost
$7K
Generic Drug Cost
$2K

Patient Demographics

Average Patient Age
72.1 years
Avg HCC Risk Score
2.48

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Atorvastatin Calcium
19
Lisinopril
11

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

Family Medicine Physician Overview

How ZAENAB ALI, MD fits within the Family Medicine Physician landscape nationally.

147,640
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

ZAENAB ALI, MD's 124 claims are below the specialty average of 3,418.

Nearby Family Medicine Physician Providers in Kentucky

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

Compare Family Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ZAENAB ALI, MD's specialty?
ZAENAB ALI, MD specializes in Family Medicine Physician and practices in EDGEWOOD, Kentucky. Credentials: MD.
How much does ZAENAB ALI, MD prescribe under Medicare Part D?
In 2023, ZAENAB ALI, MD wrote 124 Medicare Part D claims totaling $9K in drug costs for 22 beneficiaries.
Where is ZAENAB ALI, MD located?
ZAENAB ALI, MD is located at 413 S LOOP RD, EDGEWOOD, KY, 41017. Phone: (859) 301-3800.
What is ZAENAB ALI, MD's NPI number?
ZAENAB ALI, MD's National Provider Identifier (NPI) is 1780258624, issued on 05/15/2021.
Does ZAENAB ALI, MD prescribe more brand-name or generic drugs?
ZAENAB ALI, MD's prescribing is 11% brand-name and 89% generic drugs by claim count, with $7K in brand drug costs.
How many Family Medicine Physician providers are there in the US?
There are 147,640 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does ZAENAB ALI, MD prescribe most often?
Based on 2023 Medicare Part D data, ZAENAB ALI, MD's most frequently prescribed drugs include Atorvastatin Calcium, Lisinopril. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ZAENAB ALI, MD accept Medicare?
ZAENAB ALI, MD appears in CMS Medicare data with 124 Part D claims and 22 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ZAENAB ALI, MD's credentials?
ZAENAB ALI, MD's NPI is 1780258624 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

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