2026 NPPES data Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician NPI 1568803575 MD
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HARESH SAMPATHKUMAR, MD

Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician in DOVER, Delaware. 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
496
Medicare Part D claims · 89 beneficiaries · Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician avg: 353
Generic prescribing
92%
generic claims · 8% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75/100
▼ 8 pts below national avg 83.1 · [object Object]
Industry payments
$546.78
12 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

HARESH SAMPATHKUMAR, MD reported a CMS MIPS final score of 75/100 — below the 83.1 national average — and filed 496 Medicare Part D claims in 2023.

75/100
MIPS score · -8 vs avg
496
Part D claims, 2023
92%
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.

HARESH SAMPATHKUMAR, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

75 15th percentile higher than 15% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

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

Board certification likely (heuristic — not verified)

HARESH SAMPATHKUMAR, 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 HARESH SAMPATHKUMAR, MD?

Below national average

NPI registry status

Active

Issued 07/08/2013

NPI 1568803575

Primary specialty

Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician

Rare

96 US NPIs in this specialty

Medicare Part D claims

496 41% vs specialty avg

2023 prescription claims

Specialty avg: 353

MIPS final score

75/100 8.099999999999994% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Delaware

How Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician compares to other specialties among Delaware providers

Delaware providers

Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician share within Delaware

1. Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician share within Delaware

Medicare quality performance — MIPS

HARESH SAMPATHKUMAR, MD's 2023 MIPS final score plotted against the Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician national average

Below national average
MIPS Final Score
75/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician) — 75/100 vs national avg 83.1

0%100%National avg83%75%
MIPS final score (Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician) — 75/100 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).

HARESH SAMPATHKUMAR, MD appears in the CMS NPPES registry as a Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician provider holding MD credentials at 1221 COLLEGE PARK DR STE 203, DOVER, DE, 19904, with a listed phone of (302) 387-1407. NPI 1568803575 was issued on 07/08/2013. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SAMPATHKUMAR 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 496 prescription claims written by this provider, covering 89 Medicare beneficiaries and totaling roughly $58K in drug spend, split 8% brand-name and 92% 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 75/100 for the 2023 performance year, compared with the national average of 83.1.

Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician is a narrow specialty nationwide, with 96 enrolled providers across 27 states and an average of 353 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

1221 COLLEGE PARK DR STE 203
DOVER, DE 19904

Provider Details

NPI 1568803575
Specialty Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
Credentials MD
Gender Male
NPI Issued 07/08/2013

CMS Quality Score (MIPS)

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

75
Final Score
Avg: 83.1

Reporting: Individual

Hospital and facility affiliations

Facilities where HARESH SAMPATHKUMAR, 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.

DELAWARE PHYSIATRY
DOVER, DE

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 HARESH SAMPATHKUMAR, MD. Source: openpaymentsdata.cms.gov.

Total received

$547

Largest payer

Microtransponder, 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.

Brand vs generic prescribing mix · Generic-heavy

HARESH SAMPATHKUMAR, MD — brand share 8.0%
Specialty average (est.)

8% brand-name claims vs 92% generic, on 496 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.

496
Total Claims
$58K
Total Drug Cost
89
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
688
Total Day Supply
19,855
Brand vs Generic
8% brand / 92% generic
Brand Drug Cost
$45K
Generic Drug Cost
$13K

Patient Demographics

Average Patient Age
66.1 years
Avg HCC Risk Score
1.61
Gender Split
69% female / 31% male
Age Distribution
<65: 30, 65-74: 40, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

What HARESH SAMPATHKUMAR, MD 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
Gabapentin
49
Donepezil Hcl
30
Duloxetine Hcl
29
Baclofen
26
Sumatriptan Succinate
26
Nortriptyline Hcl
23
Carbidopa-Levodopa
Carbidopa/Levodopa
22
Tizanidine Hcl
22
Topiramate
22
Nurtec Odt
Rimegepant Sulfate
19

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

Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician Overview

How HARESH SAMPATHKUMAR, MD fits within the Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician landscape nationally.

96
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician Providers in US
27
States with Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
353
Avg Claims per Provider

HARESH SAMPATHKUMAR, MD's 496 claims are above the specialty average of 353.

Frequently Asked Questions

What is HARESH SAMPATHKUMAR, MD's specialty?
HARESH SAMPATHKUMAR, MD specializes in Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician and practices in DOVER, Delaware. Credentials: MD.
How much does HARESH SAMPATHKUMAR, MD prescribe under Medicare Part D?
In 2023, HARESH SAMPATHKUMAR, MD wrote 496 Medicare Part D claims totaling $58K in drug costs for 89 beneficiaries.
What is HARESH SAMPATHKUMAR, MD's Medicare quality score?
HARESH SAMPATHKUMAR, MD has a CMS MIPS Final Score of 75/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is HARESH SAMPATHKUMAR, MD located?
HARESH SAMPATHKUMAR, MD is located at 1221 COLLEGE PARK DR STE 203, DOVER, DE, 19904. Phone: (302) 387-1407.
What is HARESH SAMPATHKUMAR, MD's NPI number?
HARESH SAMPATHKUMAR, MD's National Provider Identifier (NPI) is 1568803575, issued on 07/08/2013.
Does HARESH SAMPATHKUMAR, MD prescribe more brand-name or generic drugs?
HARESH SAMPATHKUMAR, MD's prescribing is 8% brand-name and 92% generic drugs by claim count, with $45K in brand drug costs.
How many Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician providers are there in the US?
There are 96 Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician providers across 27 states in the US. The average Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician provider writes 353 Medicare Part D claims per year.
What drugs does HARESH SAMPATHKUMAR, MD prescribe most often?
Based on 2023 Medicare Part D data, HARESH SAMPATHKUMAR, MD's most frequently prescribed drugs include Gabapentin, Donepezil Hcl, Duloxetine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does HARESH SAMPATHKUMAR, MD accept Medicare?
HARESH SAMPATHKUMAR, MD appears in CMS Medicare data with 496 Part D claims and 89 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify HARESH SAMPATHKUMAR, MD's credentials?
HARESH SAMPATHKUMAR, MD's NPI is 1568803575 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.
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