2026 NPPES data Pediatric Critical Care Medicine Physician NPI 1376538108 M.D.
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JAVIER SANCHEZ, M.D.

Pediatric Critical Care Medicine Physician in ALBANY, 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.
MIPS score
76.7003/100
▼ 6 pts below national avg 83.1 · [object Object]
Industry payments
$23.33
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JAVIER SANCHEZ, M.D. reported a CMS MIPS final score of 76.7003/100 — below the 83.1 national average.

76.7003/100
MIPS score · -6 vs avg
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.

JAVIER SANCHEZ, M.D.'s MIPS score vs every scored U.S. clinician

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

77 21st percentile higher than 21% 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)

JAVIER SANCHEZ, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — 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 JAVIER SANCHEZ, M.D.?

Below national average

NPI registry status

Active

Issued 09/19/2005

NPI 1376538108

Primary specialty

Pediatric Critical Care Medicine Physician

Niche

2,247 US NPIs in this specialty

MIPS final score

76.7003/100 6.399699999999996% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in New York

How Pediatric Critical Care Medicine Physician compares to other specialties among New York providers

New York providers

Pediatric Critical Care Medicine Physician share within New York

1. Pediatric Critical Care Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pediatric Critical Care Medicine Physician share within New York

Medicare quality performance — MIPS

JAVIER SANCHEZ, M.D.'s 2023 MIPS final score plotted against the Pediatric Critical Care Medicine Physician national average

Below national average
MIPS Final Score
76.7003/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pediatric Critical Care Medicine Physician) — 76.7003/100 vs national avg 83.1

0%100%National avg83%76.7%
MIPS final score (Pediatric Critical Care Medicine Physician) — 76.7003/100 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).

JAVIER SANCHEZ, M.D. appears in the CMS NPPES registry as a Pediatric Critical Care Medicine Physician provider holding M.D. credentials at 47 NEW SCOTLAND AVE, ALBANY, NY, 12208, with a listed phone of (518) 262-5127. NPI 1376538108 was issued on 09/19/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SANCHEZ 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 prescribing data is not currently published for this NPI, which typically means the provider either wrote fewer than 11 Part D claims in the most recent reporting year, does not participate in Medicare, or practices in a specialty that rarely prescribes outpatient drugs. Absence of prescribing data is not a quality signal — many Pediatric Critical Care Medicine Physician providers operate outside Part D entirely. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 76.7003/100 for the 2023 performance year (Quality 77.9602, Cost 61.0409), compared with the national average of 83.1.

Pediatric Critical Care Medicine Physician is a narrow specialty nationwide, with 2,247 enrolled providers across 52 states and an average of 91 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

47 NEW SCOTLAND AVE
ALBANY, NY 12208

Provider Details

NPI 1376538108
Specialty Pediatric Critical Care Medicine Physician
Credentials M.D.
Gender Male
NPI Issued 09/19/2005

CMS Quality Score (MIPS)

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

76.7003
Final Score
Avg: 83.1
77.9602
Quality
61.0409
Cost
74
Promoting Interoperability

Reporting: Group practice

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 JAVIER SANCHEZ, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$23

Largest payer

Abbott Laboratories

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 JAVIER SANCHEZ, M.D.. To verify JAVIER SANCHEZ, M.D.'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.

Pediatric Critical Care Medicine Physician Overview

How JAVIER SANCHEZ, M.D. fits within the Pediatric Critical Care Medicine Physician landscape nationally.

2,247
Pediatric Critical Care Medicine Physician Providers in US
52
States with Pediatric Critical Care Medicine Physician
91
Avg Claims per Provider

Nearby Pediatric Critical Care Medicine Physician Providers in New York

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

Compare Pediatric Critical Care Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JAVIER SANCHEZ, M.D.'s specialty?
JAVIER SANCHEZ, M.D. specializes in Pediatric Critical Care Medicine Physician and practices in ALBANY, New York. Credentials: M.D..
What is JAVIER SANCHEZ, M.D.'s Medicare quality score?
JAVIER SANCHEZ, M.D. has a CMS MIPS Final Score of 76.7003/100 (Quality: 77.9602, Cost: 61.0409). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JAVIER SANCHEZ, M.D. located?
JAVIER SANCHEZ, M.D. is located at 47 NEW SCOTLAND AVE, ALBANY, NY, 12208. Phone: (518) 262-5127.
What is JAVIER SANCHEZ, M.D.'s NPI number?
JAVIER SANCHEZ, M.D.'s National Provider Identifier (NPI) is 1376538108, issued on 09/19/2005.
How many Pediatric Critical Care Medicine Physician providers are there in the US?
There are 2,247 Pediatric Critical Care Medicine Physician providers across 52 states in the US. The average Pediatric Critical Care Medicine Physician provider writes 91 Medicare Part D claims per year.
Does JAVIER SANCHEZ, M.D. accept Medicare?
JAVIER SANCHEZ, M.D. appears in CMS Medicare data. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JAVIER SANCHEZ, M.D.'s credentials?
JAVIER SANCHEZ, M.D.'s NPI is 1376538108 with credentials M.D.. 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.
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