2026 NPPES data Orthopaedic Surgery of the Spine Physician NPI 1770545956 MD
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KANWALDEEP SIDHU, MD

Orthopaedic Surgery of the Spine Physician in SAINT CLAIR SHORES, Michigan. 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
1K
Medicare Part D claims · 463 beneficiaries · Orthopaedic Surgery of the Spine Physician avg: 362
Generic prescribing
99%
generic claims · 1% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
79.5404/100
▼ 4 pts below national avg 83.1 · [object Object]
What the federal data reveals: KANWALDEEP SIDHU, MD is a Orthopaedic Surgery of the Spine Physician ([object Object]) practicing in SAINT CLAIR SHORES, Michigan with a Medicare Part D prescribing footprint of 1K claims across 463 beneficiaries — 1% brand-name prescribing . Their CMS MIPS Final Score of 79.5404/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: KANWALDEEP SIDHU, MD reported a CMS MIPS final score of 79.5404 out of 100, below the 83.1 national average, and filed 1,379 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)

KANWALDEEP SIDHU, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 3 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

KANWALDEEP SIDHU, MD at a glance

Near national average

NPI registry status

Active

Issued 04/04/2006

NPI 1770545956

Primary specialty

Orthopaedic Surgery of the Spine Physician

Niche

1,773 US NPIs in this specialty

Medicare Part D claims

1,379 281% vs specialty avg

2023 prescription claims

Specialty avg: 362

MIPS final score

79.5404/100 3.559599999999989% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Michigan

How Orthopaedic Surgery of the Spine Physician compares to other specialties among Michigan providers

Michigan providers

Orthopaedic Surgery of the Spine Physician share within Michigan

1. Orthopaedic Surgery of the Spine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Orthopaedic Surgery of the Spine Physician share within Michigan

Medicare quality performance — MIPS

KANWALDEEP SIDHU, MD's 2023 MIPS final score plotted against the Orthopaedic Surgery of the Spine Physician national average

Near national average
MIPS Final Score
79.5404/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Orthopaedic Surgery of the Spine Physician) — 79.5404/100 vs national avg 83.1

0%100%National avg83%79.5%
MIPS final score (Orthopaedic Surgery of the Spine Physician) — 79.5404/100 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).

KANWALDEEP SIDHU, MD is a Orthopaedic Surgery of the Spine Physician provider practicing in SAINT CLAIR SHORES, Michigan, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1770545956. 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.

KANWALDEEP SIDHU, MD appears in the CMS NPPES registry as a Orthopaedic Surgery of the Spine Physician provider holding MD credentials at 23829 LITTLE MACK AVE, SAINT CLAIR SHORES, MI, 48080, with a listed phone of (586) 773-1300. NPI 1770545956 was issued on 04/04/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SIDHU 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 1,379 prescription claims written by this provider, covering 463 Medicare beneficiaries and totaling roughly $13K in drug spend, split 1% brand-name and 99% generic by claim count, with an opioid prescribing rate of 43.5%. 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 79.5404/100 for the 2023 performance year (Quality 88.6422, Cost 52.624), compared with the national average of 83.1.

Orthopaedic Surgery of the Spine Physician is a narrow specialty nationwide, with 1,773 enrolled providers across 51 states and an average of 362 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

23829 LITTLE MACK AVE
SAINT CLAIR SHORES, MI 48080

Provider Details

NPI 1770545956
Specialty Orthopaedic Surgery of the Spine Physician
Credentials MD
Gender Male
NPI Issued 04/04/2006

CMS Quality Score (MIPS)

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

79.5404
Final Score
Avg: 83.1
88.6422
Quality
52.624
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where KANWALDEEP SIDHU, 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.

ASCENSION MEDICAL GROUP MICHIGAN
MACOMB, MI
CORA HEALTH SERVICES INC
THE VILLAGES, FL
ST. CLAIR ORTHOPAEDICS AND SPORTS MEDICINE PC
SAINT CLAIR SHORES, MI

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

License & disciplinary context — Michigan MI-BOM 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 ~41K Michigan medical licensees in 2023 — they are NOT specific to KANWALDEEP SIDHU, MD. To verify KANWALDEEP SIDHU, MD's current license status, search the MI-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

123
Total board actions, Michigan 2023
Across 120 cases
3.00
Actions per 1,000 licensees
Michigan statewide rate
probation
Most common action type
44 cases

MI-BOM 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 Michigan disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

KANWALDEEP SIDHU, MD — brand share 1.0%
Specialty average (est.)

1% brand-name claims vs 99% generic, on 1,379 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.

1,379
Total Claims
$13K
Total Drug Cost
463
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,389
Total Day Supply
19,853
Brand vs Generic
1% brand / 99% generic
Brand Drug Cost
$2K
Generic Drug Cost
$11K
Opioid Claims
600 (43.5% rate)

Patient Demographics

Average Patient Age
71.8 years
Avg HCC Risk Score
1.17
Gender Split
60% female / 40% male
Age Distribution
<65: 49, 65-74: 248, 75-84: 151, 85+: 15

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
342
Gabapentin
202
Methylprednisolone
172
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
122
Methocarbamol
83
Meloxicam
71
Tramadol Hcl
68
Cyclobenzaprine Hcl
49
Mupirocin
47
Tizanidine Hcl
46

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

Orthopaedic Surgery of the Spine Physician Overview

How KANWALDEEP SIDHU, MD fits within the Orthopaedic Surgery of the Spine Physician landscape nationally.

1,773
Orthopaedic Surgery of the Spine Physician Providers in US
51
States with Orthopaedic Surgery of the Spine Physician
362
Avg Claims per Provider

KANWALDEEP SIDHU, MD's 1,379 claims are above the specialty average of 362.

Nearby Orthopaedic Surgery of the Spine Physician Providers in Michigan

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

Compare Orthopaedic Surgery of the Spine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is KANWALDEEP SIDHU, MD's specialty?
KANWALDEEP SIDHU, MD specializes in Orthopaedic Surgery of the Spine Physician and practices in SAINT CLAIR SHORES, Michigan. Credentials: MD.
How much does KANWALDEEP SIDHU, MD prescribe under Medicare Part D?
In 2023, KANWALDEEP SIDHU, MD wrote 1,379 Medicare Part D claims totaling $13K in drug costs for 463 beneficiaries.
What is KANWALDEEP SIDHU, MD's Medicare quality score?
KANWALDEEP SIDHU, MD has a CMS MIPS Final Score of 79.5404/100 (Quality: 88.6422, Cost: 52.624). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is KANWALDEEP SIDHU, MD located?
KANWALDEEP SIDHU, MD is located at 23829 LITTLE MACK AVE, SAINT CLAIR SHORES, MI, 48080. Phone: (586) 773-1300.
What is KANWALDEEP SIDHU, MD's NPI number?
KANWALDEEP SIDHU, MD's National Provider Identifier (NPI) is 1770545956, issued on 04/04/2006.
Does KANWALDEEP SIDHU, MD prescribe more brand-name or generic drugs?
KANWALDEEP SIDHU, MD's prescribing is 1% brand-name and 99% generic drugs by claim count, with $2K in brand drug costs.
Does KANWALDEEP SIDHU, MD prescribe opioids?
Yes, KANWALDEEP SIDHU, MD had 600 opioid claims in 2023 with an opioid prescribing rate of 43.5%.
How many Orthopaedic Surgery of the Spine Physician providers are there in the US?
There are 1,773 Orthopaedic Surgery of the Spine Physician providers across 51 states in the US. The average Orthopaedic Surgery of the Spine Physician provider writes 362 Medicare Part D claims per year.
What drugs does KANWALDEEP SIDHU, MD prescribe most often?
Based on 2023 Medicare Part D data, KANWALDEEP SIDHU, MD's most frequently prescribed drugs include Hydrocodone-Acetaminophen, Gabapentin, Methylprednisolone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KANWALDEEP SIDHU, MD accept Medicare?
KANWALDEEP SIDHU, MD appears in CMS Medicare data with 1,379 Part D claims and 463 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KANWALDEEP SIDHU, MD's credentials?
KANWALDEEP SIDHU, MD's NPI is 1770545956 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