2026 NPPES data Sleep Medicine (Family Medicine) Physician NPI 1124385182 M.D.
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KINJAL MADHAV, M.D.

Sleep Medicine (Family Medicine) Physician in CARLSBAD, California. 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
429
Medicare Part D claims · 91 beneficiaries · Sleep Medicine (Family Medicine) Physician avg: 2K
Generic prescribing
86%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
78.7985/100
▼ 4 pts below national avg 83.1 · [object Object]
Industry payments
$2.1K
71 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

KINJAL MADHAV, M.D. reported a CMS MIPS final score of 78.7985/100 — below the 83.1 national average — and filed 429 Medicare Part D claims in 2023.

78.7985/100
MIPS score · -4 vs avg
429
Part D claims, 2023
86%
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.

KINJAL MADHAV, 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

79 27th percentile higher than 27% 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)

KINJAL MADHAV, M.D. 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 KINJAL MADHAV, M.D.?

Near national average

NPI registry status

Active

Issued 04/16/2012

NPI 1124385182

Primary specialty

Sleep Medicine (Family Medicine) Physician

Rare

190 US NPIs in this specialty

Medicare Part D claims

429 72% vs specialty avg

2023 prescription claims

Specialty avg: 1,506

MIPS final score

78.7985/100 4.30149999999999% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in California

How Sleep Medicine (Family Medicine) Physician compares to other specialties among California providers

California providers

Sleep Medicine (Family Medicine) Physician share within California

1. Sleep Medicine (Family Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Sleep Medicine (Family Medicine) Physician share within California

Medicare quality performance — MIPS

KINJAL MADHAV, M.D.'s 2023 MIPS final score plotted against the Sleep Medicine (Family Medicine) Physician national average

Near national average
MIPS Final Score
78.7985/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Sleep Medicine (Family Medicine) Physician) — 78.7985/100 vs national avg 83.1

0%100%National avg83%78.8%
MIPS final score (Sleep Medicine (Family Medicine) Physician) — 78.7985/100 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).

KINJAL MADHAV, M.D. appears in the CMS NPPES registry as a Sleep Medicine (Family Medicine) Physician provider holding M.D. credentials at 6010 HIDDEN VALLEY RD STE 200, CARLSBAD, CA, 92011, with a listed phone of (760) 631-3000. NPI 1124385182 was issued on 04/16/2012. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MADHAV 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 429 prescription claims written by this provider, covering 91 Medicare beneficiaries and totaling roughly $201K in drug spend, split 14% brand-name and 86% 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 78.7985/100 for the 2023 performance year, compared with the national average of 83.1.

Sleep Medicine (Family Medicine) Physician is a narrow specialty nationwide, with 190 enrolled providers across 45 states and an average of 1,506 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

6010 HIDDEN VALLEY RD STE 200
CARLSBAD, CA 92011

Provider Details

NPI 1124385182
Specialty Sleep Medicine (Family Medicine) Physician
Credentials M.D.
Gender Female
NPI Issued 04/16/2012

CMS Quality Score (MIPS)

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

78.7985
Final Score
Avg: 83.1
61.7553
Cost
80
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where KINJAL MADHAV, M.D. 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.

NORTH COUNTY NEUROLOGY ASSOCIATES MEDICAL GROUP
CARLSBAD, CA

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 KINJAL MADHAV, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$2.1K

Largest payer

Inspire Medical Systems, 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 — California MBC 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 ~150K California medical licensees in 2023 — they are NOT specific to KINJAL MADHAV, M.D.. To verify KINJAL MADHAV, M.D.'s current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC 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 California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

KINJAL MADHAV, M.D. — brand share 14.0%
Specialty average (est.)

14% brand-name claims vs 86% generic, on 429 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.

429
Total Claims
$201K
Total Drug Cost
91
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
675
Total Day Supply
19,881
Brand vs Generic
14% brand / 86% generic
Brand Drug Cost
$171K
Generic Drug Cost
$30K

Patient Demographics

Average Patient Age
71.8 years
Avg HCC Risk Score
1.30
Gender Split
57% female / 43% male

Top Prescribed Drugs (Medicare Part D)

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

What KINJAL MADHAV, M.D. 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
67
Trazodone Hcl
62
Modafinil
41
Zolpidem Tartrate
38
Ropinirole Hcl
19
Pramipexole Dihydrochloride
Pramipexole Di-Hcl
18
Belsomra
Suvorexant
17
Mirtazapine
15
Ramelteon
14
Clonazepam
12

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

Sleep Medicine (Family Medicine) Physician Overview

How KINJAL MADHAV, M.D. fits within the Sleep Medicine (Family Medicine) Physician landscape nationally.

190
Sleep Medicine (Family Medicine) Physician Providers in US
45
States with Sleep Medicine (Family Medicine) Physician
1,506
Avg Claims per Provider

KINJAL MADHAV, M.D.'s 429 claims are below the specialty average of 1,506.

Nearby Sleep Medicine (Family Medicine) Physician Providers in California

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

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

Frequently Asked Questions

What is KINJAL MADHAV, M.D.'s specialty?
KINJAL MADHAV, M.D. specializes in Sleep Medicine (Family Medicine) Physician and practices in CARLSBAD, California. Credentials: M.D..
How much does KINJAL MADHAV, M.D. prescribe under Medicare Part D?
In 2023, KINJAL MADHAV, M.D. wrote 429 Medicare Part D claims totaling $201K in drug costs for 91 beneficiaries.
What is KINJAL MADHAV, M.D.'s Medicare quality score?
KINJAL MADHAV, M.D. has a CMS MIPS Final Score of 78.7985/100, Cost: 61.7553. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is KINJAL MADHAV, M.D. located?
KINJAL MADHAV, M.D. is located at 6010 HIDDEN VALLEY RD STE 200, CARLSBAD, CA, 92011. Phone: (760) 631-3000.
What is KINJAL MADHAV, M.D.'s NPI number?
KINJAL MADHAV, M.D.'s National Provider Identifier (NPI) is 1124385182, issued on 04/16/2012.
Does KINJAL MADHAV, M.D. prescribe more brand-name or generic drugs?
KINJAL MADHAV, M.D.'s prescribing is 14% brand-name and 86% generic drugs by claim count, with $171K in brand drug costs.
How many Sleep Medicine (Family Medicine) Physician providers are there in the US?
There are 190 Sleep Medicine (Family Medicine) Physician providers across 45 states in the US. The average Sleep Medicine (Family Medicine) Physician provider writes 1,506 Medicare Part D claims per year.
What drugs does KINJAL MADHAV, M.D. prescribe most often?
Based on 2023 Medicare Part D data, KINJAL MADHAV, M.D.'s most frequently prescribed drugs include Gabapentin, Trazodone Hcl, Modafinil. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KINJAL MADHAV, M.D. accept Medicare?
KINJAL MADHAV, M.D. appears in CMS Medicare data with 429 Part D claims and 91 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KINJAL MADHAV, M.D.'s credentials?
KINJAL MADHAV, M.D.'s NPI is 1124385182 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.
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