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.
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
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
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 averagePrimary specialty
Medicare Part D claims
MIPS final score
Specialty distribution in California
How Sleep Medicine (Family Medicine) Physician compares to other specialties among California providers
Sleep Medicine (Family Medicine) Physician share within California
Sleep Medicine (Family Medicine) Physician is one of the more visible NUCC categories in California
Each bar reflects the share of in-state providers whose primary NUCC taxonomy matches the specialty. Long tail of ~690 NUCC codes folded into "Other" to keep the comparison legible.
Medicare quality performance — MIPS
KINJAL MADHAV, M.D.'s 2023 MIPS final score plotted against the Sleep Medicine (Family Medicine) Physician 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
Quality benchmarks
- National MIPS avg 2023 reporting year
- Cost dim CMS Cost category
- Specialty volume Sleep Medicine (Family Medicine) Physician US NPIs
78.7985/100 MIPS final score — 4.3 pts below the 83.1 national average
Quality, Cost, Promoting Interoperability, and Improvement Activities composite score for the 2023 performance year. Specialty: Sleep Medicine (Family Medicine) Physician. Cost dim: 61.7553.
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
Provider Details
| NPI | 1124385182 |
|---|---|
| Specialty | Sleep Medicine (Family Medicine) Physician |
| Credentials | M.D. |
| Gender | Female |
| NPI Issued | 04/16/2012 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm KINJAL MADHAV, M.D.'s current license status, disciplinary history, and board certifications with the Medical Board of California in California before relying on this page for a clinical or care decision.
How we sourced this profile
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
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.
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.
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
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.
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
- Gabapentin
Gabapentin
67 claims
- Trazodone Hcl
Trazodone Hcl
62 claims
- Modafinil
Modafinil
41 claims
- Zolpidem Tartrate
Zolpidem Tartrate
38 claims
- Ropinirole Hcl 19
Ropinirole Hcl
19 claims
- Pramipexole Dihydr… 18
Pramipexole Dihydrochloride
18 claims
- Belsomra 17
Belsomra
17 claims
- Mirtazapine 15
Mirtazapine
15 claims
| 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.
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 →
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Frequently Asked Questions
What is KINJAL MADHAV, M.D.'s specialty? ▼
How much does KINJAL MADHAV, M.D. prescribe under Medicare Part D? ▼
What is KINJAL MADHAV, M.D.'s Medicare quality score? ▼
Where is KINJAL MADHAV, M.D. located? ▼
What is KINJAL MADHAV, M.D.'s NPI number? ▼
Does KINJAL MADHAV, M.D. prescribe more brand-name or generic drugs? ▼
How many Sleep Medicine (Family Medicine) Physician providers are there in the US? ▼
What drugs does KINJAL MADHAV, M.D. prescribe most often? ▼
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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