Kumar Gautam Sinha, M.D.
Orthopaedic Surgery of the Spine Physician · Wayne, NJ
Kumar Gautam Sinha, M.D. is an orthopaedic surgery of the spine physician with a practice address in Wayne, New Jersey, and NPI 1194919340, issued on Aug 30, 2007. Check the license (New Jersey FS1402546, as entered in NPPES) on the New Jersey State Board of Medical Examiners; the Medicare figures below come from public CMS files.
- Name
- Kumar Gautam Sinha
- Credential
- M.D.
- Primary taxonomy
- Orthopaedic Surgery of the Spine Physician 207XS0117X
- License number
- FS1402546 NJ
Self-reported in NPPES; status is on the state search - Practice location
- 504 Valley RD, Wayne, NJ 07470
- Phone
- (973) 686-0700
- Enumerated
- Aug 30, 2007
- Record last updated
- Jun 2, 2010 (not updated in 16 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20091202000693); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest orthopaedic surgery of the spine physician records → All 92 in New Jersey → Look up another NPI →
Also registered at 504 Valley RD
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Douglas Borkowski, M.D.General Practice Physician1285769851
- Margeritte Carlson, PA-CMedical Physician Assistant1770413395
- Pamela D'Amato, MDPain Medicine (Anesthesiology) Physician1780872614
- Arash Emami, M.D.Orthopaedic Surgery Physician1558302935
- Anthony Festa, MDSports Medicine (Orthopaedic Surgery) Physician1154455947
- Fereydoon Ghobadi, M.D.Orthopaedic Hand Surgery Physician1912952607
Verify Kumar Gautam Sinha in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersNew Jersey State Board of Medical Examiners
Search for license FS1402546Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
63% fewer Medicare Part D claims than the average orthopaedic surgery of the spine physician in 2024
140 Medicare Part D claims for 70 beneficiaries, against an average of 381 among the 1,714 providers of this specialty who prescribed in Part D. Brand-name drugs were 0% of claims. 19 claims were for opioids.
Most prescribed
- Methylprednisolone32 claims
- Meloxicam23 claims
- Gabapentin15 claims
- Diclofenac Sodium12 claims
- Tizanidine Hcl12 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 0 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $2,902.98
28 payments; by number, the most common kind was food and beverage; the largest payer was Stryker Corporation. The 1,726 providers of this specialty with any payment received $34,071.55 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through 2 group practices
- Meritus Medical Center IncHagerstown, MD
- University Spine Center PCWayne, NJ
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Kumar Gautam Sinha among 92 orthopaedic surgery of the spine physician records in New Jersey
Kumar Gautam Sinha, M.D. is one of 92 orthopaedic surgery of the spine physician records with a practice address in New Jersey. 88% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 38% of them.
- NPI issued2007 · 38% of these records are older, 48% newer
- In a Medicare fileYes · 88% of these records are
- In the CMS Doctors and Clinicians fileYes · 71% of these records are
- Graduated2003 · median 2006 among the 65 with a school on file
- Record last updated2010 · 47% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207XS0117X and a New Jersey practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Orthopaedic Surgery of the Spine Physician providers in New Jersey
There are 92 orthopaedic surgery of the spine physician records in New Jersey.
All 92 in New Jersey → Every provider in Wayne → Orthopaedic Surgery of the Spine Physician nationwide →
The 8 orthopaedic surgery of the spine physician records with the nearest ZIP codes
- Stuart Changoor, MDWayne, NJ 074701437684206
- Colin Harris, MDWayne, NJ 074701194979435
- Ki Hwang, M.D.Wayne, NJ 074701205846680
- Nikhil Sahai, M.D., M.P.H.Wayne, NJ 074701033662622
- Andrew Sawires, MDWayne, NJ 074701568966935
- Sujal Patel, MDGlen Rock, NJ 074521467748301
- Louis Amorosa, M.D.Ridgewood, NJ 074501548444508
- Arnold Criscitiello, M.D.Ridgewood, NJ 074501245233634
Common questions
What is Kumar Gautam Sinha, M.D.'s NPI number?
Kumar Gautam Sinha, M.D.'s National Provider Identifier (NPI) is 1194919340, issued on Aug 30, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Kumar Gautam Sinha, M.D. located?
The NPPES record lists a practice address at 504 Valley RD, Wayne, NJ, 07470. Phone: (973) 686-0700. Providers update this record themselves, so call before visiting.
How can I verify Kumar Gautam Sinha, M.D.'s license?
NPPES lists New Jersey license number FS1402546, as entered by the provider. Search the New Jersey State Board of Medical Examiners at https://newjersey.mylicense.com/verification/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Kumar Gautam Sinha, M.D. prescribe under Medicare Part D?
In 2024, Kumar Gautam Sinha, M.D. had 140 Medicare Part D claims for 70 beneficiaries; the average among orthopaedic surgery of the spine physician prescribers was 381. Part D covers Medicare prescriptions only.
What is Kumar Gautam Sinha, M.D.'s MIPS final score?
The 2023 MIPS final score is 0 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.