2026 NPPES data Sleep Medicine (Internal Medicine) Physician NPI 1649595471 M.D.
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KUNTAL AVASHIA, M.D.

Sleep Medicine (Internal Medicine) Physician in OLEAN, 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.
Prescribing volume
78
Medicare Part D claims · 35 beneficiaries · Sleep Medicine (Internal Medicine) Physician avg: 1K
MIPS score
90.1338/100
▲ 7 pts above national avg 83.1 · [object Object]

What the federal data shows

KUNTAL AVASHIA, M.D. reported a CMS MIPS final score of 90.1338/100 — above the 83.1 national average — and filed 78 Medicare Part D claims in 2023.

90.1338/100
MIPS score · +7 vs avg
78
Part D claims, 2023
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.

KUNTAL AVASHIA, 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

90 Top 40% higher than 60% 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%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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)

KUNTAL AVASHIA, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — 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 KUNTAL AVASHIA, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 04/05/2010

NPI 1649595471

Primary specialty

Sleep Medicine (Internal Medicine) Physician

Niche

857 US NPIs in this specialty

Medicare Part D claims

78 94% vs specialty avg

2023 prescription claims

Specialty avg: 1,310

MIPS final score

90.1338/100 7.033799999999999% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in New York

How Sleep Medicine (Internal Medicine) Physician compares to other specialties among New York providers

New York providers

Sleep Medicine (Internal Medicine) Physician share within New York

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

Medicare quality performance — MIPS

KUNTAL AVASHIA, M.D.'s 2023 MIPS final score plotted against the Sleep Medicine (Internal Medicine) Physician national average

High performer (top quartile)
MIPS Final Score
90.1338/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Sleep Medicine (Internal Medicine) Physician) — 90.1338/100 vs national avg 83.1

0%100%National avg83%90.1%
MIPS final score (Sleep Medicine (Internal Medicine) Physician) — 90.1338/100 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).

KUNTAL AVASHIA, M.D. appears in the CMS NPPES registry as a Sleep Medicine (Internal Medicine) Physician provider holding M.D. credentials at 535 MAIN ST, OLEAN, NY, 14760, with a listed phone of (716) 372-0141. NPI 1649595471 was issued on 04/05/2010. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what AVASHIA 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 78 prescription claims written by this provider, covering 35 Medicare beneficiaries and totaling roughly $2K in drug spend. 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 90.1338/100 for the 2023 performance year (Quality 94.5076, Cost 70.025), compared with the national average of 83.1.

Sleep Medicine (Internal Medicine) Physician is a narrow specialty nationwide, with 857 enrolled providers across 52 states and an average of 1,310 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

535 MAIN ST
OLEAN, NY 14760

Provider Details

NPI 1649595471
Specialty Sleep Medicine (Internal Medicine) Physician
Credentials M.D.
Gender Male
NPI Issued 04/05/2010

CMS Quality Score (MIPS)

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

90.1338
Final Score
Avg: 83.1
94.5076
Quality
70.025
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where KUNTAL AVASHIA, 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.

NEW YORK UNIVERSITY
GARDEN CITY, NY
SLEEP INSIGHTS MEDICAL ASSOCIATES PLLC
ROCHESTER, NY

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 — 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 KUNTAL AVASHIA, M.D.. To verify KUNTAL AVASHIA, 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.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

78
Total Claims
$2K
Total Drug Cost
35
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
80
Total Day Supply
2,170
Generic Drug Cost
$736

Patient Demographics

Average Patient Age
71.1 years
Avg HCC Risk Score
1.03
Gender Split
49% female / 51% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Clonazepam
56

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

Sleep Medicine (Internal Medicine) Physician Overview

How KUNTAL AVASHIA, M.D. fits within the Sleep Medicine (Internal Medicine) Physician landscape nationally.

857
Sleep Medicine (Internal Medicine) Physician Providers in US
52
States with Sleep Medicine (Internal Medicine) Physician
1,310
Avg Claims per Provider

KUNTAL AVASHIA, M.D.'s 78 claims are below the specialty average of 1,310.

Nearby Sleep Medicine (Internal 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 AVASHIA.

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

Frequently Asked Questions

What is KUNTAL AVASHIA, M.D.'s specialty?
KUNTAL AVASHIA, M.D. specializes in Sleep Medicine (Internal Medicine) Physician and practices in OLEAN, New York. Credentials: M.D..
How much does KUNTAL AVASHIA, M.D. prescribe under Medicare Part D?
In 2023, KUNTAL AVASHIA, M.D. wrote 78 Medicare Part D claims totaling $2K in drug costs for 35 beneficiaries.
What is KUNTAL AVASHIA, M.D.'s Medicare quality score?
KUNTAL AVASHIA, M.D. has a CMS MIPS Final Score of 90.1338/100 (Quality: 94.5076, Cost: 70.025). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is KUNTAL AVASHIA, M.D. located?
KUNTAL AVASHIA, M.D. is located at 535 MAIN ST, OLEAN, NY, 14760. Phone: (716) 372-0141.
What is KUNTAL AVASHIA, M.D.'s NPI number?
KUNTAL AVASHIA, M.D.'s National Provider Identifier (NPI) is 1649595471, issued on 04/05/2010.
How many Sleep Medicine (Internal Medicine) Physician providers are there in the US?
There are 857 Sleep Medicine (Internal Medicine) Physician providers across 52 states in the US. The average Sleep Medicine (Internal Medicine) Physician provider writes 1,310 Medicare Part D claims per year.
What drugs does KUNTAL AVASHIA, M.D. prescribe most often?
Based on 2023 Medicare Part D data, KUNTAL AVASHIA, M.D.'s most frequently prescribed drugs include Clonazepam. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KUNTAL AVASHIA, M.D. accept Medicare?
KUNTAL AVASHIA, M.D. appears in CMS Medicare data with 78 Part D claims and 35 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KUNTAL AVASHIA, M.D.'s credentials?
KUNTAL AVASHIA, M.D.'s NPI is 1649595471 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