NPI registry status
Active
2026 NPPES data Sleep Medicine (Family Medicine) Physician NPI 1336329192 M.D.
Verify on CMS → Mukesh Kapoor, M.D.
Sleep Medicine (Family Medicine) Physician in Burlington, Massachusetts.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 193 in Sleep Medicine (Family Medicine) Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
427
Medicare Part D claims · 83 beneficiaries · Sleep Medicine (Family Medicine) Physician avg: 2K
Generic prescribing
85%
generic claims · 15% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
91.4/100
▲ 8 pts above national avg 83.1 · Exceptional
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Mukesh Kapoor, M.D. reported a CMS MIPS final score of 91.4/100 - above the 83.1 national average - and filed 427 Medicare Part D claims in 2023.
- 91.4/100
- MIPS score · +8 vs avg
- 427
- Part D claims, 2023
- 85%
- 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.
Mukesh Kapoor, 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
91 Top 37% higher than 63% 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
Where Mukesh Kapoor, M.D. sits
This provider among sleep medicine (family medicine) physician peers
Across the 51 sleep medicine (family medicine) physician providers who report both Medicare Part D prescribing and a MIPS quality score, Mukesh Kapoor, M.D. writes more Part D claims than 45% of them and scores higher on MIPS quality than 73% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one sleep medicine (family medicine) physician peer from a representative sample of 50; the gold marker is Mukesh Kapoor, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Mukesh Kapoor, 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 Mukesh Kapoor, M.D.?
High performer (top quartile)Primary specialty
Sleep Medicine (Family Medicine) Physician
Medicare Part D claims
427 72% vs specialty avg
MIPS final score
91.4/100 8.3 pts vs avg
Specialty distribution in Massachusetts
How Sleep Medicine (Family Medicine) Physician compares to other specialties among Massachusetts providers
Medicare quality performance, MIPS
Mukesh Kapoor, M.D.'s 2023 MIPS final score plotted against the Sleep Medicine (Family Medicine) Physician national average
- MIPS Final Score
- 91.4/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Sleep Medicine (Family Medicine) Physician) - 91.4/100 vs national avg 83.1
How MIPS and board certification work
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).
Mukesh Kapoor, M.D. appears in the CMS NPPES registry as a Sleep Medicine (Family Medicine) Physician provider holding M.D. credentials at LAHEY HOSPITAL AND MEDICAL CENTER, Burlington, MA, 01805, with a listed phone of (781) 744-8630. NPI 1336329192 was issued on 11/09/2007.
Medicare Part D records for calendar year 2023 show 427 prescription claims written by this provider, covering 83 Medicare beneficiaries and totaling roughly $71K in drug spend, split 15% brand-name and 85% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 91.4/100 for the 2023 performance year (Quality 76.9), compared with the national average of 83.1.
Sleep Medicine (Family Medicine) Physician is a narrow specialty nationwide, with 193 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 | 1336329192 |
|---|---|
| Specialty | Sleep Medicine (Family Medicine) Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 11/09/2007 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
91.4157
Final Score
Avg: 83.1
76.877
Quality
100
Promoting Interoperability
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where Mukesh Kapoor, 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.
Lahey Clinic Inc
Peabody, MA
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 - Massachusetts BORIM 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 ~38K Massachusetts medical licensees in 2023 - they are NOT specific to Mukesh Kapoor, M.D.. To verify Mukesh Kapoor, M.D.'s current license status, search the BORIM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
80
Total board actions, Massachusetts 2023
Across 78 cases
2.11
Actions per 1,000 licensees
Massachusetts statewide rate
probation
Most common action type
29 cases
BORIM 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 Massachusetts disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Typical
Mukesh Kapoor, M.D. - brand share 15.0%
Sleep Medicine (Family Medicine) Physician average
15% brand-name claims vs 85% generic, on 427 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.
427
Total Claims
$71K
Total Drug Cost
83
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 597
- Total Day Supply
- 17,279
- Brand vs Generic
- 15% brand / 85% generic
- Brand Drug Cost
- $48K
- Generic Drug Cost
- $23K
Patient Demographics
- Average Patient Age
- 71.3 years
- Avg HCC Risk Score
- 1.32
- Gender Split
- 53% female / 47% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Mukesh Kapoor, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Pramipexole Dihydr…
Pramipexole Dihydrochloride
103 claims
- Acetazolamide
Acetazolamide
62 claims
- Modafinil 39
Modafinil
39 claims
- Dextroamphetamine … 36
Dextroamphetamine Sulfate Er
36 claims
- Effexor Xr 24
Effexor Xr
24 claims
- Armodafinil 21
Armodafinil
21 claims
- Gabapentin 21
Gabapentin
21 claims
- Zolpidem Tartrate 21
Zolpidem Tartrate
21 claims
| Drug | Claims |
|---|---|
| Pramipexole Dihydrochloride Pramipexole Di-Hcl | 103 |
| Acetazolamide | 62 |
| Modafinil | 39 |
| Dextroamphetamine Sulfate Er Dextroamphetamine Sulfate | 36 |
| Effexor Xr Venlafaxine Hcl | 24 |
| Armodafinil | 21 |
| Gabapentin | 21 |
| Zolpidem Tartrate | 21 |
| Sunosi Solriamfetol Hcl | 15 |
| Clonazepam | 13 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Sleep Medicine (Family Medicine) Physician in MA →
All providers in Massachusetts →
Compare specialties →
Sleep Medicine (Family Medicine) Physician Overview
How Mukesh Kapoor, M.D. fits within the Sleep Medicine (Family Medicine) Physician landscape nationally.
193
Sleep Medicine (Family Medicine) Physician Providers in US
45
States with Sleep Medicine (Family Medicine) Physician
1,506
Avg Claims per Provider
Mukesh Kapoor, M.D.'s 427 claims are below the specialty average of 1,506.
Nearby Sleep Medicine (Family Medicine) Physician Providers in Massachusetts
Other clinicians with the same primary specialty enrolled in Massachusetts, drawn from the same CMS NPPES roster as Kapoor.
Compare Sleep Medicine (Family Medicine) Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Massachusetts medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Sleep Medicine (Family Medicine) Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Medical Specialties Explained
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Frequently Asked Questions
What is Mukesh Kapoor, M.D.'s specialty? ▼
Mukesh Kapoor, M.D. specializes in Sleep Medicine (Family Medicine) Physician and practices in Burlington, Massachusetts. Credentials: M.D..
How much does Mukesh Kapoor, M.D. prescribe under Medicare Part D? ▼
In 2023, Mukesh Kapoor, M.D. wrote 427 Medicare Part D claims totaling $71K in drug costs for 83 beneficiaries.
What is Mukesh Kapoor, M.D.'s Medicare quality score? ▼
Mukesh Kapoor, M.D. has a CMS MIPS Final Score of 91.4/100 (Quality: 76.9). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Mukesh Kapoor, M.D. located? ▼
Mukesh Kapoor, M.D. is located at LAHEY HOSPITAL AND MEDICAL CENTER, Burlington, MA, 01805. Phone: (781) 744-8630.
What is Mukesh Kapoor, M.D.'s NPI number? ▼
Mukesh Kapoor, M.D.'s National Provider Identifier (NPI) is 1336329192, issued on 11/09/2007.
Does Mukesh Kapoor, M.D. prescribe more brand-name or generic drugs? ▼
Mukesh Kapoor, M.D.'s prescribing is 15% brand-name and 85% generic drugs by claim count, with $48K in brand drug costs.
How many Sleep Medicine (Family Medicine) Physician providers are there in the US? ▼
There are 193 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 Mukesh Kapoor, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Mukesh Kapoor, M.D.'s most frequently prescribed drugs include Pramipexole Dihydrochloride, Acetazolamide, Modafinil. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Mukesh Kapoor, M.D. accept Medicare? ▼
Mukesh Kapoor, M.D. appears in CMS Medicare data with 427 Part D claims and 83 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Mukesh Kapoor, M.D.'s credentials? ▼
Mukesh Kapoor, M.D.'s NPI is 1336329192 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
View source datasets and methodology notes
- 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
Compiled from official public sources by the PlainDoctor editorial team.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.