2026 NPPES data Sleep Medicine (Family Medicine) Physician NPI 1336329192 M.D.
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MUKESH KAPOOR, M.D.

Sleep Medicine (Family Medicine) Physician in BURLINGTON, Massachusetts. 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
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
91.4157/100
▲ 8 pts above national avg 83.1 · [object Object]

What the federal data shows

MUKESH KAPOOR, M.D. reported a CMS MIPS final score of 91.4157/100 — above the 83.1 national average — and filed 427 Medicare Part D claims in 2023.

91.4157/100
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

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)

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)

NPI registry status

Active

Issued 11/09/2007

NPI 1336329192

Primary specialty

Sleep Medicine (Family Medicine) Physician

Rare

190 US NPIs in this specialty

Medicare Part D claims

427 72% vs specialty avg

2023 prescription claims

Specialty avg: 1,506

MIPS final score

91.4157/100 8.315700000000007% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Massachusetts

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

Massachusetts providers

Sleep Medicine (Family Medicine) Physician share within Massachusetts

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

Medicare quality performance — MIPS

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

High performer (top quartile)
MIPS Final Score
91.4157/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Sleep Medicine (Family Medicine) Physician) — 91.4157/100 vs national avg 83.1

0%100%National avg83%91.4%
MIPS final score (Sleep Medicine (Family Medicine) Physician) — 91.4157/100 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).

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. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what KAPOOR 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 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. 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 91.4157/100 for the 2023 performance year (Quality 76.877), 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

LAHEY HOSPITAL AND MEDICAL CENTER
BURLINGTON, MA 01805

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%
Specialty average (est.)

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

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
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.

Sleep Medicine (Family Medicine) Physician Overview

How MUKESH KAPOOR, 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

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 →

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 91.4157/100 (Quality: 76.877). 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 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 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

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