2026 NPPES data Pediatric Orthopaedic Surgery Physician NPI 1275943110 M.D.
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NEIL KAUSHAL, M.D.

Pediatric Orthopaedic Surgery Physician in NEWARK, New Jersey. 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.
MIPS score
73.2773/100
▼ 10 pts below national avg 83.1 · [object Object]
Industry payments
$5.5K
17 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: NEIL KAUSHAL, M.D. is a Pediatric Orthopaedic Surgery Physician ([object Object]) practicing in NEWARK, New Jersey . Their CMS MIPS Final Score of 73.2773/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $5.5K across 17 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: NEIL KAUSHAL, M.D. reported a CMS MIPS final score of 73.2773 out of 100, below the 83.1 national average. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

NEIL KAUSHAL, 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).

NEIL KAUSHAL, M.D. at a glance

Below national average

NPI registry status

Active

Issued 04/30/2014

NPI 1275943110

Primary specialty

Pediatric Orthopaedic Surgery Physician

Niche

613 US NPIs in this specialty

MIPS final score

73.2773/100 9.822699999999998% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in New Jersey

How Pediatric Orthopaedic Surgery Physician compares to other specialties among New Jersey providers

New Jersey providers

Pediatric Orthopaedic Surgery Physician share within New Jersey

1. Pediatric Orthopaedic Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pediatric Orthopaedic Surgery Physician share within New Jersey

Medicare quality performance — MIPS

NEIL KAUSHAL, M.D.'s 2023 MIPS final score plotted against the Pediatric Orthopaedic Surgery Physician national average

Below national average
MIPS Final Score
73.2773/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pediatric Orthopaedic Surgery Physician) — 73.2773/100 vs national avg 83.1

0%100%National avg83%73.3%
MIPS final score (Pediatric Orthopaedic Surgery Physician) — 73.2773/100 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).

NEIL KAUSHAL, M.D. is a Pediatric Orthopaedic Surgery Physician provider practicing in NEWARK, New Jersey, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1275943110. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

NEIL KAUSHAL, M.D. appears in the CMS NPPES registry as a Pediatric Orthopaedic Surgery Physician provider holding M.D. credentials at 205 SOUTH ORANGE AVENUE, NEWARK, NJ, 07103, with a listed phone of (973) 972-2150. NPI 1275943110 was issued on 04/30/2014. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what KAUSHAL 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 prescribing data is not currently published for this NPI, which typically means the provider either wrote fewer than 11 Part D claims in the most recent reporting year, does not participate in Medicare, or practices in a specialty that rarely prescribes outpatient drugs. Absence of prescribing data is not a quality signal — many Pediatric Orthopaedic Surgery Physician providers operate outside Part D entirely. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 73.2773/100 for the 2023 performance year (Quality 44.8928, Cost 47.6995), compared with the national average of 83.1.

Pediatric Orthopaedic Surgery Physician is a narrow specialty nationwide, with 613 enrolled providers across 49 states and an average of 128 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

205 SOUTH ORANGE AVENUE
NEWARK, NJ 07103

Provider Details

NPI 1275943110
Specialty Pediatric Orthopaedic Surgery Physician
Credentials M.D.
Gender Male
NPI Issued 04/30/2014

CMS Quality Score (MIPS)

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

73.2773
Final Score
Avg: 83.1
44.8928
Quality
47.6995
Cost
83
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where NEIL KAUSHAL, 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.

UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC
NEWARK, NJ

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 NEIL KAUSHAL, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$5.5K

Largest payer

Stryker Corporation

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.

Pediatric Orthopaedic Surgery Physician Overview

How NEIL KAUSHAL, M.D. fits within the Pediatric Orthopaedic Surgery Physician landscape nationally.

613
Pediatric Orthopaedic Surgery Physician Providers in US
49
States with Pediatric Orthopaedic Surgery Physician
128
Avg Claims per Provider

Nearby Pediatric Orthopaedic Surgery Physician Providers in New Jersey

Other clinicians with the same primary specialty enrolled in New Jersey, drawn from the same CMS NPPES roster as KAUSHAL.

Compare Pediatric Orthopaedic Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is NEIL KAUSHAL, M.D.'s specialty?
NEIL KAUSHAL, M.D. specializes in Pediatric Orthopaedic Surgery Physician and practices in NEWARK, New Jersey. Credentials: M.D..
What is NEIL KAUSHAL, M.D.'s Medicare quality score?
NEIL KAUSHAL, M.D. has a CMS MIPS Final Score of 73.2773/100 (Quality: 44.8928, Cost: 47.6995). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is NEIL KAUSHAL, M.D. located?
NEIL KAUSHAL, M.D. is located at 205 SOUTH ORANGE AVENUE, NEWARK, NJ, 07103. Phone: (973) 972-2150.
What is NEIL KAUSHAL, M.D.'s NPI number?
NEIL KAUSHAL, M.D.'s National Provider Identifier (NPI) is 1275943110, issued on 04/30/2014.
How many Pediatric Orthopaedic Surgery Physician providers are there in the US?
There are 613 Pediatric Orthopaedic Surgery Physician providers across 49 states in the US. The average Pediatric Orthopaedic Surgery Physician provider writes 128 Medicare Part D claims per year.
Does NEIL KAUSHAL, M.D. accept Medicare?
NEIL KAUSHAL, M.D. appears in CMS Medicare data. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify NEIL KAUSHAL, M.D.'s credentials?
NEIL KAUSHAL, M.D.'s NPI is 1275943110 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.
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