2026 NPPES data Sleep Medicine (Psychiatry & Neurology) Physician NPI 1053538181 MD
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NINA KONSTANTINOVA, MD

Sleep Medicine (Psychiatry & Neurology) Physician in NEW YORK, 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
459
Medicare Part D claims · 94 beneficiaries · Sleep Medicine (Psychiatry & Neurology) Physician avg: 1K
Generic prescribing
81%
generic claims · 19% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
82.718/100
▼ 0 pts below national avg 83.1 · [object Object]
Industry payments
$556.29
26 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

NINA KONSTANTINOVA, MD reported a CMS MIPS final score of 82.718/100 — below the 83.1 national average — and filed 459 Medicare Part D claims in 2023.

82.718/100
MIPS score · 0 vs avg
459
Part D claims, 2023
81%
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.

NINA KONSTANTINOVA, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

83 39th percentile higher than 39% 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%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. 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)

NINA KONSTANTINOVA, MD 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 NINA KONSTANTINOVA, MD?

Near national average

NPI registry status

Active

Issued 04/19/2007

NPI 1053538181

Primary specialty

Sleep Medicine (Psychiatry & Neurology) Physician

Rare

371 US NPIs in this specialty

Medicare Part D claims

459 54% vs specialty avg

2023 prescription claims

Specialty avg: 1,005

MIPS final score

82.718/100 0.3819999999999908% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in New York

How Sleep Medicine (Psychiatry & Neurology) Physician compares to other specialties among New York providers

New York providers

Sleep Medicine (Psychiatry & Neurology) Physician share within New York

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

Medicare quality performance — MIPS

NINA KONSTANTINOVA, MD's 2023 MIPS final score plotted against the Sleep Medicine (Psychiatry & Neurology) Physician national average

Near national average
MIPS Final Score
82.718/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Sleep Medicine (Psychiatry & Neurology) Physician) — 82.718/100 vs national avg 83.1

0%100%National avg83%82.7%
MIPS final score (Sleep Medicine (Psychiatry & Neurology) Physician) — 82.718/100 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).

NINA KONSTANTINOVA, MD appears in the CMS NPPES registry as a Sleep Medicine (Psychiatry & Neurology) Physician provider holding MD credentials at 423 W 55TH ST, NEW YORK, NY, 10019, with a listed phone of (212) 994-4583. NPI 1053538181 was issued on 04/19/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what KONSTANTINOVA 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 459 prescription claims written by this provider, covering 94 Medicare beneficiaries and totaling roughly $593K in drug spend, split 19% brand-name and 81% 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 82.718/100 for the 2023 performance year (Quality 91.01, Cost 63.05), compared with the national average of 83.1.

Sleep Medicine (Psychiatry & Neurology) Physician is a narrow specialty nationwide, with 371 enrolled providers across 45 states and an average of 1,005 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

423 W 55TH ST
NEW YORK, NY 10019

Provider Details

NPI 1053538181
Specialty Sleep Medicine (Psychiatry & Neurology) Physician
Credentials MD
Gender Female
NPI Issued 04/19/2007

CMS Quality Score (MIPS)

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

82.718
Final Score
Avg: 83.1
91.01
Quality
63.05
Cost
86
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where NINA KONSTANTINOVA, MD 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.

PULMONARY CARE, PC
HAMDEN, CT
SOUTHWEST SUFFOLK MEDICAL PC
WEST ISLIP, 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).

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 NINA KONSTANTINOVA, MD. Source: openpaymentsdata.cms.gov.

Total received

$556

Largest payer

Avadel CNS Pharmaceuticals, LLC

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.

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 NINA KONSTANTINOVA, MD. To verify NINA KONSTANTINOVA, MD'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.

Brand vs generic prescribing mix · Typical

NINA KONSTANTINOVA, MD — brand share 19.0%
Specialty average (est.)

19% brand-name claims vs 81% generic, on 459 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.

459
Total Claims
$593K
Total Drug Cost
94
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
623
Total Day Supply
17,817
Brand vs Generic
19% brand / 81% generic
Brand Drug Cost
$586K
Generic Drug Cost
$7K
Antibiotic Claims
11

Patient Demographics

Average Patient Age
71.6 years
Avg HCC Risk Score
1.63
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.

What NINA KONSTANTINOVA, MD 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
Trazodone Hcl
56
Alprazolam
49
Zolpidem Tartrate
41
Gabapentin
25
Zaleplon
23
Xyrem
Sodium Oxybate
21
Sunosi
Solriamfetol Hcl
20
Ropinirole Hcl
18
Eszopiclone
16
Zolpidem Tartrate Er
Zolpidem Tartrate
15

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

Sleep Medicine (Psychiatry & Neurology) Physician Overview

How NINA KONSTANTINOVA, MD fits within the Sleep Medicine (Psychiatry & Neurology) Physician landscape nationally.

371
Sleep Medicine (Psychiatry & Neurology) Physician Providers in US
45
States with Sleep Medicine (Psychiatry & Neurology) Physician
1,005
Avg Claims per Provider

NINA KONSTANTINOVA, MD's 459 claims are below the specialty average of 1,005.

Nearby Sleep Medicine (Psychiatry & Neurology) Physician Providers in New York

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

Compare Sleep Medicine (Psychiatry & Neurology) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is NINA KONSTANTINOVA, MD's specialty?
NINA KONSTANTINOVA, MD specializes in Sleep Medicine (Psychiatry & Neurology) Physician and practices in NEW YORK, New York. Credentials: MD.
How much does NINA KONSTANTINOVA, MD prescribe under Medicare Part D?
In 2023, NINA KONSTANTINOVA, MD wrote 459 Medicare Part D claims totaling $593K in drug costs for 94 beneficiaries.
What is NINA KONSTANTINOVA, MD's Medicare quality score?
NINA KONSTANTINOVA, MD has a CMS MIPS Final Score of 82.718/100 (Quality: 91.01, Cost: 63.05). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is NINA KONSTANTINOVA, MD located?
NINA KONSTANTINOVA, MD is located at 423 W 55TH ST, NEW YORK, NY, 10019. Phone: (212) 994-4583.
What is NINA KONSTANTINOVA, MD's NPI number?
NINA KONSTANTINOVA, MD's National Provider Identifier (NPI) is 1053538181, issued on 04/19/2007.
Does NINA KONSTANTINOVA, MD prescribe more brand-name or generic drugs?
NINA KONSTANTINOVA, MD's prescribing is 19% brand-name and 81% generic drugs by claim count, with $586K in brand drug costs.
How many Sleep Medicine (Psychiatry & Neurology) Physician providers are there in the US?
There are 371 Sleep Medicine (Psychiatry & Neurology) Physician providers across 45 states in the US. The average Sleep Medicine (Psychiatry & Neurology) Physician provider writes 1,005 Medicare Part D claims per year.
What drugs does NINA KONSTANTINOVA, MD prescribe most often?
Based on 2023 Medicare Part D data, NINA KONSTANTINOVA, MD's most frequently prescribed drugs include Trazodone Hcl, Alprazolam, Zolpidem Tartrate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does NINA KONSTANTINOVA, MD accept Medicare?
NINA KONSTANTINOVA, MD appears in CMS Medicare data with 459 Part D claims and 94 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify NINA KONSTANTINOVA, MD's credentials?
NINA KONSTANTINOVA, MD's NPI is 1053538181 with credentials MD. 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