2026 NPPES data Interventional Pain Medicine Physician NPI 1205888369 M.D.
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NINAD STHALEKAR, M.D.

Interventional Pain Medicine Physician in DOYLESTOWN, Pennsylvania. 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
542
Medicare Part D claims · 142 beneficiaries · Interventional Pain Medicine Physician avg: 2K
MIPS score
79.5673/100
▼ 4 pts below national avg 83.1 · [object Object]
Industry payments
$1.1K
11 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: NINAD STHALEKAR, M.D. is a Interventional Pain Medicine Physician ([object Object]) practicing in DOYLESTOWN, Pennsylvania with a Medicare Part D prescribing footprint of 542 claims across 142 beneficiaries . Their CMS MIPS Final Score of 79.5673/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $1.1K across 11 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: NINAD STHALEKAR, M.D. reported a CMS MIPS final score of 79.5673 out of 100, below the 83.1 national average, and filed 542 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

NINAD STHALEKAR, 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).

NINAD STHALEKAR, M.D. at a glance

Near national average

NPI registry status

Active

Issued 05/17/2006

NPI 1205888369

Primary specialty

Interventional Pain Medicine Physician

Niche

1,528 US NPIs in this specialty

Medicare Part D claims

542 75% vs specialty avg

2023 prescription claims

Specialty avg: 2,197

MIPS final score

79.5673/100 3.5326999999999913% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Pennsylvania

How Interventional Pain Medicine Physician compares to other specialties among Pennsylvania providers

Pennsylvania providers

Interventional Pain Medicine Physician share within Pennsylvania

1. Interventional Pain Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Interventional Pain Medicine Physician share within Pennsylvania

Medicare quality performance — MIPS

NINAD STHALEKAR, M.D.'s 2023 MIPS final score plotted against the Interventional Pain Medicine Physician national average

Near national average
MIPS Final Score
79.5673/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Interventional Pain Medicine Physician) — 79.5673/100 vs national avg 83.1

0%100%National avg83%79.6%
MIPS final score (Interventional Pain Medicine Physician) — 79.5673/100 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).

NINAD STHALEKAR, M.D. is a Interventional Pain Medicine Physician provider practicing in DOYLESTOWN, Pennsylvania, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1205888369. 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.

NINAD STHALEKAR, M.D. appears in the CMS NPPES registry as a Interventional Pain Medicine Physician provider holding M.D. credentials at 800 W STATE ST, DOYLESTOWN, PA, 18901, with a listed phone of (215) 348-3068. NPI 1205888369 was issued on 05/17/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what STHALEKAR 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 542 prescription claims written by this provider, covering 142 Medicare beneficiaries and totaling roughly $11K in drug spend, with an opioid prescribing rate of 72.9%. 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 79.5673/100 for the 2023 performance year (Quality 71.5013, Cost 72.8897), compared with the national average of 83.1.

Interventional Pain Medicine Physician is a narrow specialty nationwide, with 1,528 enrolled providers across 53 states and an average of 2,197 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

800 W STATE ST
DOYLESTOWN, PA 18901

Provider Details

NPI 1205888369
Specialty Interventional Pain Medicine Physician
Credentials M.D.
Gender Male
NPI Issued 05/17/2006

CMS Quality Score (MIPS)

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

79.5673
Final Score
Avg: 83.1
71.5013
Quality
72.8897
Cost
85
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where NINAD STHALEKAR, 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.

BUCKS COUNTY ORTHOPEDIC SPECIALISTS, PC
WARRINGTON, PA
PHOENIX REHABILITATION AND HEALTH SERVICES INC
CRANBERRY TOWNSHIP, PA

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 NINAD STHALEKAR, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$1.1K

Largest payer

Boston Scientific 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.

License & disciplinary context — Pennsylvania PA-BOM 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 ~45K Pennsylvania medical licensees in 2023 — they are NOT specific to NINAD STHALEKAR, M.D.. To verify NINAD STHALEKAR, M.D.'s current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases

PA-BOM 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 Pennsylvania 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.

542
Total Claims
$11K
Total Drug Cost
142
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
542
Total Day Supply
14,787
Generic Drug Cost
$11K
Opioid Claims
395 (72.9% rate)

Patient Demographics

Average Patient Age
75.5 years
Avg HCC Risk Score
1.80
Gender Split
58% female / 42% 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
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
170
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
82
Tramadol Hcl
61
Gabapentin
39
Oxycodone Hcl
35
Mupirocin
32
Morphine Sulfate Er
Morphine Sulfate
23
Cyclobenzaprine Hcl
21
Fentanyl
14
Methylprednisolone
13

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

Interventional Pain Medicine Physician Overview

How NINAD STHALEKAR, M.D. fits within the Interventional Pain Medicine Physician landscape nationally.

1,528
Interventional Pain Medicine Physician Providers in US
53
States with Interventional Pain Medicine Physician
2,197
Avg Claims per Provider

NINAD STHALEKAR, M.D.'s 542 claims are below the specialty average of 2,197.

Nearby Interventional Pain Medicine Physician Providers in Pennsylvania

Other clinicians with the same primary specialty enrolled in Pennsylvania, drawn from the same CMS NPPES roster as STHALEKAR.

Compare Interventional Pain Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is NINAD STHALEKAR, M.D.'s specialty?
NINAD STHALEKAR, M.D. specializes in Interventional Pain Medicine Physician and practices in DOYLESTOWN, Pennsylvania. Credentials: M.D..
How much does NINAD STHALEKAR, M.D. prescribe under Medicare Part D?
In 2023, NINAD STHALEKAR, M.D. wrote 542 Medicare Part D claims totaling $11K in drug costs for 142 beneficiaries.
What is NINAD STHALEKAR, M.D.'s Medicare quality score?
NINAD STHALEKAR, M.D. has a CMS MIPS Final Score of 79.5673/100 (Quality: 71.5013, Cost: 72.8897). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is NINAD STHALEKAR, M.D. located?
NINAD STHALEKAR, M.D. is located at 800 W STATE ST, DOYLESTOWN, PA, 18901. Phone: (215) 348-3068.
What is NINAD STHALEKAR, M.D.'s NPI number?
NINAD STHALEKAR, M.D.'s National Provider Identifier (NPI) is 1205888369, issued on 05/17/2006.
Does NINAD STHALEKAR, M.D. prescribe opioids?
Yes, NINAD STHALEKAR, M.D. had 395 opioid claims in 2023 with an opioid prescribing rate of 72.9%.
How many Interventional Pain Medicine Physician providers are there in the US?
There are 1,528 Interventional Pain Medicine Physician providers across 53 states in the US. The average Interventional Pain Medicine Physician provider writes 2,197 Medicare Part D claims per year.
What drugs does NINAD STHALEKAR, M.D. prescribe most often?
Based on 2023 Medicare Part D data, NINAD STHALEKAR, M.D.'s most frequently prescribed drugs include Oxycodone-Acetaminophen, Hydrocodone-Acetaminophen, Tramadol Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does NINAD STHALEKAR, M.D. accept Medicare?
NINAD STHALEKAR, M.D. appears in CMS Medicare data with 542 Part D claims and 142 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify NINAD STHALEKAR, M.D.'s credentials?
NINAD STHALEKAR, M.D.'s NPI is 1205888369 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