NPI registry status
Active
2026 NPPES data Interventional Pain Medicine Physician NPI 1205888369 M.D.
Verify on CMS → Ninad Sthalekar, M.D.
Interventional Pain Medicine Physician in Doylestown, Pennsylvania.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,528 in Interventional Pain 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
542
Medicare Part D claims · 142 beneficiaries · Interventional Pain Medicine Physician avg: 2K
MIPS score
79.6/100
▼ 4 pts below national avg 83.1 · Above neutral
Industry payments
$1.1K
11 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Ninad Sthalekar, M.D. reported a CMS MIPS final score of 79.6/100 - below the 83.1 national average - and filed 542 Medicare Part D claims in 2023.
- 79.6/100
- MIPS score · -4 vs avg
- 542
- Part D claims, 2023
- 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.
Ninad Sthalekar, 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
80 30th percentile higher than 30% 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 Ninad Sthalekar, M.D. sits
This provider among interventional pain medicine physician peers
Across the 546 interventional pain medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Ninad Sthalekar, M.D. writes more Part D claims than 23% of them and scores higher on MIPS quality than 52% - 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 interventional pain medicine physician peer from a representative sample of 60; the gold marker is Ninad Sthalekar, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
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).
What does the federal data show about Ninad Sthalekar, M.D.?
Near national averagePrimary specialty
Interventional Pain Medicine Physician
Medicare Part D claims
542 75% vs specialty avg
MIPS final score
79.6/100 3.5 pts vs avg
Specialty distribution in Pennsylvania
How Interventional Pain Medicine Physician compares to other specialties among Pennsylvania providers
Medicare quality performance, MIPS
Ninad Sthalekar, M.D.'s 2023 MIPS final score plotted against the Interventional Pain Medicine Physician national average
- MIPS Final Score
- 79.6/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Interventional Pain Medicine Physician) - 79.6/100 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).
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.
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%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 79.6/100 for the 2023 performance year (Quality 71.5, Cost 72.9), 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
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.
What Ninad Sthalekar, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Oxycodone-Acetamin…
Oxycodone-Acetaminophen
170 claims
- Hydrocodone-Acetam…
Hydrocodone-Acetaminophen
82 claims
- Tramadol Hcl 61
Tramadol Hcl
61 claims
- Gabapentin 39
Gabapentin
39 claims
- Oxycodone Hcl 35
Oxycodone Hcl
35 claims
- Mupirocin 32
Mupirocin
32 claims
- Morphine Sulfate Er 23
Morphine Sulfate Er
23 claims
- Cyclobenzaprine Hcl 21
Cyclobenzaprine Hcl
21 claims
| 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.
More Interventional Pain Medicine Physician in PA →
All providers in Pennsylvania →
Compare specialties →
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.
Dr. Teresa Andress
CRNP
Danville, PA
Dr. Mark Bell
M.D.
Plains, PA
Dr. Scott Brancolini
MD, MPH
Pittsburgh, PA
Dr. Jason Bundy
M.D.
Wyomissing, PA
Dr. Kerstin Burman
MD
Plains, PA
Compare Interventional Pain 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 Pennsylvania medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Interventional Pain 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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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 79.6/100 (Quality: 71.5, Cost: 72.9). 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
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.