Prashant Sinha, M.D.
Surgery Physician · Newark, NJ
Prashant Sinha, M.D. is a surgery physician with a practice address in Newark, New Jersey, and NPI 1790854735, issued on Nov 6, 2006. Check the license (New Jersey 25MA08530800, as entered in NPPES) on the New Jersey State Board of Medical Examiners; the Medicare figures below come from public CMS files.
- Name
- Prashant Sinha
- Credential
- M.D.
- Primary taxonomy
- Surgery Physician 208600000X
- License number
- 25MA08530800 NJ
Self-reported in NPPES; status is on the state search - Practice location
- 201 Lyons Ave # F4, Newark, NJ 07112
- Phone
- (973) 926-6217
- Enumerated
- Nov 6, 2006
- Record last updated
- Jan 8, 2026
- Fax
- (973) 926-2997
- Medicare enrollment
- Enrolled (PECOS I20090429000434); accepts Medicare assignment
- Medical or professional school
- Columbia University College Of Physicians And Surgeons, 2002
- Entity
- Type 1 · individual
8 nearest surgery physician records → All 737 in New Jersey → Look up another NPI →
Also registered at 201 Lyons Ave # F4
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Ahmed Abdelmonem, PA-CNeurological Surgery Physician1871154682
- Sukriti BansalSurgery Physician1588197883
- Khalid Tabbarah, M.D.Neurology Physician1962524975
Verify Prashant Sinha in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersNew Jersey State Board of Medical Examiners
Search for license 25MA08530800Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
24% fewer Medicare Part D claims than the average surgery physician in 2024
112 Medicare Part D claims for 15 beneficiaries, against an average of 147 among the 20,115 providers of this specialty who prescribed in Part D. Brand-name drugs were 12% of claims. 14 claims were for opioids.
Most prescribed
- Ondansetron Odt14 claims
- Sucralfate13 claims
- Oxycodone Hcl12 claims
- Clonazepam11 claims
- Dicyclomine Hcl11 claims
- Diphenoxylate-Atropine11 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 91.3 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $253.78
4 payments; by number, the most common kind was food and beverage; the largest payer was Enterra Medical, Inc. The 17,103 providers of this specialty with any payment received $3,513.80 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Barnabas Health Medical Group PCNewark, NJ
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Prashant Sinha among 737 surgery physician records in New Jersey
Prashant Sinha, M.D. is one of 737 surgery physician records with a practice address in New Jersey. 72% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 12% of them.
- NPI issued2006 · 12% of these records are older, 52% newer
- In a Medicare fileYes · 72% of these records are
- In the CMS Doctors and Clinicians fileYes · 61% of these records are
- Graduated2002 · median 2005 among the 445 with a school on file
- Record last updated2026 · 61% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208600000X and a New Jersey practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Surgery Physician providers in New Jersey
There are 737 surgery physician records in New Jersey.
All 737 in New Jersey → Every provider in Newark → Surgery Physician nationwide →
The 8 surgery physician records with the nearest ZIP codes
- Sukriti BansalNewark, NJ 071121588197883
- Dennis Bordan, M.D., F.A.C.S.Newark, NJ 071121164487559
- Moamena ElmatboulyNewark, NJ 071121811771298
- Sara Haile, MDNewark, NJ 071121699336107
- Celso Tria, CRNFANewark, NJ 071121730739780
- Jaime Soriano, M.D.Irvington, NJ 071111205928017
- Edward Mercogliano, M.D.Nutley, NJ 071101285738229
- Edwin Amirata, M.D.Belleville, NJ 071091437227600
Common questions
What is Prashant Sinha, M.D.'s NPI number?
Prashant Sinha, M.D.'s National Provider Identifier (NPI) is 1790854735, issued on Nov 6, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Prashant Sinha, M.D. located?
The NPPES record lists a practice address at 201 Lyons Ave # F4, Newark, NJ, 07112. Phone: (973) 926-6217. Providers update this record themselves, so call before visiting.
How can I verify Prashant Sinha, M.D.'s license?
NPPES lists New Jersey license number 25MA08530800, as entered by the provider. Search the New Jersey State Board of Medical Examiners at https://newjersey.mylicense.com/verification/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Prashant Sinha, M.D. prescribe under Medicare Part D?
In 2024, Prashant Sinha, M.D. had 112 Medicare Part D claims for 15 beneficiaries; the average among surgery physician prescribers was 147. Part D covers Medicare prescriptions only.
What is Prashant Sinha, M.D.'s MIPS final score?
The 2023 MIPS final score is 91.3 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.