2026 NPPES data Brain Injury Medicine (Psychiatry & Neurology) Physician NPI 1467658930 MD
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SANJAY ADHIA, MD

Brain Injury Medicine (Psychiatry & Neurology) Physician in HOUSTON, Texas. 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
2K
Medicare Part D claims · 126 beneficiaries · Brain Injury Medicine (Psychiatry & Neurology) Physician avg: 1K
Generic prescribing
93%
generic claims · 7% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
82.3883/100
▼ 1 pts below national avg 83.1 · [object Object]

What the federal data shows

SANJAY ADHIA, MD reported a CMS MIPS final score of 82.3883/100 — below the 83.1 national average — and filed 1,503 Medicare Part D claims in 2023.

82.3883/100
MIPS score · -1 vs avg
2K
Part D claims, 2023
93%
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.

SANJAY ADHIA, MD's MIPS score vs every scored U.S. clinician

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

82 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)

SANJAY ADHIA, MD 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).

What does the federal data show about SANJAY ADHIA, MD?

Near national average

NPI registry status

Active

Issued 06/22/2007

NPI 1467658930

Primary specialty

Brain Injury Medicine (Psychiatry & Neurology) Physician

Rare

21 US NPIs in this specialty

Medicare Part D claims

1,503 9% vs specialty avg

2023 prescription claims

Specialty avg: 1,382

MIPS final score

82.3883/100 0.7116999999999933% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Texas

How Brain Injury Medicine (Psychiatry & Neurology) Physician compares to other specialties among Texas providers

Texas providers

Brain Injury Medicine (Psychiatry & Neurology) Physician share within Texas

1. Brain Injury Medicine (Psychiatry & Neurology) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Brain Injury Medicine (Psychiatry & Neurology) Physician share within Texas

Medicare quality performance — MIPS

SANJAY ADHIA, MD's 2023 MIPS final score plotted against the Brain Injury Medicine (Psychiatry & Neurology) Physician national average

Near national average
MIPS Final Score
82.3883/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Brain Injury Medicine (Psychiatry & Neurology) Physician) — 82.3883/100 vs national avg 83.1

0%100%National avg83%82.4%
MIPS final score (Brain Injury Medicine (Psychiatry & Neurology) Physician) — 82.3883/100 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).

SANJAY ADHIA, MD appears in the CMS NPPES registry as a Brain Injury Medicine (Psychiatry & Neurology) Physician provider holding MD credentials at 1333 MOURSUND ST, HOUSTON, TX, 77030, with a listed phone of (800) 447-3422. NPI 1467658930 was issued on 06/22/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ADHIA 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 1,503 prescription claims written by this provider, covering 126 Medicare beneficiaries and totaling roughly $135K in drug spend, split 7% brand-name and 93% 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 82.3883/100 for the 2023 performance year (Quality 79.2344, Cost 58.5062), compared with the national average of 83.1.

Brain Injury Medicine (Psychiatry & Neurology) Physician is a narrow specialty nationwide, with 21 enrolled providers across 11 states and an average of 1,382 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

1333 MOURSUND ST
HOUSTON, TX 77030

Provider Details

NPI 1467658930
Specialty Brain Injury Medicine (Psychiatry & Neurology) Physician
Credentials MD
Gender Male
NPI Issued 06/22/2007

CMS Quality Score (MIPS)

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

82.3883
Final Score
Avg: 83.1
79.2344
Quality
58.5062
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where SANJAY ADHIA, 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.

UT PHYSICIANS
HOUSTON, TX

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

License & disciplinary context — Texas TMB 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 ~77K Texas medical licensees in 2023 — they are NOT specific to SANJAY ADHIA, MD. To verify SANJAY ADHIA, MD's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB 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 Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

SANJAY ADHIA, MD — brand share 7.0%
Specialty average (est.)

7% brand-name claims vs 93% generic, on 1,503 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.

1,503
Total Claims
$135K
Total Drug Cost
126
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,120
Total Day Supply
61,913
Brand vs Generic
7% brand / 93% generic
Brand Drug Cost
$77K
Generic Drug Cost
$59K

Patient Demographics

Average Patient Age
52.5 years
Avg HCC Risk Score
2.29
Gender Split
47% female / 53% male
Age Distribution
<65: 84, 65-74: 31, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What SANJAY ADHIA, 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
175
Duloxetine Hcl
144
Sertraline Hcl
130
Bupropion Xl
Bupropion Hcl
109
Buspirone Hcl
93
Escitalopram Oxalate
78
Mirtazapine
60
Prazosin Hcl
59
Clonazepam
46
Doxepin Hcl
46

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

Brain Injury Medicine (Psychiatry & Neurology) Physician Overview

How SANJAY ADHIA, MD fits within the Brain Injury Medicine (Psychiatry & Neurology) Physician landscape nationally.

21
Brain Injury Medicine (Psychiatry & Neurology) Physician Providers in US
11
States with Brain Injury Medicine (Psychiatry & Neurology) Physician
1,382
Avg Claims per Provider

SANJAY ADHIA, MD's 1,503 claims are above the specialty average of 1,382.

Nearby Brain Injury Medicine (Psychiatry & Neurology) Physician Providers in Texas

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

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

Frequently Asked Questions

What is SANJAY ADHIA, MD's specialty?
SANJAY ADHIA, MD specializes in Brain Injury Medicine (Psychiatry & Neurology) Physician and practices in HOUSTON, Texas. Credentials: MD.
How much does SANJAY ADHIA, MD prescribe under Medicare Part D?
In 2023, SANJAY ADHIA, MD wrote 1,503 Medicare Part D claims totaling $135K in drug costs for 126 beneficiaries.
What is SANJAY ADHIA, MD's Medicare quality score?
SANJAY ADHIA, MD has a CMS MIPS Final Score of 82.3883/100 (Quality: 79.2344, Cost: 58.5062). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SANJAY ADHIA, MD located?
SANJAY ADHIA, MD is located at 1333 MOURSUND ST, HOUSTON, TX, 77030. Phone: (800) 447-3422.
What is SANJAY ADHIA, MD's NPI number?
SANJAY ADHIA, MD's National Provider Identifier (NPI) is 1467658930, issued on 06/22/2007.
Does SANJAY ADHIA, MD prescribe more brand-name or generic drugs?
SANJAY ADHIA, MD's prescribing is 7% brand-name and 93% generic drugs by claim count, with $77K in brand drug costs.
How many Brain Injury Medicine (Psychiatry & Neurology) Physician providers are there in the US?
There are 21 Brain Injury Medicine (Psychiatry & Neurology) Physician providers across 11 states in the US. The average Brain Injury Medicine (Psychiatry & Neurology) Physician provider writes 1,382 Medicare Part D claims per year.
What drugs does SANJAY ADHIA, MD prescribe most often?
Based on 2023 Medicare Part D data, SANJAY ADHIA, MD's most frequently prescribed drugs include Trazodone Hcl, Duloxetine Hcl, Sertraline Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SANJAY ADHIA, MD accept Medicare?
SANJAY ADHIA, MD appears in CMS Medicare data with 1,503 Part D claims and 126 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SANJAY ADHIA, MD's credentials?
SANJAY ADHIA, MD's NPI is 1467658930 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