NPI registry status
Active
2026 NPPES data Critical Care Medicine (Internal Medicine) Physician NPI 1477523249 MD, FCCP, FAASM
Verify on CMS → Sanjay Agarwal, MD, FCCP, FAASM
Critical Care Medicine (Internal Medicine) Physician in Seattle, Washington.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 6,646 in Critical Care Medicine (Internal 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
2K
Medicare Part D claims · 320 beneficiaries · Critical Care Medicine (Internal Medicine) Physician avg: 1K
Generic prescribing
34%
generic claims · 66% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
65.7/100
▼ 17 pts below national avg 83.1 · Mid-tier
Industry payments
$187.89
5 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Sanjay Agarwal, MD, FCCP, FAASM reported a CMS MIPS final score of 65.7/100 - below the 83.1 national average - and filed 1,681 Medicare Part D claims in 2023.
- 65.7/100
- MIPS score · -17 vs avg
- 2K
- Part D claims, 2023
- 34%
- 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 Agarwal, MD, FCCP, FAASM's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
66 7th percentile higher than 7% 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 Sanjay Agarwal, MD, FCCP, FAASM sits
This provider among critical care medicine (internal medicine) physician peers
Across the 1,643 critical care medicine (internal medicine) physician providers who report both Medicare Part D prescribing and a MIPS quality score, Sanjay Agarwal, MD, FCCP, FAASM writes more Part D claims than 74% of them and scores higher on MIPS quality than 7% - placing this provider in the high-volume, lower-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 critical care medicine (internal medicine) physician peer from a representative sample of 60; the gold marker is Sanjay Agarwal, MD, FCCP, FAASM. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Sanjay Agarwal, MD, FCCP, FAASM practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting - 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 Agarwal, MD, FCCP, FAASM?
Below national averagePrimary specialty
Critical Care Medicine (Internal Medicine) Physician
Medicare Part D claims
1,681 57% vs specialty avg
MIPS final score
65.7/100 17.4 pts vs avg
Specialty distribution in Washington
How Critical Care Medicine (Internal Medicine) Physician compares to other specialties among Washington providers
Medicare quality performance, MIPS
Sanjay Agarwal, MD, FCCP, FAASM's 2023 MIPS final score plotted against the Critical Care Medicine (Internal Medicine) Physician national average
- MIPS Final Score
- 65.7/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Critical Care Medicine (Internal Medicine) Physician) - 65.7/100 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).
Sanjay Agarwal, MD, FCCP, FAASM appears in the CMS NPPES registry as a Critical Care Medicine (Internal Medicine) Physician provider holding MD, FCCP, FAASM credentials at 201 16TH AVE E, Seattle, WA, 98112, with a listed phone of (206) 326-3000. NPI 1477523249 was issued on 01/25/2006.
Medicare Part D records for calendar year 2023 show 1,681 prescription claims written by this provider, covering 320 Medicare beneficiaries and totaling roughly $939K in drug spend, split 66% brand-name and 34% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 65.7/100 for the 2023 performance year (Quality 25, Cost 55.6), compared with the national average of 83.1.
Critical Care Medicine (Internal Medicine) Physician is a mid-sized specialty nationwide, with 6,646 enrolled providers across 53 states and an average of 1,069 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 | 1477523249 |
|---|---|
| Specialty | Critical Care Medicine (Internal Medicine) Physician |
| Credentials | MD, FCCP, FAASM |
| Gender | Male |
| NPI Issued | 01/25/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
65.7256
Final Score
Avg: 83.1
25
Quality
55.612
Cost
Reporting: Individual
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 Sanjay Agarwal, MD, FCCP, FAASM. Source: openpaymentsdata.cms.gov.
Total received
$188
Largest payer
Inspire Medical Systems, Inc.
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 - Washington WMC 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 ~34K Washington medical licensees in 2023 - they are NOT specific to Sanjay Agarwal, MD, FCCP, FAASM. To verify Sanjay Agarwal, MD, FCCP, FAASM's current license status, search the WMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
88
Total board actions, Washington 2023
Across 85 cases
2.59
Actions per 1,000 licensees
Washington statewide rate
probation
Most common action type
31 cases
WMC 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 Washington disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Brand-heavy
Sanjay Agarwal, MD, FCCP, FAASM - brand share 66.0%
Critical Care Medicine (Internal Medicine) Physician average
66% brand-name claims vs 34% generic, on 1,681 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.
1,681
Total Claims
$939K
Total Drug Cost
320
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 2,296
- Total Day Supply
- 66,127
- Brand vs Generic
- 66% brand / 34% generic
- Brand Drug Cost
- $871K
- Generic Drug Cost
- $68K
- Antibiotic Claims
- 96
Patient Demographics
- Average Patient Age
- 74.9 years
- Avg HCC Risk Score
- 1.97
- Gender Split
- 53% female / 47% male
- Age Distribution
- <65: 25, 65-74: 137, 75-84: 112, 85+: 46
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Sanjay Agarwal, MD, FCCP, FAASM prescribes most
Top Medicare Part D drugs by claim count, 2023
- Trelegy Ellipta
Trelegy Ellipta
204 claims
- Breo Ellipta
Breo Ellipta
173 claims
- Pantoprazole Sodium
Pantoprazole Sodium
147 claims
- Symbicort
Symbicort
129 claims
- Arnuity Ellipta
Arnuity Ellipta
109 claims
- Albuterol Sulfate …
Albuterol Sulfate Hfa
86 claims
- Flovent Hfa
Flovent Hfa
86 claims
- Advair Hfa 72
Advair Hfa
72 claims
| Drug | Claims |
|---|---|
| Trelegy Ellipta Fluticasone/Umeclidin/Vilanter | 204 |
| Breo Ellipta Fluticasone/Vilanterol | 173 |
| Pantoprazole Sodium | 147 |
| Symbicort Budesonide/Formoterol Fumarate | 129 |
| Arnuity Ellipta Fluticasone Furoate | 109 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 86 |
| Flovent Hfa Fluticasone Propionate | 86 |
| Advair Hfa Fluticasone Propion/Salmeterol | 72 |
| Montelukast Sodium | 52 |
| Wixela Inhub Fluticasone Propion/Salmeterol | 40 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Critical Care Medicine (Internal Medicine) Physician in WA →
All providers in Washington →
Compare specialties →
Critical Care Medicine (Internal Medicine) Physician Overview
How Sanjay Agarwal, MD, FCCP, FAASM fits within the Critical Care Medicine (Internal Medicine) Physician landscape nationally.
6,646
Critical Care Medicine (Internal Medicine) Physician Providers in US
53
States with Critical Care Medicine (Internal Medicine) Physician
1,069
Avg Claims per Provider
Sanjay Agarwal, MD, FCCP, FAASM's 1,681 claims are above the specialty average of 1,069.
Nearby Critical Care Medicine (Internal Medicine) Physician Providers in Washington
Other clinicians with the same primary specialty enrolled in Washington, drawn from the same CMS NPPES roster as Agarwal.
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 Washington medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Critical Care Medicine (Internal 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 Sanjay Agarwal, MD, FCCP, FAASM's specialty? ▼
Sanjay Agarwal, MD, FCCP, FAASM specializes in Critical Care Medicine (Internal Medicine) Physician and practices in Seattle, Washington. Credentials: MD, FCCP, FAASM.
How much does Sanjay Agarwal, MD, FCCP, FAASM prescribe under Medicare Part D? ▼
In 2023, Sanjay Agarwal, MD, FCCP, FAASM wrote 1,681 Medicare Part D claims totaling $939K in drug costs for 320 beneficiaries.
What is Sanjay Agarwal, MD, FCCP, FAASM's Medicare quality score? ▼
Sanjay Agarwal, MD, FCCP, FAASM has a CMS MIPS Final Score of 65.7/100 (Quality: 25, Cost: 55.6). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Sanjay Agarwal, MD, FCCP, FAASM located? ▼
Sanjay Agarwal, MD, FCCP, FAASM is located at 201 16TH AVE E, Seattle, WA, 98112. Phone: (206) 326-3000.
What is Sanjay Agarwal, MD, FCCP, FAASM's NPI number? ▼
Sanjay Agarwal, MD, FCCP, FAASM's National Provider Identifier (NPI) is 1477523249, issued on 01/25/2006.
Does Sanjay Agarwal, MD, FCCP, FAASM prescribe more brand-name or generic drugs? ▼
Sanjay Agarwal, MD, FCCP, FAASM's prescribing is 66% brand-name and 34% generic drugs by claim count, with $871K in brand drug costs.
How many Critical Care Medicine (Internal Medicine) Physician providers are there in the US? ▼
There are 6,646 Critical Care Medicine (Internal Medicine) Physician providers across 53 states in the US. The average Critical Care Medicine (Internal Medicine) Physician provider writes 1,069 Medicare Part D claims per year.
What drugs does Sanjay Agarwal, MD, FCCP, FAASM prescribe most often? ▼
Based on 2023 Medicare Part D data, Sanjay Agarwal, MD, FCCP, FAASM's most frequently prescribed drugs include Trelegy Ellipta, Breo Ellipta, Pantoprazole Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Sanjay Agarwal, MD, FCCP, FAASM accept Medicare? ▼
Sanjay Agarwal, MD, FCCP, FAASM appears in CMS Medicare data with 1,681 Part D claims and 320 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Sanjay Agarwal, MD, FCCP, FAASM's credentials? ▼
Sanjay Agarwal, MD, FCCP, FAASM's NPI is 1477523249 with credentials MD, FCCP, FAASM. 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.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.