2026 NPPES data Critical Care Medicine (Internal Medicine) Physician NPI 1477523249 MD, FCCP, FAASM
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SANJAY AGARWAL, MD, FCCP, FAASM

Critical Care Medicine (Internal Medicine) Physician in SEATTLE, Washington. 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 · 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
65.7256/100
▼ 17 pts below national avg 83.1 · [object Object]
Industry payments
$187.89
5 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: SANJAY AGARWAL, MD, FCCP, FAASM is a Critical Care Medicine (Internal Medicine) Physician ([object Object]) practicing in SEATTLE, Washington with a Medicare Part D prescribing footprint of 2K claims across 320 beneficiaries — 66% brand-name prescribing . Their CMS MIPS Final Score of 65.7256/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $187.89 across 5 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: SANJAY AGARWAL, MD, FCCP, FAASM reported a CMS MIPS final score of 65.7256 out of 100, below the 83.1 national average, and filed 1,681 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)

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).

SANJAY AGARWAL, MD, FCCP, FAASM at a glance

Below national average

NPI registry status

Active

Issued 01/25/2006

NPI 1477523249

Primary specialty

Critical Care Medicine (Internal Medicine) Physician

Mid-sized

6,631 US NPIs in this specialty

Medicare Part D claims

1,681 57% vs specialty avg

2023 prescription claims

Specialty avg: 1,069

MIPS final score

65.7256/100 17.374399999999994% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Washington

How Critical Care Medicine (Internal Medicine) Physician compares to other specialties among Washington providers

Washington providers

Critical Care Medicine (Internal Medicine) Physician share within Washington

1. Critical Care Medicine (Internal Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Critical Care Medicine (Internal Medicine) Physician share within Washington

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

Below national average
MIPS Final Score
65.7256/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Critical Care Medicine (Internal Medicine) Physician) — 65.7256/100 vs national avg 83.1

0%100%National avg83%65.7%
MIPS final score (Critical Care Medicine (Internal Medicine) Physician) — 65.7256/100 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 AGARWAL, MD, FCCP, FAASM is a Critical Care Medicine (Internal Medicine) Physician provider practicing in SEATTLE, Washington, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD, FCCP, FAASM. NPI: 1477523249. 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.

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. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what AGARWAL 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 1,681 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. 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 65.7256/100 for the 2023 performance year (Quality 25, Cost 55.612), compared with the national average of 83.1.

Critical Care Medicine (Internal Medicine) Physician is a mid-sized specialty nationwide, with 6,631 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

201 16TH AVE E
SEATTLE, WA 98112

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%
Specialty average (est.)

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.

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.

Critical Care Medicine (Internal Medicine) Physician Overview

How SANJAY AGARWAL, MD, FCCP, FAASM fits within the Critical Care Medicine (Internal Medicine) Physician landscape nationally.

6,631
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.

Compare Critical Care Medicine (Internal Medicine) Physician nationally: see state-by-state distribution →

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 65.7256/100 (Quality: 25, Cost: 55.612). 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 6,631 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

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