2026 NPPES data Sleep Medicine (Internal Medicine) Physician NPI 1801878608 MD
Verify on CMS →

SANJAY AGGARWAL, MD

Sleep Medicine (Internal Medicine) Physician in LAKE JACKSON, 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
5K
Medicare Part D claims · 727 beneficiaries · Sleep Medicine (Internal Medicine) Physician avg: 1K
Generic prescribing
50%
generic claims · 50% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75/100
▼ 8 pts below national avg 83.1 · [object Object]
Industry payments
$1.2K
57 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: SANJAY AGGARWAL, MD is a Sleep Medicine (Internal Medicine) Physician ([object Object]) practicing in LAKE JACKSON, Texas with a Medicare Part D prescribing footprint of 5K claims across 727 beneficiaries — 50% brand-name prescribing . Their CMS MIPS Final Score of 75/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $1.2K across 57 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: SANJAY AGGARWAL, MD reported a CMS MIPS final score of 75 out of 100, below the 83.1 national average, and filed 5,039 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 AGGARWAL, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 3 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

SANJAY AGGARWAL, MD at a glance

Below national average

NPI registry status

Active

Issued 11/17/2005

NPI 1801878608

Primary specialty

Sleep Medicine (Internal Medicine) Physician

Niche

857 US NPIs in this specialty

Medicare Part D claims

5,039 285% vs specialty avg

2023 prescription claims

Specialty avg: 1,310

MIPS final score

75/100 8.099999999999994% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Texas

How Sleep Medicine (Internal Medicine) Physician compares to other specialties among Texas providers

Texas providers

Sleep Medicine (Internal Medicine) Physician share within Texas

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

Medicare quality performance — MIPS

SANJAY AGGARWAL, MD's 2023 MIPS final score plotted against the Sleep Medicine (Internal Medicine) Physician national average

Below national average
MIPS Final Score
75/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Sleep Medicine (Internal Medicine) Physician) — 75/100 vs national avg 83.1

0%100%National avg83%75%
MIPS final score (Sleep Medicine (Internal Medicine) Physician) — 75/100 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 AGGARWAL, MD is a Sleep Medicine (Internal Medicine) Physician provider practicing in LAKE JACKSON, Texas, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1801878608. 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 AGGARWAL, MD appears in the CMS NPPES registry as a Sleep Medicine (Internal Medicine) Physician provider holding MD credentials at 215 OAK DR S STE H, LAKE JACKSON, TX, 77566, with a listed phone of (979) 297-1007. NPI 1801878608 was issued on 11/17/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what AGGARWAL 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 5,039 prescription claims written by this provider, covering 727 Medicare beneficiaries and totaling roughly $2.4 million in drug spend, split 50% brand-name and 50% generic by claim count, with an opioid prescribing rate of 0.4%. 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 75/100 for the 2023 performance year, compared with the national average of 83.1.

Sleep Medicine (Internal Medicine) Physician is a narrow specialty nationwide, with 857 enrolled providers across 52 states and an average of 1,310 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

215 OAK DR S STE H
LAKE JACKSON, TX 77566

Provider Details

NPI 1801878608
Specialty Sleep Medicine (Internal Medicine) Physician
Credentials MD
Gender Male
NPI Issued 11/17/2005

CMS Quality Score (MIPS)

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

75
Final Score
Avg: 83.1

Reporting: Individual

Hospital and facility affiliations

Facilities where SANJAY AGGARWAL, 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.

CHN MEDICAL SUPPORT SYSTEMS
HOUSTON, TX
IES HOSPITALISTS PLLC
LAKE JACKSON, TX
STEPHEN F AUSTIN COMMUNITY HEALTH CENTER, INC.
ALVIN, 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).

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 AGGARWAL, MD. Source: openpaymentsdata.cms.gov.

Total received

$1.2K

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 — 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 AGGARWAL, MD. To verify SANJAY AGGARWAL, 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 · Brand-heavy

SANJAY AGGARWAL, MD — brand share 50.0%
Specialty average (est.)

50% brand-name claims vs 50% generic, on 5,039 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.

5,039
Total Claims
$2.4M
Total Drug Cost
727
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
7,485
Total Day Supply
213,330
Brand vs Generic
50% brand / 50% generic
Brand Drug Cost
$2.2M
Opioid Claims
18 (0.4% rate)
Antibiotic Claims
239

Patient Demographics

Average Patient Age
72.4 years
Avg HCC Risk Score
2.08
Gender Split
62% female / 38% male
Age Distribution
<65: 99, 65-74: 336, 75-84: 233, 85+: 59

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
1,030
Albuterol Sulfate Hfa
Albuterol Sulfate
549
Prednisone
504
Breztri Aerosphere
Budesonide/Glycopyr/Formoterol
206
Pantoprazole Sodium
190
Breo Ellipta
Fluticasone/Vilanterol
175
Spironolactone
155
Anoro Ellipta
Umeclidinium Brm/Vilanterol Tr
130
Symbicort
Budesonide/Formoterol Fumarate
98
Dexamethasone
94

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

Sleep Medicine (Internal Medicine) Physician Overview

How SANJAY AGGARWAL, MD fits within the Sleep Medicine (Internal Medicine) Physician landscape nationally.

857
Sleep Medicine (Internal Medicine) Physician Providers in US
52
States with Sleep Medicine (Internal Medicine) Physician
1,310
Avg Claims per Provider

SANJAY AGGARWAL, MD's 5,039 claims are above the specialty average of 1,310.

Nearby Sleep Medicine (Internal Medicine) Physician Providers in Texas

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

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

Frequently Asked Questions

What is SANJAY AGGARWAL, MD's specialty?
SANJAY AGGARWAL, MD specializes in Sleep Medicine (Internal Medicine) Physician and practices in LAKE JACKSON, Texas. Credentials: MD.
How much does SANJAY AGGARWAL, MD prescribe under Medicare Part D?
In 2023, SANJAY AGGARWAL, MD wrote 5,039 Medicare Part D claims totaling $2.4M in drug costs for 727 beneficiaries.
What is SANJAY AGGARWAL, MD's Medicare quality score?
SANJAY AGGARWAL, MD has a CMS MIPS Final Score of 75/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SANJAY AGGARWAL, MD located?
SANJAY AGGARWAL, MD is located at 215 OAK DR S STE H, LAKE JACKSON, TX, 77566. Phone: (979) 297-1007.
What is SANJAY AGGARWAL, MD's NPI number?
SANJAY AGGARWAL, MD's National Provider Identifier (NPI) is 1801878608, issued on 11/17/2005.
Does SANJAY AGGARWAL, MD prescribe more brand-name or generic drugs?
SANJAY AGGARWAL, MD's prescribing is 50% brand-name and 50% generic drugs by claim count, with $2.2M in brand drug costs.
Does SANJAY AGGARWAL, MD prescribe opioids?
Yes, SANJAY AGGARWAL, MD had 18 opioid claims in 2023 with an opioid prescribing rate of 0.4%.
How many Sleep Medicine (Internal Medicine) Physician providers are there in the US?
There are 857 Sleep Medicine (Internal Medicine) Physician providers across 52 states in the US. The average Sleep Medicine (Internal Medicine) Physician provider writes 1,310 Medicare Part D claims per year.
What drugs does SANJAY AGGARWAL, MD prescribe most often?
Based on 2023 Medicare Part D data, SANJAY AGGARWAL, MD's most frequently prescribed drugs include Trelegy Ellipta, Albuterol Sulfate Hfa, Prednisone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SANJAY AGGARWAL, MD accept Medicare?
SANJAY AGGARWAL, MD appears in CMS Medicare data with 5,039 Part D claims and 727 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SANJAY AGGARWAL, MD's credentials?
SANJAY AGGARWAL, MD's NPI is 1801878608 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