2026 NPPES data Surgery Physician NPI 1649432345 MD
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SANJAY BAGARIA, MD

Surgery Physician in JACKSONVILLE, Florida. 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
20
Medicare Part D claims · Surgery Physician avg: 169
MIPS score
76.2008/100
▼ 7 pts below national avg 83.1 · [object Object]
What the federal data reveals: SANJAY BAGARIA, MD is a Surgery Physician ([object Object]) practicing in JACKSONVILLE, Florida with a Medicare Part D prescribing footprint of 20 claims . Their CMS MIPS Final Score of 76.2008/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: SANJAY BAGARIA, MD reported a CMS MIPS final score of 76.2008 out of 100, below the 83.1 national average, and filed 20 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 BAGARIA, 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).

SANJAY BAGARIA, MD at a glance

Below national average

NPI registry status

Active

Issued 06/25/2008

NPI 1649432345

Primary specialty

Surgery Physician

Mid-sized

36,191 US NPIs in this specialty

Medicare Part D claims

20 88% vs specialty avg

2023 prescription claims

Specialty avg: 169

MIPS final score

76.2008/100 6.899199999999993% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Florida

How Surgery Physician compares to other specialties among Florida providers

Florida providers

Surgery Physician share within Florida

1. Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Surgery Physician share within Florida

Medicare quality performance — MIPS

SANJAY BAGARIA, MD's 2023 MIPS final score plotted against the Surgery Physician national average

Below national average
MIPS Final Score
76.2008/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Surgery Physician) — 76.2008/100 vs national avg 83.1

0%100%National avg83%76.2%
MIPS final score (Surgery Physician) — 76.2008/100 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 BAGARIA, MD is a Surgery Physician provider practicing in JACKSONVILLE, Florida, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1649432345. 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 BAGARIA, MD appears in the CMS NPPES registry as a Surgery Physician provider holding MD credentials at 4500 SAN PABLO RD S, JACKSONVILLE, FL, 32224, with a listed phone of (904) 953-2000. NPI 1649432345 was issued on 06/25/2008. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BAGARIA 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 20 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $28 in drug spend. 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 76.2008/100 for the 2023 performance year (Quality 69.3395, Cost 51.3298), compared with the national average of 83.1.

Surgery Physician is a mid-sized specialty nationwide, with 36,191 enrolled providers across 56 states and an average of 169 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

4500 SAN PABLO RD S
JACKSONVILLE, FL 32224

Provider Details

NPI 1649432345
Specialty Surgery Physician
Credentials MD
Gender Male
NPI Issued 06/25/2008

CMS Quality Score (MIPS)

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

76.2008
Final Score
Avg: 83.1
69.3395
Quality
51.3298
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where SANJAY BAGARIA, 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.

MAYO CLINIC JACKSONVILLE
JACKSONVILLE, FL

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 — Florida FLDOH 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 ~75K Florida medical licensees in 2023 — they are NOT specific to SANJAY BAGARIA, MD. To verify SANJAY BAGARIA, MD's current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases

FLDOH 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 Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

20
Total Claims
$28
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
26
Total Day Supply
289
Brand Drug Cost
$0
Generic Drug Cost
$28
Antibiotic Claims
12

Patient Demographics

Average Patient Age
74.3 years
Avg HCC Risk Score
0.75

Surgery Physician Overview

How SANJAY BAGARIA, MD fits within the Surgery Physician landscape nationally.

36,191
Surgery Physician Providers in US
56
States with Surgery Physician
169
Avg Claims per Provider

SANJAY BAGARIA, MD's 20 claims are below the specialty average of 169.

Nearby Surgery Physician Providers in Florida

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

Compare Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is SANJAY BAGARIA, MD's specialty?
SANJAY BAGARIA, MD specializes in Surgery Physician and practices in JACKSONVILLE, Florida. Credentials: MD.
How much does SANJAY BAGARIA, MD prescribe under Medicare Part D?
In 2023, SANJAY BAGARIA, MD wrote 20 Medicare Part D claims totaling $28 in drug costs for N/A beneficiaries.
What is SANJAY BAGARIA, MD's Medicare quality score?
SANJAY BAGARIA, MD has a CMS MIPS Final Score of 76.2008/100 (Quality: 69.3395, Cost: 51.3298). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SANJAY BAGARIA, MD located?
SANJAY BAGARIA, MD is located at 4500 SAN PABLO RD S, JACKSONVILLE, FL, 32224. Phone: (904) 953-2000.
What is SANJAY BAGARIA, MD's NPI number?
SANJAY BAGARIA, MD's National Provider Identifier (NPI) is 1649432345, issued on 06/25/2008.
How many Surgery Physician providers are there in the US?
There are 36,191 Surgery Physician providers across 56 states in the US. The average Surgery Physician provider writes 169 Medicare Part D claims per year.
Does SANJAY BAGARIA, MD accept Medicare?
SANJAY BAGARIA, MD appears in CMS Medicare data with 20 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SANJAY BAGARIA, MD's credentials?
SANJAY BAGARIA, MD's NPI is 1649432345 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