NPI registry status
Active
2026 NPPES data Anesthesiology Physician NPI 1306810973 M.D.
Verify on CMS → Sanjay Bhatia, M.D.
Anesthesiology Physician in Madison, Wisconsin.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 56,432 in Anesthesiology 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
99
Medicare Part D claims · 28 beneficiaries · Anesthesiology Physician avg: 860
MIPS score
94.1/100
▲ 11 pts above national avg 83.1 · Exceptional
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Sanjay Bhatia, M.D. reported a CMS MIPS final score of 94.1/100 - above the 83.1 national average - and filed 99 Medicare Part D claims in 2023.
- 94.1/100
- MIPS score · +11 vs avg
- 99
- Part D claims, 2023
- 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 Bhatia, M.D.'s MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
94 Top 25% higher than 75% 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 Bhatia, M.D. sits
This provider among anesthesiology physician peers
Across the 1,666 anesthesiology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Sanjay Bhatia, M.D. writes more Part D claims than 30% of them and scores higher on MIPS quality than 79% - placing this provider in the lower-volume, high-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 anesthesiology physician peer from a representative sample of 60; the gold marker is Sanjay Bhatia, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Sanjay Bhatia, M.D. 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 Bhatia, M.D.?
High performer (top quartile)Primary specialty
Anesthesiology Physician
Medicare Part D claims
99 88% vs specialty avg
MIPS final score
94.1/100 11 pts vs avg
Specialty distribution in Wisconsin
How Anesthesiology Physician compares to other specialties among Wisconsin providers
Medicare quality performance, MIPS
Sanjay Bhatia, M.D.'s 2023 MIPS final score plotted against the Anesthesiology Physician national average
- MIPS Final Score
- 94.1/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Anesthesiology Physician) - 94.1/100 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 Bhatia, M.D. appears in the CMS NPPES registry as an Anesthesiology Physician provider holding M.D. credentials at 7409 TIMBER LAKE TRL APT 104, Madison, WI, 53719, with a listed phone of (724) 814-2198. NPI 1306810973 was issued on 02/13/2006.
Medicare Part D records for calendar year 2023 show 99 prescription claims written by this provider, covering 28 Medicare beneficiaries and totaling roughly $7K in drug spend. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 94.1/100 for the 2023 performance year (Quality 78.5), compared with the national average of 83.1.
Anesthesiology Physician is a high-volume specialty nationwide, with 56,432 enrolled providers across 56 states and an average of 860 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 | 1306810973 |
|---|---|
| Specialty | Anesthesiology Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 02/13/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
94.1061
Final Score
Avg: 83.1
78.4655
Quality
100
Promoting Interoperability
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where Sanjay Bhatia, M.D. 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.
West Virginia University Medical Corporation
Morgantown, WV
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
99
Total Claims
$7K
Total Drug Cost
28
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 105
- Total Day Supply
- 2,509
- Generic Drug Cost
- $2K
Patient Demographics
- Average Patient Age
- 71.2 years
- Avg HCC Risk Score
- 2.07
- Gender Split
- 54% female / 46% male
Anesthesiology Physician Overview
How Sanjay Bhatia, M.D. fits within the Anesthesiology Physician landscape nationally.
56,432
Anesthesiology Physician Providers in US
56
States with Anesthesiology Physician
860
Avg Claims per Provider
Sanjay Bhatia, M.D.'s 99 claims are below the specialty average of 860.
Nearby Anesthesiology Physician Providers in Wisconsin
Other clinicians with the same primary specialty enrolled in Wisconsin, drawn from the same CMS NPPES roster as Bhatia.
Dr. Mark Aasen
MD
Greenfield, WI
Dr. Heather Abernethy
MD
Madison, WI
Dr. Carter Abicht
DO
La Crosse, WI
Dr. Stephen Abram
MD
Milwaukee, WI
Dr. Cory Adams
MD
Milwaukee, WI
Compare Anesthesiology Physician nationally: see state-by-state distribution →
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 Wisconsin medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Anesthesiology 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 Bhatia, M.D.'s specialty? ▼
Sanjay Bhatia, M.D. specializes in Anesthesiology Physician and practices in Madison, Wisconsin. Credentials: M.D..
How much does Sanjay Bhatia, M.D. prescribe under Medicare Part D? ▼
In 2023, Sanjay Bhatia, M.D. wrote 99 Medicare Part D claims totaling $7K in drug costs for 28 beneficiaries.
What is Sanjay Bhatia, M.D.'s Medicare quality score? ▼
Sanjay Bhatia, M.D. has a CMS MIPS Final Score of 94.1/100 (Quality: 78.5). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Sanjay Bhatia, M.D. located? ▼
Sanjay Bhatia, M.D. is located at 7409 TIMBER LAKE TRL APT 104, Madison, WI, 53719. Phone: (724) 814-2198.
What is Sanjay Bhatia, M.D.'s NPI number? ▼
Sanjay Bhatia, M.D.'s National Provider Identifier (NPI) is 1306810973, issued on 02/13/2006.
How many Anesthesiology Physician providers are there in the US? ▼
There are 56,432 Anesthesiology Physician providers across 56 states in the US. The average Anesthesiology Physician provider writes 860 Medicare Part D claims per year.
Does Sanjay Bhatia, M.D. accept Medicare? ▼
Sanjay Bhatia, M.D. appears in CMS Medicare data with 99 Part D claims and 28 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Sanjay Bhatia, M.D.'s credentials? ▼
Sanjay Bhatia, M.D.'s NPI is 1306810973 with credentials M.D.. 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.