2026 NPPES data Internal Medicine Physician NPI 1225038698 MD
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SANJAY BOSE, MD

Internal Medicine Physician in PADUCAH, Kentucky. 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
6K
Medicare Part D claims · 1K beneficiaries · Internal Medicine Physician avg: 3K
Generic prescribing
80%
generic claims · 20% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
21.4071/100
▼ 62 pts below national avg 83.1 · [object Object]
Industry payments
$135.81
7 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: SANJAY BOSE, MD is a Internal Medicine Physician ([object Object]) practicing in PADUCAH, Kentucky with a Medicare Part D prescribing footprint of 6K claims across 1K beneficiaries — 20% brand-name prescribing . Their CMS MIPS Final Score of 21.4071/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $135.81 across 7 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: SANJAY BOSE, MD reported a CMS MIPS final score of 21.4071 out of 100, below the 83.1 national average, and filed 5,655 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 BOSE, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 8 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

SANJAY BOSE, MD at a glance

Below national average

NPI registry status

Active

Issued 07/28/2005

NPI 1225038698

Primary specialty

Internal Medicine Physician

High-volume

172,858 US NPIs in this specialty

Medicare Part D claims

5,655 108% vs specialty avg

2023 prescription claims

Specialty avg: 2,716

MIPS final score

21.4071/100 61.692899999999995% pts

Below average band

vs 83.1 national avg

Specialty distribution in Kentucky

How Internal Medicine Physician compares to other specialties among Kentucky providers

Kentucky providers

Internal Medicine Physician share within Kentucky

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

Medicare quality performance — MIPS

SANJAY BOSE, MD's 2023 MIPS final score plotted against the Internal Medicine Physician national average

Below national average
MIPS Final Score
21.4071/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Internal Medicine Physician) — 21.4071/100 vs national avg 83.1

0%100%National avg83%21.4%
MIPS final score (Internal Medicine Physician) — 21.4071/100 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 BOSE, MD is a Internal Medicine Physician provider practicing in PADUCAH, Kentucky, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1225038698. 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 BOSE, MD appears in the CMS NPPES registry as a Internal Medicine Physician provider holding MD credentials at 2601 KENTUCKY AVE STE 402, PADUCAH, KY, 42003, with a listed phone of (270) 575-3113. NPI 1225038698 was issued on 07/28/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BOSE 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 5,655 prescription claims written by this provider, covering 1,025 Medicare beneficiaries and totaling roughly $1.0 million in drug spend, split 20% brand-name and 80% 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 21.4071/100 for the 2023 performance year (Quality 12.538, Cost 44.6873), compared with the national average of 83.1.

Internal Medicine Physician is a high-volume specialty nationwide, with 172,858 enrolled providers across 56 states and an average of 2,716 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

2601 KENTUCKY AVE STE 402
PADUCAH, KY 42003

Provider Details

NPI 1225038698
Specialty Internal Medicine Physician
Credentials MD
Gender Male
NPI Issued 07/28/2005

CMS Quality Score (MIPS)

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

21.4071
Final Score
Avg: 83.1
12.538
Quality
44.6873
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where SANJAY BOSE, 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.

MASSAC MEMORIAL HOSPITAL
★★☆☆☆ 2/5
METROPOLIS, IL
Critical Access Hospitals
CMS CCN: 141323
BAPTIST HEALTH MEDICAL GROUP INC
PADUCAH, KY
CALDWELL COUNTY HOSPITAL, INC
PRINCETON, KY
CRITTENDEN COMMUNITY HOSPITAL LLC
MARION, KY
HARDIN COUNTY GENERAL HOSPITAL
ROSICLARE, IL
LIVINGSTON HOSPITAL AND HEALTHCARE SERVICES, INC.
SALEM, KY

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

Total received

$136

Largest payer

Abbott Laboratories

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.

Brand vs generic prescribing mix · Typical

SANJAY BOSE, MD — brand share 20.0%
Specialty average (est.)

20% brand-name claims vs 80% generic, on 5,655 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.

5,655
Total Claims
$1.0M
Total Drug Cost
1,025
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
11,736
Total Day Supply
343,779
Brand vs Generic
20% brand / 80% generic
Brand Drug Cost
$945K
Generic Drug Cost
$87K

Patient Demographics

Average Patient Age
73.1 years
Avg HCC Risk Score
1.57
Gender Split
46% female / 54% male
Age Distribution
<65: 112, 65-74: 466, 75-84: 354, 85+: 93

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Eliquis
Apixaban
423
Amlodipine Besylate
384
Clopidogrel
Clopidogrel Bisulfate
336
Entresto
Sacubitril/Valsartan
283
Isosorbide Mononitrate Er
Isosorbide Mononitrate
276
Atorvastatin Calcium
273
Nitroglycerin
265
Metoprolol Tartrate
263
Metoprolol Succinate
254
Atenolol
237

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

Internal Medicine Physician Overview

How SANJAY BOSE, MD fits within the Internal Medicine Physician landscape nationally.

172,858
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider

SANJAY BOSE, MD's 5,655 claims are above the specialty average of 2,716.

Nearby Internal Medicine Physician Providers in Kentucky

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

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

Frequently Asked Questions

What is SANJAY BOSE, MD's specialty?
SANJAY BOSE, MD specializes in Internal Medicine Physician and practices in PADUCAH, Kentucky. Credentials: MD.
How much does SANJAY BOSE, MD prescribe under Medicare Part D?
In 2023, SANJAY BOSE, MD wrote 5,655 Medicare Part D claims totaling $1.0M in drug costs for 1,025 beneficiaries.
What is SANJAY BOSE, MD's Medicare quality score?
SANJAY BOSE, MD has a CMS MIPS Final Score of 21.4071/100 (Quality: 12.538, Cost: 44.6873). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SANJAY BOSE, MD located?
SANJAY BOSE, MD is located at 2601 KENTUCKY AVE STE 402, PADUCAH, KY, 42003. Phone: (270) 575-3113.
What is SANJAY BOSE, MD's NPI number?
SANJAY BOSE, MD's National Provider Identifier (NPI) is 1225038698, issued on 07/28/2005.
Does SANJAY BOSE, MD prescribe more brand-name or generic drugs?
SANJAY BOSE, MD's prescribing is 20% brand-name and 80% generic drugs by claim count, with $945K in brand drug costs.
How many Internal Medicine Physician providers are there in the US?
There are 172,858 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
What drugs does SANJAY BOSE, MD prescribe most often?
Based on 2023 Medicare Part D data, SANJAY BOSE, MD's most frequently prescribed drugs include Eliquis, Amlodipine Besylate, Clopidogrel. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SANJAY BOSE, MD accept Medicare?
SANJAY BOSE, MD appears in CMS Medicare data with 5,655 Part D claims and 1,025 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SANJAY BOSE, MD's credentials?
SANJAY BOSE, MD's NPI is 1225038698 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