Sanjay Garg, M.D.
Rheumatology Physician · Fayetteville, NC
Sanjay Garg, M.D. is a rheumatology physician with a practice address in Fayetteville, North Carolina, and NPI 1891997458, issued on Jun 4, 2007. Check the license (North Carolina 2007-01588, as entered in NPPES) on the North Carolina Medical Board; the Medicare figures below come from public CMS files.
- Name
- Sanjay Garg
- Credential
- M.D.
- Primary taxonomy
- Rheumatology Physician 207RR0500X
- License number
- 2007-01588 NC
Self-reported in NPPES; status is on the state search - Practice location
- 2125 Valleygate Dr Ste 201, Fayetteville, NC 28304
- Phone
- (910) 920-1450
- Enumerated
- Jun 4, 2007
- Record last updated
- Feb 7, 2023
- Fax
- (910) 920-1864
- Medicare enrollment
- Enrolled (PECOS I20080617000547); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest rheumatology physician records → All 234 in North Carolina → Look up another NPI →
Also registered at 2125 Valleygate Dr Ste 201
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Michele Provost, PAPhysician Assistant1043388754
Verify Sanjay Garg in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersNorth Carolina Medical Board
Search for license 2007-01588Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
3% fewer Medicare Part D claims than the average rheumatology physician in 2024
1,923 Medicare Part D claims for 482 beneficiaries, against an average of 1,978 among the 6,301 providers of this specialty who prescribed in Part D. Brand-name drugs were 19% of claims.
Most prescribed
- Methotrexate402 claims
- Prednisone262 claims
- Hydroxychloroquine Sulfate225 claims
- Gabapentin98 claims
- Methylprednisolone90 claims
- Humira(Cf) Pen76 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 97.6 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $1,428.94
54 payments; by number, the most common kind was food and beverage; the largest payer was Amgen Inc. The 4,486 providers of this specialty with any payment received $8,538.33 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Carolina Rheumatology And Internal Medicine PAFayetteville, NC
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Sanjay Garg among 234 rheumatology physician records in North Carolina
Sanjay Garg, M.D. is one of 234 rheumatology physician records with a practice address in North Carolina. 78% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 50% of them.
- NPI issued2007 · 50% of these records are older, 41% newer
- In a Medicare fileYes · 78% of these records are
- In the CMS Doctors and Clinicians fileYes · 68% of these records are
- Graduated1986 · median 2005 among the 158 with a school on file
- Record last updated2023 · 55% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RR0500X and a North Carolina practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Rheumatology Physician providers in North Carolina
There are 234 rheumatology physician records in North Carolina.
All 234 in North Carolina → Every provider in Fayetteville → Rheumatology Physician nationwide →
The 8 rheumatology physician records with the nearest ZIP codes
- Gwenesta Melton, M.D.Fayetteville, NC 283041780697326
- John Babich, MDFort Bragg, NC 283101649254434
- Joshua Hunt, MDFort Bragg, NC 283101396369021
- Jill Zouzoulas, MDCharlotte, NC 282871104938109
- Rocio Bautista Sanchez, MDCharlotte, NC 282771124639398
- Heather Holden, MDCharlotte, NC 282771023296670
- Firas Kassab, M.D.Charlotte, NC 282771366649014
- Eric Orlowsky, M.D.Charlotte, NC 282771508028713
Common questions
What is Sanjay Garg, M.D.'s NPI number?
Sanjay Garg, M.D.'s National Provider Identifier (NPI) is 1891997458, issued on Jun 4, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Sanjay Garg, M.D. located?
The NPPES record lists a practice address at 2125 Valleygate Dr Ste 201, Fayetteville, NC, 28304. Phone: (910) 920-1450. Providers update this record themselves, so call before visiting.
How can I verify Sanjay Garg, M.D.'s license?
NPPES lists North Carolina license number 2007-01588, as entered by the provider. Search the North Carolina Medical Board at https://portal.ncmedboard.org/verification/search.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Sanjay Garg, M.D. prescribe under Medicare Part D?
In 2024, Sanjay Garg, M.D. had 1,923 Medicare Part D claims for 482 beneficiaries; the average among rheumatology physician prescribers was 1,978. Part D covers Medicare prescriptions only.
What is Sanjay Garg, M.D.'s MIPS final score?
The 2023 MIPS final score is 97.6 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.