NPPES file of Aug 9, 2026

Sanjay R. Hegde, MD

Gastroenterology Physician · Winchester, MA

Sanjay R. Hegde, MD is a gastroenterology physician with a practice address in Winchester, Massachusetts, and NPI 1881756179, issued on Dec 14, 2006. Check the license (Massachusetts 247933, as entered in NPPES) on the Massachusetts Board of Registration in Medicine; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1881756179
Name
Sanjay R. Hegde
Credential
MD
Primary taxonomy
Gastroenterology Physician 207RG0100X
License numbers
247933 MA
D69588 MD
MT183245 PA
Self-reported in NPPES; status is on the state search
Practice location
955 Main St, Winchester, MA 01890
Phone
(781) 729-5855
Enumerated
Dec 14, 2006
Record last updated
Sep 9, 2016 (not updated in 10 years: call before relying on the address or phone)
Fax
(781) 721-5891
Medicaid ID
418373800 MD
Medicare enrollment
Enrolled (PECOS I20110924000003); accepts Medicare assignment
Medical or professional school
Tufts University School Of Medicine, 2001
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 955 Main St

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Andrew Abela, DDSOral and Maxillofacial Surgery (Dentist)1154464808
  2. William Antonelli, PTPhysical Therapist1487772281
  3. Christina Bouboulis, FNP-BCFamily Nurse Practitioner1053116970
  4. Patrick Brophy, MDSurgical Oncology Physician1851351159
  5. Vincent Buscemi, PTPhysical Therapist1790803518
  6. Marilyn Capek, M.D.Dermatology Physician1992848469

Verify Sanjay R. Hegde in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersMassachusetts Board of Registration in Medicine
    Search for license 247933
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Massachusetts license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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74% more Medicare Part D claims than the average gastroenterology physician in 2024

1,411 Medicare Part D claims for 414 beneficiaries, against an average of 811 among the 16,445 providers of this specialty who prescribed in Part D. Brand-name drugs were 9% of claims.

  1. Sanjay Hegde1,411
  2. Specialty average811

Most prescribed

  1. Omeprazole410 claims
  2. Famotidine232 claims
  3. Pantoprazole Sodium144 claims
  4. Sod Sulf-Potass Sulf-Mag Sulf118 claims
  5. Gavilyte-G49 claims
  6. Ondansetron Hcl38 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 practice group's MIPS final score for 2023 (Medicare payment program): 75.1 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score68.9
  2. Costout of 100 · 30%66.4
  3. Promoting interoperabilityout of 100 · 25%78.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $355.35

9 payments; by number, the most common kind was food and beverage; the largest payer was Boston Scientific Corporation. The 13,350 providers of this specialty with any payment received $5,015.95 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Sanjay Hegde$355.35
  2. Specialty average$5,015.95

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

  1. Digestive Health Associates P.C.Stoneham, MA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Sanjay R. Hegde among 686 gastroenterology physician records in Massachusetts

Sanjay R. Hegde, MD is one of 686 gastroenterology physician records with a practice address in Massachusetts. 80% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 14% of them.

  • NPI issued2006 · 14% of these records are older, 49% newer
  • In a Medicare fileYes · 80% of these records are
  • In the CMS Doctors and Clinicians fileYes · 72% of these records are
  • Graduated2001 · median 2004 among the 491 with a school on file
  • Record last updated2016 · 66% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RG0100X and a Massachusetts practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Gastroenterology Physician providers in Massachusetts

There are 686 gastroenterology physician records in Massachusetts.

The 8 gastroenterology physician records with the nearest ZIP codes

  1. Eric Libby, M.D.Winchester, MA 018901922048016
  2. William Vanneman, M.D.Winchester, MA 018901124075718
  3. Bertil Wolf, MDLynn, MA 019041871549535
  4. Michael Aaronson, MDBeverly, MA 019151366547739
  5. Michael Demarkles, MDBeverly, MA 019151376578534
  6. Richard Einhorn, MDBeverly, MA 019151639104896
  7. Martin Hahn, M.D.Beverly, MA 019151770698730
  8. Maria LonshteynBeverly, MA 019151720247653

Common questions

What is Sanjay R. Hegde, MD's NPI number?

Sanjay R. Hegde, MD's National Provider Identifier (NPI) is 1881756179, issued on Dec 14, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Sanjay R. Hegde, MD located?

The NPPES record lists a practice address at 955 Main St, Winchester, MA, 01890. Phone: (781) 729-5855. Providers update this record themselves, so call before visiting.

How can I verify Sanjay R. Hegde, MD's license?

NPPES lists Massachusetts license number 247933, as entered by the provider. Search the Massachusetts Board of Registration in Medicine at https://findmydoctor.mass.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Sanjay R. Hegde, MD prescribe under Medicare Part D?

In 2024, Sanjay R. Hegde, MD had 1,411 Medicare Part D claims for 414 beneficiaries; the average among gastroenterology physician prescribers was 811. Part D covers Medicare prescriptions only.

What is Sanjay R. Hegde, MD's MIPS final score?

The 2023 MIPS final score is 75.1 of 100, reported for the practice group. 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.