2026 NPPES data Internal Medicine Physician NPI 1437120920 MD
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SANJAY KUMAR, MD

Internal Medicine Physician in JACKSON, New Jersey. 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
14K
Medicare Part D claims · 789 beneficiaries · Internal Medicine Physician avg: 3K
Generic prescribing
84%
generic claims · 16% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$256.55
9 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

SANJAY KUMAR, MD filed 14,367 Medicare Part D claims in 2023 as a Internal Medicine Physician in JACKSON, New Jersey, prescribing 84% generic.

14K
Part D claims, 2023
84%
generic prescribing
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 KUMAR, MD's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

14,367 Top 2% higher than 98% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). Below this entry. 2,000–2,200: 213,991 prescribers (16%). This entry sits in this band. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023

Board certification likely (heuristic — not verified)

SANJAY KUMAR, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 3 hospital affiliations — 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 KUMAR, MD?

Quality data not reported

NPI registry status

Active

Issued 02/01/2006

NPI 1437120920

Primary specialty

Internal Medicine Physician

High-volume

172,858 US NPIs in this specialty

Medicare Part D claims

14,367 429% vs specialty avg

2023 prescription claims

Specialty avg: 2,716

Specialty distribution in New Jersey

How Internal Medicine Physician compares to other specialties among New Jersey providers

New Jersey providers

Internal Medicine Physician share within New Jersey

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

Specialty board-certification context

Estimated specialty board-certified rate — Internal Medicine Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Internal Medicine Physician ABMS/AOA estimate

Est. board-certified rate (Internal Medicine Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Internal Medicine Physician) — ABMS / AOA estimate

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 KUMAR, MD appears in the CMS NPPES registry as a Internal Medicine Physician provider holding MD credentials at 2105 W COUNTY LINE RD, JACKSON, NJ, 08527, with a listed phone of (732) 367-7575. NPI 1437120920 was issued on 02/01/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what KUMAR 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 14,367 prescription claims written by this provider, covering 789 Medicare beneficiaries and totaling roughly $1.2 million in drug spend, split 16% brand-name and 84% generic by claim count, with an opioid prescribing rate of 2.1%. 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.

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

2105 W COUNTY LINE RD
JACKSON, NJ 08527

Provider Details

NPI 1437120920
Specialty Internal Medicine Physician
Credentials MD
Gender Male
NPI Issued 02/01/2006

Hospital and facility affiliations

Facilities where SANJAY KUMAR, 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.

MEDICAL OFFICE FORCE
BRICK, NJ
POINT PLEASANT MEDICAL GROUP LLC
POINT PLEASANT BORO, NJ
PROFESSIONAL ASSOCIATES OF JACKSON LLC
POINT PLEASANT BORO, NJ

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

Total received

$257

Largest payer

Becton, Dickinson and Company

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 KUMAR, MD — brand share 16.0%
Specialty average (est.)

16% brand-name claims vs 84% generic, on 14,367 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.

14,367
Total Claims
$1.2M
Total Drug Cost
789
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
16,993
Total Day Supply
402,377
Brand vs Generic
16% brand / 84% generic
Brand Drug Cost
$822K
Generic Drug Cost
$328K
Opioid Claims
295 (2.1% rate)
Antibiotic Claims
417

Patient Demographics

Average Patient Age
77.1 years
Avg HCC Risk Score
2.08
Gender Split
59% female / 41% male
Age Distribution
<65: 77, 65-74: 228, 75-84: 266, 85+: 218

Top Prescribed Drugs (Medicare Part D)

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

What SANJAY KUMAR, MD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Atorvastatin Calcium
663
Levothyroxine Sodium
566
Eliquis
Apixaban
459
Amlodipine Besylate
404
Gabapentin
389
Metoprolol Succinate
353
Furosemide
348
Metoprolol Tartrate
288
Pantoprazole Sodium
272
Lisinopril
270

* 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 KUMAR, 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 KUMAR, MD's 14,367 claims are above the specialty average of 2,716.

Nearby Internal Medicine Physician Providers in New Jersey

Other clinicians with the same primary specialty enrolled in New Jersey, drawn from the same CMS NPPES roster as KUMAR.

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

Frequently Asked Questions

What is SANJAY KUMAR, MD's specialty?
SANJAY KUMAR, MD specializes in Internal Medicine Physician and practices in JACKSON, New Jersey. Credentials: MD.
How much does SANJAY KUMAR, MD prescribe under Medicare Part D?
In 2023, SANJAY KUMAR, MD wrote 14,367 Medicare Part D claims totaling $1.2M in drug costs for 789 beneficiaries.
Where is SANJAY KUMAR, MD located?
SANJAY KUMAR, MD is located at 2105 W COUNTY LINE RD, JACKSON, NJ, 08527. Phone: (732) 367-7575.
What is SANJAY KUMAR, MD's NPI number?
SANJAY KUMAR, MD's National Provider Identifier (NPI) is 1437120920, issued on 02/01/2006.
Does SANJAY KUMAR, MD prescribe more brand-name or generic drugs?
SANJAY KUMAR, MD's prescribing is 16% brand-name and 84% generic drugs by claim count, with $822K in brand drug costs.
Does SANJAY KUMAR, MD prescribe opioids?
Yes, SANJAY KUMAR, MD had 295 opioid claims in 2023 with an opioid prescribing rate of 2.1%.
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 KUMAR, MD prescribe most often?
Based on 2023 Medicare Part D data, SANJAY KUMAR, MD's most frequently prescribed drugs include Atorvastatin Calcium, Levothyroxine Sodium, Eliquis. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SANJAY KUMAR, MD accept Medicare?
SANJAY KUMAR, MD appears in CMS Medicare data with 14,367 Part D claims and 789 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SANJAY KUMAR, MD's credentials?
SANJAY KUMAR, MD's NPI is 1437120920 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.
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