2026 NPPES data Interventional Pain Medicine Physician NPI 1740267244 D.O.
Verify on CMS →

SANJAY KUMAR, D.O.

Interventional Pain Medicine Physician in SHEFFIELD VILLAGE, Ohio. 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
1K
Medicare Part D claims · 239 beneficiaries · Interventional Pain Medicine Physician avg: 2K
Generic prescribing
98%
generic claims · 2% brand-name · higher generic rates reduce patient out-of-pocket costs
What the federal data reveals: SANJAY KUMAR, D.O. is a Interventional Pain Medicine Physician ([object Object]) practicing in SHEFFIELD VILLAGE, Ohio with a Medicare Part D prescribing footprint of 1K claims across 239 beneficiaries — 2% brand-name prescribing .

What stands out: SANJAY KUMAR, D.O. filed 1,016 Medicare Part D claims in 2023 across SHEFFIELD VILLAGE, Ohio. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

SANJAY KUMAR, D.O. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

SANJAY KUMAR, D.O. at a glance

Quality data not reported

NPI registry status

Active

Issued 12/27/2005

NPI 1740267244

Primary specialty

Interventional Pain Medicine Physician

Niche

1,528 US NPIs in this specialty

Medicare Part D claims

1,016 54% vs specialty avg

2023 prescription claims

Specialty avg: 2,197

Specialty distribution in Ohio

How Interventional Pain Medicine Physician compares to other specialties among Ohio providers

Ohio providers

Interventional Pain Medicine Physician share within Ohio

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

Specialty board-certification context

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

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

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

0%100%78%
Est. board-certified rate (Interventional Pain 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, D.O. is a Interventional Pain Medicine Physician provider practicing in SHEFFIELD VILLAGE, Ohio, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: D.O.. NPI: 1740267244. 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 KUMAR, D.O. appears in the CMS NPPES registry as a Interventional Pain Medicine Physician provider holding D.O. credentials at 5319 HOAG DR, SHEFFIELD VILLAGE, OH, 44035, with a listed phone of (440) 930-6015. NPI 1740267244 was issued on 12/27/2005. 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 1,016 prescription claims written by this provider, covering 239 Medicare beneficiaries and totaling roughly $37K in drug spend, split 2% brand-name and 98% generic by claim count, with an opioid prescribing rate of 60.0%. 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.

Interventional Pain Medicine Physician is a narrow specialty nationwide, with 1,528 enrolled providers across 53 states and an average of 2,197 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

5319 HOAG DR
SHEFFIELD VILLAGE, OH 44035

Provider Details

NPI 1740267244
Specialty Interventional Pain Medicine Physician
Credentials D.O.
Gender Male
NPI Issued 12/27/2005

Hospital and facility affiliations

Facilities where SANJAY KUMAR, D.O. 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.

MERCY HEALTH PHYSICIANS LORAIN SPECIALTY CARE LLC
SHEFFIELD VILLAGE, OH

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

License & disciplinary context — Ohio OMB 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~48K Ohio medical licensees in 2023 — they are NOT specific to SANJAY KUMAR, D.O.. To verify SANJAY KUMAR, D.O.'s current license status, search the OMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

158
Total board actions, Ohio 2023
Across 154 cases
3.29
Actions per 1,000 licensees
Ohio statewide rate
probation
Most common action type
56 cases

OMB publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Ohio disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

SANJAY KUMAR, D.O. — brand share 2.0%
Specialty average (est.)

2% brand-name claims vs 98% generic, on 1,016 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.

1,016
Total Claims
$37K
Total Drug Cost
239
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,098
Total Day Supply
28,273
Brand vs Generic
2% brand / 98% generic
Brand Drug Cost
$10K
Generic Drug Cost
$27K
Opioid Claims
610 (60.0% rate)

Patient Demographics

Average Patient Age
68.9 years
Avg HCC Risk Score
1.78
Gender Split
59% female / 41% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
324
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
126
Gabapentin
108
Tizanidine Hcl
105
Tramadol Hcl
67
Pregabalin
37
Methylprednisolone
33
Cyclobenzaprine Hcl
27
Oxycodone Hcl
22
Baclofen
21

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

Interventional Pain Medicine Physician Overview

How SANJAY KUMAR, D.O. fits within the Interventional Pain Medicine Physician landscape nationally.

1,528
Interventional Pain Medicine Physician Providers in US
53
States with Interventional Pain Medicine Physician
2,197
Avg Claims per Provider

SANJAY KUMAR, D.O.'s 1,016 claims are below the specialty average of 2,197.

Nearby Interventional Pain Medicine Physician Providers in Ohio

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

Compare Interventional Pain Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is SANJAY KUMAR, D.O.'s specialty?
SANJAY KUMAR, D.O. specializes in Interventional Pain Medicine Physician and practices in SHEFFIELD VILLAGE, Ohio. Credentials: D.O..
How much does SANJAY KUMAR, D.O. prescribe under Medicare Part D?
In 2023, SANJAY KUMAR, D.O. wrote 1,016 Medicare Part D claims totaling $37K in drug costs for 239 beneficiaries.
Where is SANJAY KUMAR, D.O. located?
SANJAY KUMAR, D.O. is located at 5319 HOAG DR, SHEFFIELD VILLAGE, OH, 44035. Phone: (440) 930-6015.
What is SANJAY KUMAR, D.O.'s NPI number?
SANJAY KUMAR, D.O.'s National Provider Identifier (NPI) is 1740267244, issued on 12/27/2005.
Does SANJAY KUMAR, D.O. prescribe more brand-name or generic drugs?
SANJAY KUMAR, D.O.'s prescribing is 2% brand-name and 98% generic drugs by claim count, with $10K in brand drug costs.
Does SANJAY KUMAR, D.O. prescribe opioids?
Yes, SANJAY KUMAR, D.O. had 610 opioid claims in 2023 with an opioid prescribing rate of 60.0%.
How many Interventional Pain Medicine Physician providers are there in the US?
There are 1,528 Interventional Pain Medicine Physician providers across 53 states in the US. The average Interventional Pain Medicine Physician provider writes 2,197 Medicare Part D claims per year.
What drugs does SANJAY KUMAR, D.O. prescribe most often?
Based on 2023 Medicare Part D data, SANJAY KUMAR, D.O.'s most frequently prescribed drugs include Oxycodone-Acetaminophen, Hydrocodone-Acetaminophen, Gabapentin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SANJAY KUMAR, D.O. accept Medicare?
SANJAY KUMAR, D.O. appears in CMS Medicare data with 1,016 Part D claims and 239 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SANJAY KUMAR, D.O.'s credentials?
SANJAY KUMAR, D.O.'s NPI is 1740267244 with credentials D.O.. 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