2026 NPPES data Interventional Cardiology Physician NPI 1205948288 M.D.
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SANJAY KUMAR, M.D.

Interventional Cardiology Physician in SANTA BARBARA, California. 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
5K
Medicare Part D claims · 750 beneficiaries · Interventional Cardiology Physician avg: 3K
Generic prescribing
82%
generic claims · 18% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
80.8194/100
▼ 2 pts below national avg 83.1 · [object Object]
Industry payments
$302.71
14 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: SANJAY KUMAR, M.D. is a Interventional Cardiology Physician ([object Object]) practicing in SANTA BARBARA, California with a Medicare Part D prescribing footprint of 5K claims across 750 beneficiaries — 18% brand-name prescribing . Their CMS MIPS Final Score of 80.8194/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $302.71 across 14 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: SANJAY KUMAR, M.D. reported a CMS MIPS final score of 80.8194 out of 100, below the 83.1 national average, and filed 5,319 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 KUMAR, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

SANJAY KUMAR, M.D. at a glance

Near national average

NPI registry status

Active

Issued 08/31/2006

NPI 1205948288

Primary specialty

Interventional Cardiology Physician

Niche

3,382 US NPIs in this specialty

Medicare Part D claims

5,319 78% vs specialty avg

2023 prescription claims

Specialty avg: 2,984

MIPS final score

80.8194/100 2.2805999999999926% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in California

How Interventional Cardiology Physician compares to other specialties among California providers

California providers

Interventional Cardiology Physician share within California

1. Interventional Cardiology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Interventional Cardiology Physician share within California

Medicare quality performance — MIPS

SANJAY KUMAR, M.D.'s 2023 MIPS final score plotted against the Interventional Cardiology Physician national average

Near national average
MIPS Final Score
80.8194/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Interventional Cardiology Physician) — 80.8194/100 vs national avg 83.1

0%100%National avg83%80.8%
MIPS final score (Interventional Cardiology Physician) — 80.8194/100 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 KUMAR, M.D. is a Interventional Cardiology Physician provider practicing in SANTA BARBARA, California, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1205948288. 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, M.D. appears in the CMS NPPES registry as a Interventional Cardiology Physician provider holding M.D. credentials at 2400 BATH ST, SANTA BARBARA, CA, 93105, with a listed phone of (805) 682-7707. NPI 1205948288 was issued on 08/31/2006. 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 5,319 prescription claims written by this provider, covering 750 Medicare beneficiaries and totaling roughly $1.1 million in drug spend, split 18% brand-name and 82% 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 80.8194/100 for the 2023 performance year (Quality 80.6252, Cost 55.4393), compared with the national average of 83.1.

Interventional Cardiology Physician is a narrow specialty nationwide, with 3,382 enrolled providers across 53 states and an average of 2,984 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

2400 BATH ST
SANTA BARBARA, CA 93105

Provider Details

NPI 1205948288
Specialty Interventional Cardiology Physician
Credentials M.D.
Gender Male
NPI Issued 08/31/2006

CMS Quality Score (MIPS)

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

80.8194
Final Score
Avg: 83.1
80.6252
Quality
55.4393
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where SANJAY KUMAR, M.D. 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.

COTTAGE CLINICAL ASSOCIATES
SANTA BARBARA, CA
COTTAGE MEDICAL FOUNDATION
GOLETA, CA

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, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$303

Largest payer

PFIZER INC.

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.

License & disciplinary context — California MBC 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 ~150K California medical licensees in 2023 — they are NOT specific to SANJAY KUMAR, M.D.. To verify SANJAY KUMAR, M.D.'s current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC 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 California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

SANJAY KUMAR, M.D. — brand share 18.0%
Specialty average (est.)

18% brand-name claims vs 82% generic, on 5,319 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.

5,319
Total Claims
$1.1M
Total Drug Cost
750
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
13,266
Total Day Supply
396,826
Brand vs Generic
18% brand / 82% generic
Brand Drug Cost
$994K
Generic Drug Cost
$104K

Patient Demographics

Average Patient Age
77.8 years
Avg HCC Risk Score
1.22
Gender Split
41% female / 59% male
Age Distribution
<65: 11, 65-74: 262, 75-84: 324, 85+: 153

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Atorvastatin Calcium
617
Metoprolol Succinate
533
Eliquis
Apixaban
482
Amlodipine Besylate
455
Losartan Potassium
281
Rosuvastatin Calcium
256
Carvedilol
192
Xarelto
Rivaroxaban
184
Lisinopril
165
Ezetimibe
163

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

Interventional Cardiology Physician Overview

How SANJAY KUMAR, M.D. fits within the Interventional Cardiology Physician landscape nationally.

3,382
Interventional Cardiology Physician Providers in US
53
States with Interventional Cardiology Physician
2,984
Avg Claims per Provider

SANJAY KUMAR, M.D.'s 5,319 claims are above the specialty average of 2,984.

Nearby Interventional Cardiology Physician Providers in California

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

Compare Interventional Cardiology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is SANJAY KUMAR, M.D.'s specialty?
SANJAY KUMAR, M.D. specializes in Interventional Cardiology Physician and practices in SANTA BARBARA, California. Credentials: M.D..
How much does SANJAY KUMAR, M.D. prescribe under Medicare Part D?
In 2023, SANJAY KUMAR, M.D. wrote 5,319 Medicare Part D claims totaling $1.1M in drug costs for 750 beneficiaries.
What is SANJAY KUMAR, M.D.'s Medicare quality score?
SANJAY KUMAR, M.D. has a CMS MIPS Final Score of 80.8194/100 (Quality: 80.6252, Cost: 55.4393). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SANJAY KUMAR, M.D. located?
SANJAY KUMAR, M.D. is located at 2400 BATH ST, SANTA BARBARA, CA, 93105. Phone: (805) 682-7707.
What is SANJAY KUMAR, M.D.'s NPI number?
SANJAY KUMAR, M.D.'s National Provider Identifier (NPI) is 1205948288, issued on 08/31/2006.
Does SANJAY KUMAR, M.D. prescribe more brand-name or generic drugs?
SANJAY KUMAR, M.D.'s prescribing is 18% brand-name and 82% generic drugs by claim count, with $994K in brand drug costs.
How many Interventional Cardiology Physician providers are there in the US?
There are 3,382 Interventional Cardiology Physician providers across 53 states in the US. The average Interventional Cardiology Physician provider writes 2,984 Medicare Part D claims per year.
What drugs does SANJAY KUMAR, M.D. prescribe most often?
Based on 2023 Medicare Part D data, SANJAY KUMAR, M.D.'s most frequently prescribed drugs include Atorvastatin Calcium, Metoprolol Succinate, Eliquis. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SANJAY KUMAR, M.D. accept Medicare?
SANJAY KUMAR, M.D. appears in CMS Medicare data with 5,319 Part D claims and 750 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SANJAY KUMAR, M.D.'s credentials?
SANJAY KUMAR, M.D.'s NPI is 1205948288 with credentials M.D.. 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