NPI registry status
Active
2026 NPPES data Pain Medicine (Physical Medicine & Rehabilitation) Physician NPI 1790730570 MD
Verify on CMS → Sanjay Madnani, MD
Pain Medicine (Physical Medicine & Rehabilitation) Physician in Langhorne, Pennsylvania.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,630 in Pain Medicine (Physical Medicine & Rehabilitation) Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
374
Medicare Part D claims · 68 beneficiaries · Pain Medicine (Physical Medicine & Rehabilitation) Physician avg: 1K
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Sanjay Madnani, MD filed 374 Medicare Part D claims in 2023 as a Pain Medicine (Physical Medicine & Rehabilitation) Physician in Langhorne, Pennsylvania.
- 374
- Part D claims, 2023
- 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 Madnani, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
374 Top 43% higher than 57% of 1,370,886 prescribers
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 Madnani, MD 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).
What does the federal data show about Sanjay Madnani, MD?
Quality data not reportedPrimary specialty
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Medicare Part D claims
374 73% vs specialty avg
Specialty distribution in Pennsylvania
How Pain Medicine (Physical Medicine & Rehabilitation) Physician compares to other specialties among Pennsylvania providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Pain Medicine (Physical Medicine & Rehabilitation) Physician. Verify directly:
How MIPS and board certification work
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 Madnani, MD appears in the CMS NPPES registry as a Pain Medicine (Physical Medicine & Rehabilitation) Physician provider holding MD credentials at 300 MIDDLETOWN BLVD STE 103, Langhorne, PA, 19047, with a listed phone of (215) 741-7031. NPI 1790730570 was issued on 05/23/2006.
Medicare Part D records for calendar year 2023 show 374 prescription claims written by this provider, covering 68 Medicare beneficiaries and totaling roughly $5K in drug spend, with an opioid prescribing rate of 32.4%.
Pain Medicine (Physical Medicine & Rehabilitation) Physician is a narrow specialty nationwide, with 1,630 enrolled providers across 50 states and an average of 1,401 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
Provider Details
| NPI | 1790730570 |
|---|---|
| Specialty | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 05/23/2006 |
Hospital and facility affiliations
Facilities where Sanjay Madnani, 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.
Oxford Valley Pain And Spine Center, Inc.
Langhorne, PA
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 - Pennsylvania PA-BOM 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 ~45K Pennsylvania medical licensees in 2023 - they are NOT specific to Sanjay Madnani, MD. To verify Sanjay Madnani, MD's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases
PA-BOM 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 Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
374
Total Claims
$5K
Total Drug Cost
68
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 475
- Total Day Supply
- 13,713
- Generic Drug Cost
- $5K
- Opioid Claims
- 121 (32.4% rate)
Patient Demographics
- Average Patient Age
- 65.0 years
- Avg HCC Risk Score
- 0.99
- Gender Split
- 46% female / 54% male
- Age Distribution
- <65: 27, 65-74: 32, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Sanjay Madnani, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Gabapentin
Gabapentin
104 claims
- Tizanidine Hcl
Tizanidine Hcl
61 claims
- Acetaminophen-Code…
Acetaminophen-Codeine
43 claims
- Tramadol Hcl 37
Tramadol Hcl
37 claims
- Meloxicam 30
Meloxicam
30 claims
- Duloxetine Hcl 29
Duloxetine Hcl
29 claims
- Hydrocodone-Acetam… 18
Hydrocodone-Acetaminophen
18 claims
- Morphine Sulfate Er 12
Morphine Sulfate Er
12 claims
| Drug | Claims |
|---|---|
| Gabapentin | 104 |
| Tizanidine Hcl | 61 |
| Acetaminophen-Codeine Acetaminophen With Codeine | 43 |
| Tramadol Hcl | 37 |
| Meloxicam | 30 |
| Duloxetine Hcl | 29 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 18 |
| Morphine Sulfate Er Morphine Sulfate | 12 |
| Methadone Hcl | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Pain Medicine (Physical Medicine & Rehabilitation) Physician in PA →
All providers in Pennsylvania →
Compare specialties →
Pain Medicine (Physical Medicine & Rehabilitation) Physician Overview
How Sanjay Madnani, MD fits within the Pain Medicine (Physical Medicine & Rehabilitation) Physician landscape nationally.
1,630
Pain Medicine (Physical Medicine & Rehabilitation) Physician Providers in US
50
States with Pain Medicine (Physical Medicine & Rehabilitation) Physician
1,401
Avg Claims per Provider
Sanjay Madnani, MD's 374 claims are below the specialty average of 1,401.
Nearby Pain Medicine (Physical Medicine & Rehabilitation) Physician Providers in Pennsylvania
Other clinicians with the same primary specialty enrolled in Pennsylvania, drawn from the same CMS NPPES roster as Madnani.
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Pennsylvania medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Pain Medicine (Physical Medicine & Rehabilitation) Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
Healthcare Guides
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Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore Pennsylvania
Frequently Asked Questions
What is Sanjay Madnani, MD's specialty? ▼
Sanjay Madnani, MD specializes in Pain Medicine (Physical Medicine & Rehabilitation) Physician and practices in Langhorne, Pennsylvania. Credentials: MD.
How much does Sanjay Madnani, MD prescribe under Medicare Part D? ▼
In 2023, Sanjay Madnani, MD wrote 374 Medicare Part D claims totaling $5K in drug costs for 68 beneficiaries.
Where is Sanjay Madnani, MD located? ▼
Sanjay Madnani, MD is located at 300 MIDDLETOWN BLVD STE 103, Langhorne, PA, 19047. Phone: (215) 741-7031.
What is Sanjay Madnani, MD's NPI number? ▼
Sanjay Madnani, MD's National Provider Identifier (NPI) is 1790730570, issued on 05/23/2006.
Does Sanjay Madnani, MD prescribe opioids? ▼
Yes, Sanjay Madnani, MD had 121 opioid claims in 2023 with an opioid prescribing rate of 32.4%.
How many Pain Medicine (Physical Medicine & Rehabilitation) Physician providers are there in the US? ▼
There are 1,630 Pain Medicine (Physical Medicine & Rehabilitation) Physician providers across 50 states in the US. The average Pain Medicine (Physical Medicine & Rehabilitation) Physician provider writes 1,401 Medicare Part D claims per year.
What drugs does Sanjay Madnani, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Sanjay Madnani, MD's most frequently prescribed drugs include Gabapentin, Tizanidine Hcl, Acetaminophen-Codeine. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Sanjay Madnani, MD accept Medicare? ▼
Sanjay Madnani, MD appears in CMS Medicare data with 374 Part D claims and 68 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Sanjay Madnani, MD's credentials? ▼
Sanjay Madnani, MD's NPI is 1790730570 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
View source datasets and methodology notes
- 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
Compiled from official public sources by the PlainDoctor editorial team.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.