2026 NPPES data Pain Medicine (Physical Medicine & Rehabilitation) Physician NPI 1790730570 MD
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SANJAY MADNANI, MD

Pain Medicine (Physical Medicine & Rehabilitation) Physician in LANGHORNE, Pennsylvania. 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
374
Medicare Part D claims · 68 beneficiaries · Pain Medicine (Physical Medicine & Rehabilitation) Physician avg: 1K
What the federal data reveals: SANJAY MADNANI, MD is a Pain Medicine (Physical Medicine & Rehabilitation) Physician ([object Object]) practicing in LANGHORNE, Pennsylvania with a Medicare Part D prescribing footprint of 374 claims across 68 beneficiaries .

What stands out: SANJAY MADNANI, MD filed 374 Medicare Part D claims in 2023 across LANGHORNE, Pennsylvania. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

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).

SANJAY MADNANI, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 05/23/2006

NPI 1790730570

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) Physician

Niche

1,626 US NPIs in this specialty

Medicare Part D claims

374 73% vs specialty avg

2023 prescription claims

Specialty avg: 1,401

Specialty distribution in Pennsylvania

How Pain Medicine (Physical Medicine & Rehabilitation) Physician compares to other specialties among Pennsylvania providers

Pennsylvania providers

Pain Medicine (Physical Medicine & Rehabilitation) Physician share within Pennsylvania

1. Pain Medicine (Physical Medicine & Rehabilitation) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pain Medicine (Physical Medicine & Rehabilitation) Physician share within Pennsylvania

Specialty board-certification context

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

Quality data not reported
Est. board-certified rate
78%
Pain Medicine (Physical Medicine & Rehabilitation) Physician ABMS/AOA estimate

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

0%100%78%
Est. board-certified rate (Pain Medicine (Physical Medicine & Rehabilitation) 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 MADNANI, MD is a Pain Medicine (Physical Medicine & Rehabilitation) Physician provider practicing in LANGHORNE, Pennsylvania, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1790730570. 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 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. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MADNANI 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 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%. 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.

Pain Medicine (Physical Medicine & Rehabilitation) Physician is a narrow specialty nationwide, with 1,626 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

300 MIDDLETOWN BLVD STE 103
LANGHORNE, PA 19047

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.

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.

Pain Medicine (Physical Medicine & Rehabilitation) Physician Overview

How SANJAY MADNANI, MD fits within the Pain Medicine (Physical Medicine & Rehabilitation) Physician landscape nationally.

1,626
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.

Compare Pain Medicine (Physical Medicine & Rehabilitation) Physician nationally: see state-by-state distribution →

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 1,626 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

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