2026 NPPES data Psychiatry Physician NPI 1942278973 MD
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SANJAY NIGAM, MD

Psychiatry Physician in MARYVILLE, Illinois. 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 · 352 beneficiaries · Psychiatry Physician avg: 1K
MIPS score
100/100
▲ 17 pts above national avg 83.1 · [object Object]
Industry payments
$29.4K
89 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

SANJAY NIGAM, MD reported a CMS MIPS final score of 100/100 — above the 83.1 national average — and filed 5,382 Medicare Part D claims in 2023.

100/100
MIPS score · +17 vs avg
5K
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 NIGAM, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

100 Top 7% higher than 93% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. 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 Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

SANJAY NIGAM, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 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 NIGAM, MD?

High performer (top quartile)

NPI registry status

Active

Issued 03/08/2006

NPI 1942278973

Primary specialty

Psychiatry Physician

High-volume

53,104 US NPIs in this specialty

Medicare Part D claims

5,382 418% vs specialty avg

2023 prescription claims

Specialty avg: 1,038

MIPS final score

100/100 16.900000000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Illinois

How Psychiatry Physician compares to other specialties among Illinois providers

Illinois providers

Psychiatry Physician share within Illinois

1. Psychiatry Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Psychiatry Physician share within Illinois

Medicare quality performance — MIPS

SANJAY NIGAM, MD's 2023 MIPS final score plotted against the Psychiatry Physician national average

High performer (top quartile)
MIPS Final Score
100/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Psychiatry Physician) — 100/100 vs national avg 83.1

0%100%National avg83%99%
MIPS final score (Psychiatry Physician) — 100/100 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 NIGAM, MD appears in the CMS NPPES registry as a Psychiatry Physician provider holding MD credentials at 6805 STATE ROUTE 162, MARYVILLE, IL, 62062, with a listed phone of (618) 288-5019. NPI 1942278973 was issued on 03/08/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what NIGAM 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 5,382 prescription claims written by this provider, covering 352 Medicare beneficiaries and totaling roughly $941K in drug spend. 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 100/100 for the 2023 performance year (Quality 87.4695, Cost 98.5983), compared with the national average of 83.1.

Psychiatry Physician is a high-volume specialty nationwide, with 53,104 enrolled providers across 56 states and an average of 1,038 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

6805 STATE ROUTE 162
MARYVILLE, IL 62062

Provider Details

NPI 1942278973
Specialty Psychiatry Physician
Credentials MD
Gender Male
NPI Issued 03/08/2006

CMS Quality Score (MIPS)

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

100
Final Score
Avg: 83.1
87.4695
Quality
98.5983
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where SANJAY NIGAM, 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.

SOUTHERN ILLINOIS ASSOCIATES LLC
MARYVILLE, IL

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

Total received

$29.4K

Largest payer

Janssen Pharmaceuticals, 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 — Illinois IDFPR 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 ~42K Illinois medical licensees in 2023 — they are NOT specific to SANJAY NIGAM, MD. To verify SANJAY NIGAM, MD's current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases

IDFPR 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 Illinois 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.

5,382
Total Claims
$941K
Total Drug Cost
352
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
7,492
Total Day Supply
216,700
Generic Drug Cost
$190K

Patient Demographics

Average Patient Age
64.6 years
Avg HCC Risk Score
1.56
Gender Split
55% female / 45% male
Age Distribution
<65: 143, 65-74: 125, 75-84: 66, 85+: 18

Top Prescribed Drugs (Medicare Part D)

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

What SANJAY NIGAM, 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
Quetiapine Fumarate
429
Duloxetine Hcl
340
Escitalopram Oxalate
311
Sertraline Hcl
279
Buspirone Hcl
272
Trazodone Hcl
254
Aripiprazole
253
Bupropion Xl
Bupropion Hcl
175
Venlafaxine Hcl Er
Venlafaxine Hcl
166
Lamotrigine
155

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

Psychiatry Physician Overview

How SANJAY NIGAM, MD fits within the Psychiatry Physician landscape nationally.

53,104
Psychiatry Physician Providers in US
56
States with Psychiatry Physician
1,038
Avg Claims per Provider

SANJAY NIGAM, MD's 5,382 claims are above the specialty average of 1,038.

Nearby Psychiatry Physician Providers in Illinois

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

Compare Psychiatry Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is SANJAY NIGAM, MD's specialty?
SANJAY NIGAM, MD specializes in Psychiatry Physician and practices in MARYVILLE, Illinois. Credentials: MD.
How much does SANJAY NIGAM, MD prescribe under Medicare Part D?
In 2023, SANJAY NIGAM, MD wrote 5,382 Medicare Part D claims totaling $941K in drug costs for 352 beneficiaries.
What is SANJAY NIGAM, MD's Medicare quality score?
SANJAY NIGAM, MD has a CMS MIPS Final Score of 100/100 (Quality: 87.4695, Cost: 98.5983). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SANJAY NIGAM, MD located?
SANJAY NIGAM, MD is located at 6805 STATE ROUTE 162, MARYVILLE, IL, 62062. Phone: (618) 288-5019.
What is SANJAY NIGAM, MD's NPI number?
SANJAY NIGAM, MD's National Provider Identifier (NPI) is 1942278973, issued on 03/08/2006.
How many Psychiatry Physician providers are there in the US?
There are 53,104 Psychiatry Physician providers across 56 states in the US. The average Psychiatry Physician provider writes 1,038 Medicare Part D claims per year.
What drugs does SANJAY NIGAM, MD prescribe most often?
Based on 2023 Medicare Part D data, SANJAY NIGAM, MD's most frequently prescribed drugs include Quetiapine Fumarate, Duloxetine Hcl, Escitalopram Oxalate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SANJAY NIGAM, MD accept Medicare?
SANJAY NIGAM, MD appears in CMS Medicare data with 5,382 Part D claims and 352 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SANJAY NIGAM, MD's credentials?
SANJAY NIGAM, MD's NPI is 1942278973 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.
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