NPPES file of Aug 9, 2026

Sanjay Saxena, MD

Family Medicine Physician · Hagerstown, MD

Sanjay Saxena, MD is a family medicine physician with a practice address in Hagerstown, Maryland, and NPI 1558428706, issued on Jan 3, 2007. Check the license (Maryland D0056413, as entered in NPPES) on the Maryland Board of Physicians; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1558428706
Name
Sanjay Saxena
Credential
MD
Primary taxonomy
Family Medicine Physician 207Q00000X
License number
D0056413 MD
Self-reported in NPPES; status is on the state search
Practice location
1138 Opal CT, Hagerstown, MD 21740
Phone
(301) 745-4500
Enumerated
Jan 3, 2007
Record last updated
Jan 21, 2010 (not updated in 16 years: call before relying on the address or phone)
Fax
(301) 745-4659
Medicaid ID
765200300 MD
Medicare enrollment
Enrolled (PECOS I20050616000736); accepts Medicare assignment
Medical or professional school
Jefferson Medical College Of Thomas Jefferson University, 1991
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 1138 Opal CT

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Annette Alleva, MDSurgery Physician1619074168
  2. Anhtai Nguyen, MD,MBA,FACSSurgery Physician1700817525
  3. Preeti Saxena, MDFamily Medicine Physician1306995907

Verify Sanjay Saxena in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersMaryland Board of Physicians
    Search for license D0056413
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Maryland license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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2.1 times the Medicare Part D claims of the average family medicine physician in 2024

7,335 Medicare Part D claims for 451 beneficiaries, against an average of 3,544 among the 117,163 providers of this specialty who prescribed in Part D. Brand-name drugs were 13% of claims. 628 claims were for opioids.

  1. Sanjay Saxena7,335
  2. Specialty average3,544

Most prescribed

  1. Atorvastatin Calcium538 claims
  2. Lisinopril289 claims
  3. Tramadol Hcl271 claims
  4. Mounjaro222 claims
  5. Pioglitazone Hcl222 claims
  6. Levothyroxine Sodium192 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The MIPS final score for 2023 (Medicare payment program): 76 of 100

The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score100.0
  2. Costout of 100 · 30%70.1
  3. Promoting interoperabilitynot scored (reweighted)
  4. Improvement activities20 of 40 points · 15%50.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $4,099.03

149 payments; by number, the most common kind was food and beverage; the largest payer was Abbvie Inc. The 55,478 providers of this specialty with any payment received $902.55 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Sanjay Saxena$4,099.03
  2. Specialty average$902.55

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through 2 group practices

  1. Hagerstown Family Medicine, PCHagerstown, MD
  2. Meritus Medical Center IncHagerstown, MD

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Sanjay Saxena among 1,912 family medicine physician records in Maryland

Sanjay Saxena, MD is one of 1,912 family medicine physician records with a practice address in Maryland. 73% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 46% of them.

  • NPI issued2007 · 46% of these records are older, 42% newer
  • In a Medicare fileYes · 73% of these records are
  • In the CMS Doctors and Clinicians fileYes · 60% of these records are
  • Graduated1991 · median 2004 among the 1,141 with a school on file
  • Record last updated2010 · 58% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207Q00000X and a Maryland practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

61 family medicine physician records list a practice address in Hagerstown

They are 61 of the 2,414 NPPES records with a practice address in Hagerstown, and 1,912 family medicine physician records in Maryland.

The 8 family medicine physician records with the nearest ZIP codes

  1. Matthew Beckwith, M.D.Hagerstown, MD 217401235162280
  2. Vasant Datta, M.D.Hagerstown, MD 217401982666913
  3. Meera Mathew, M.D.Hagerstown, MD 217401801852470
  4. Ian Newbold, M.D.Hagerstown, MD 217401578695821
  5. Contah Nimely, M.D.Hagerstown, MD 217401538350335
  6. Martha Pendleton-Riggle, MDHagerstown, MD 217401306829205
  7. Ghazala Qadir, M.D.Hagerstown, MD 217401942281720
  8. Curtis Reynolds, M.D.Hagerstown, MD 217401336399385

Common questions

What is Sanjay Saxena, MD's NPI number?

Sanjay Saxena, MD's National Provider Identifier (NPI) is 1558428706, issued on Jan 3, 2007. An NPI identifies a provider in billing; it is not a license.

Where is Sanjay Saxena, MD located?

The NPPES record lists a practice address at 1138 Opal CT, Hagerstown, MD, 21740. Phone: (301) 745-4500. Providers update this record themselves, so call before visiting.

How can I verify Sanjay Saxena, MD's license?

NPPES lists Maryland license number D0056413, as entered by the provider. Search the Maryland Board of Physicians at https://www.mbp.state.md.us/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Sanjay Saxena, MD prescribe under Medicare Part D?

In 2024, Sanjay Saxena, MD had 7,335 Medicare Part D claims for 451 beneficiaries; the average among family medicine physician prescribers was 3,544. Part D covers Medicare prescriptions only.

What is Sanjay Saxena, MD's MIPS final score?

The 2023 MIPS final score is 76 of 100. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.