NPI registry status
Active
2026 NPPES data Pulmonary Disease Physician NPI 1225119415 M.D.
Verify on CMS → Sanjay Sikand, M.D.
Pulmonary Disease Physician in Brick, New Jersey.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 9,323 in Pulmonary Disease 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
1K
Medicare Part D claims · 209 beneficiaries · Pulmonary Disease Physician avg: 1K
Generic prescribing
0%
generic claims · 56% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
83.7/100
▲ 0 pts above national avg 83.5 · Above neutral
Industry payments
$1.8K
92 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Sanjay Sikand, M.D. reported a CMS MIPS final score of 83.7/100 - above the 83.5 national average - and filed 1,204 Medicare Part D claims in 2023.
- 83.7/100
- MIPS score · +0 vs avg
- 1K
- Part D claims, 2023
- 0%
- generic prescribing
- 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 Sikand, M.D.'s MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
84 ≥ 39th percentile 39% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Sanjay Sikand, M.D. sits
This provider among pulmonary disease physician peers
Across the 2,467 pulmonary disease physician providers who report both Medicare Part D prescribing and a MIPS quality score, Sanjay Sikand, M.D. writes more Part D claims than 55% of them and scores higher on MIPS quality than 44% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one pulmonary disease physician peer from a representative sample of 60; the gold marker is Sanjay Sikand, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Sanjay Sikand, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting - 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 Sikand, M.D.?
Near national averagePrimary specialty
Pulmonary Disease Physician
Medicare Part D claims
1,204 17% vs specialty avg
MIPS final score
83.7/100 0.2 pts vs avg
Specialty distribution in New Jersey
How Pulmonary Disease Physician compares to other specialties among New Jersey providers
Medicare quality performance, MIPS
Sanjay Sikand, M.D.'s 2023 MIPS final score plotted against the Pulmonary Disease Physician national average
- MIPS Final Score
- 83.7/100
- vs 83.5 national avg · 2023 performance year
MIPS final score (Pulmonary Disease Physician) - 83.7/100 vs national avg 83.5
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 Sikand, M.D. appears in the CMS NPPES registry as a Pulmonary Disease Physician provider holding M.D. credentials at 1617 ROUTE 88 STE 202, Brick, NJ, 08724, with a listed phone of (732) 903-7863. NPI 1225119415 was issued on 10/17/2006.
Medicare Part D records for calendar year 2023 show 1,204 prescription claims written by this provider, covering 209 Medicare beneficiaries and totaling roughly $608K in drug spend, split 56% brand-name and 0% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 83.7/100 for the 2023 performance year (Quality 84.7, Cost 41), compared with the 83.5 average among clinicians with a measured score.
Pulmonary Disease Physician is a mid-sized specialty nationwide, with 9,323 enrolled providers across 53 states and an average of 1,457 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 | 1225119415 |
|---|---|
| Specialty | Pulmonary Disease Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 10/17/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
83.7459
Final Score
Measured-score avg: 83.5
84.72
Quality
40.9723
Cost
100
Promoting Interoperability
Reporting: Individual
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 Sikand, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$1.8K
Largest payer
AstraZeneca Pharmaceuticals LP
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.
Brand vs generic prescribing mix · Brand-heavy
Sanjay Sikand, M.D. - brand share 56.0%
Pulmonary Disease Physician average
56% brand-name claims vs 0% generic, on 1,204 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.
1,204
Total Claims
$608K
Total Drug Cost
209
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 1,524
- Total Day Supply
- 40,031
- Brand vs Generic
- 56% brand / 0% generic
- Brand Drug Cost
- $575K
- Antibiotic Claims
- 121
Patient Demographics
- Average Patient Age
- 75.2 years
- Avg HCC Risk Score
- 1.91
- Gender Split
- 71% female / 29% male
- Age Distribution
- <65: 21, 65-74: 77, 75-84: 83, 85+: 28
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Sanjay Sikand, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Trelegy Ellipta
Trelegy Ellipta
282 claims
- Albuterol Sulfate …
Albuterol Sulfate Hfa
163 claims
- Prednisone 87
Prednisone
87 claims
- Anoro Ellipta 73
Anoro Ellipta
73 claims
- Breo Ellipta 50
Breo Ellipta
50 claims
- Breztri Aerosphere 48
Breztri Aerosphere
48 claims
- Azithromycin 47
Azithromycin
47 claims
- Montelukast Sodium 40
Montelukast Sodium
40 claims
| Drug | Claims |
|---|---|
| Trelegy Ellipta Fluticasone/Umeclidin/Vilanter | 282 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 163 |
| Prednisone | 87 |
| Anoro Ellipta Umeclidinium Brm/Vilanterol Tr | 73 |
| Breo Ellipta Fluticasone/Vilanterol | 50 |
| Breztri Aerosphere Budesonide/Glycopyr/Formoterol | 48 |
| Azithromycin | 47 |
| Montelukast Sodium | 40 |
| Doxycycline Hyclate | 27 |
| Methylprednisolone | 25 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Pulmonary Disease Physician Overview
How Sanjay Sikand, M.D. fits within the Pulmonary Disease Physician landscape nationally.
9,323
Pulmonary Disease Physician Providers in US
53
States with Pulmonary Disease Physician
1,457
Avg Claims per Provider
Sanjay Sikand, M.D.'s 1,204 claims are below the specialty average of 1,457.
Nearby Pulmonary Disease Physician Providers in New Jersey
Other clinicians with the same primary specialty enrolled in New Jersey, drawn from the same CMS NPPES roster as Sikand.
Dr. Vincent Acampora
DO
Cherry Hill, NJ
Dr. Pankaja Achar
MD
Newark, NJ
Dr. William Adams
D.O.
Atlantic City, NJ
Dr. Abhishek Agarwal
MD
Marlton, NJ
Dr. Vinod Aggarwal
MD FCCP
Holmdel, NJ
Compare Pulmonary Disease Physician nationally: see state-by-state distribution →
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 New Jersey medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Pulmonary Disease 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
Learn more about finding, verifying, and understanding healthcare providers.
How to Find a Doctor
Step-by-step guide to choosing a provider
Verify Credentials
Check NPI, board certification & license status
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 New Jersey
Frequently Asked Questions
What is Sanjay Sikand, M.D.'s specialty? ▼
Sanjay Sikand, M.D. specializes in Pulmonary Disease Physician and practices in Brick, New Jersey. Credentials: M.D..
How much does Sanjay Sikand, M.D. prescribe under Medicare Part D? ▼
In 2023, Sanjay Sikand, M.D. wrote 1,204 Medicare Part D claims totaling $608K in drug costs for 209 beneficiaries.
What is Sanjay Sikand, M.D.'s Medicare quality score? ▼
Sanjay Sikand, M.D. has a CMS MIPS Final Score of 83.7/100 (Quality: 84.7, Cost: 41). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Sanjay Sikand, M.D. located? ▼
Sanjay Sikand, M.D. is located at 1617 ROUTE 88 STE 202, Brick, NJ, 08724. Phone: (732) 903-7863.
What is Sanjay Sikand, M.D.'s NPI number? ▼
Sanjay Sikand, M.D.'s National Provider Identifier (NPI) is 1225119415, issued on 10/17/2006.
Does Sanjay Sikand, M.D. prescribe more brand-name or generic drugs? ▼
Sanjay Sikand, M.D.'s prescribing is 56% brand-name and 0% generic drugs by claim count, with $575K in brand drug costs.
How many Pulmonary Disease Physician providers are there in the US? ▼
There are 9,323 Pulmonary Disease Physician providers across 53 states in the US. The average Pulmonary Disease Physician provider writes 1,457 Medicare Part D claims per year.
What drugs does Sanjay Sikand, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Sanjay Sikand, M.D.'s most frequently prescribed drugs include Trelegy Ellipta, Albuterol Sulfate Hfa, Prednisone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Sanjay Sikand, M.D. accept Medicare? ▼
Sanjay Sikand, M.D. appears in CMS Medicare data with 1,204 Part D claims and 209 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Sanjay Sikand, M.D.'s credentials? ▼
Sanjay Sikand, M.D.'s NPI is 1225119415 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
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.
- 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
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.