2026 NPPES data Pulmonary Disease Physician NPI 1225119415 M.D.
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SANJAY SIKAND, M.D.

Pulmonary Disease Physician in BRICK, New Jersey. 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
1K
Medicare Part D claims · 209 beneficiaries · Pulmonary Disease Physician avg: 1K
Generic prescribing
44%
generic claims · 56% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
83.7459/100
▲ 1 pts above national avg 83.1 · [object Object]
Industry payments
$1.8K
92 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

SANJAY SIKAND, M.D. reported a CMS MIPS final score of 83.7459/100 — above the 83.1 national average — and filed 1,204 Medicare Part D claims in 2023.

83.7459/100
MIPS score · +1 vs avg
1K
Part D claims, 2023
44%
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 scored U.S. clinician

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

84 42nd percentile higher than 42% 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%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. 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 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 average

NPI registry status

Active

Issued 10/17/2006

NPI 1225119415

Primary specialty

Pulmonary Disease Physician

Mid-sized

9,271 US NPIs in this specialty

Medicare Part D claims

1,204 17% vs specialty avg

2023 prescription claims

Specialty avg: 1,457

MIPS final score

83.7459/100 0.6459000000000117% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in New Jersey

How Pulmonary Disease Physician compares to other specialties among New Jersey providers

New Jersey providers

Pulmonary Disease Physician share within New Jersey

1. Pulmonary Disease Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pulmonary Disease Physician share within New Jersey

Medicare quality performance — MIPS

SANJAY SIKAND, M.D.'s 2023 MIPS final score plotted against the Pulmonary Disease Physician national average

Near national average
MIPS Final Score
83.7459/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pulmonary Disease Physician) — 83.7459/100 vs national avg 83.1

0%100%National avg83%83.7%
MIPS final score (Pulmonary Disease Physician) — 83.7459/100 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 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. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SIKAND 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 1,204 prescription claims written by this provider, covering 209 Medicare beneficiaries and totaling roughly $608K in drug spend, split 56% brand-name and 44% generic by claim count. 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 83.7459/100 for the 2023 performance year (Quality 84.72, Cost 40.9723), compared with the national average of 83.1.

Pulmonary Disease Physician is a mid-sized specialty nationwide, with 9,271 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

1617 ROUTE 88 STE 202
BRICK, NJ 08724

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
Avg: 83.1
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%
Specialty average (est.)

56% brand-name claims vs 44% 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 / 44% 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

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
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.

9,271
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.

Compare Pulmonary Disease Physician nationally: see state-by-state distribution →

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 83.7459/100 (Quality: 84.72, Cost: 40.9723). The national average MIPS Final Score is 83.1. 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 44% generic drugs by claim count, with $575K in brand drug costs.
How many Pulmonary Disease Physician providers are there in the US?
There are 9,271 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

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