NPI registry status
Active
2026 NPPES data Internal Medicine Physician NPI 1952508533 M.D
Verify on CMS → Sanjaykumar Hapani, M.D
Internal Medicine Physician in Edmond, Oklahoma.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 172,737 in Internal Medicine 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
3K
Medicare Part D claims · 323 beneficiaries · Internal Medicine Physician avg: 3K
Generic prescribing
0%
generic claims · 51% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
85.7/100
▲ 3 pts above national avg 83.1 · Above neutral
Industry payments
$11.1K
133 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Sanjaykumar Hapani, M.D reported a CMS MIPS final score of 85.7/100 - above the 83.1 national average - and filed 3,086 Medicare Part D claims in 2023.
- 85.7/100
- MIPS score · +3 vs avg
- 3K
- 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.
Sanjaykumar Hapani, 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
86 49th percentile higher than 49% of 477,587 scored providers
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
Where Sanjaykumar Hapani, M.D sits
This provider among internal medicine physician peers
Across the 36,260 internal medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Sanjaykumar Hapani, M.D writes more Part D claims than 72% of them and scores higher on MIPS quality than 49% - 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 internal medicine physician peer from a representative sample of 60; the gold marker is Sanjaykumar Hapani, M.D. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Sanjaykumar Hapani, M.D practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations - 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 Sanjaykumar Hapani, M.D?
High performer (top quartile)Primary specialty
Internal Medicine Physician
Medicare Part D claims
3,086 14% vs specialty avg
MIPS final score
85.7/100 2.6 pts vs avg
Specialty distribution in Oklahoma
How Internal Medicine Physician compares to other specialties among Oklahoma providers
Medicare quality performance, MIPS
Sanjaykumar Hapani, M.D's 2023 MIPS final score plotted against the Internal Medicine Physician national average
- MIPS Final Score
- 85.7/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Internal Medicine Physician) - 85.7/100 vs national avg 83.1
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).
Sanjaykumar Hapani, M.D appears in the CMS NPPES registry as an Internal Medicine Physician provider holding M.D credentials at 13301 N MERIDIAN AVE, Edmond, OK, 73120, with a listed phone of (405) 752-0872. NPI 1952508533 was issued on 06/28/2007.
Medicare Part D records for calendar year 2023 show 3,086 prescription claims written by this provider, covering 323 Medicare beneficiaries and totaling roughly $14.8 million in drug spend, split 51% brand-name and 0% generic by claim count, with an opioid prescribing rate of 11.2%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 85.7/100 for the 2023 performance year (Quality 90.3, Cost 62), compared with the national average of 83.1.
Internal Medicine Physician is a high-volume specialty nationwide, with 172,737 enrolled providers across 56 states and an average of 2,716 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 | 1952508533 |
|---|---|
| Specialty | Internal Medicine Physician |
| Credentials | M.D |
| Gender | Male |
| NPI Issued | 06/28/2007 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
85.7051
Final Score
Avg: 83.1
90.3347
Quality
62.0157
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Sanjaykumar Hapani, M.D 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.
Central Oklahoma American Indian Health Council, Inc.
Oklahoma City, OK
Oklahoma Cancer And Blood Specialists LLC
Clinton, OK
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 Sanjaykumar Hapani, M.D. Source: openpaymentsdata.cms.gov.
Total received
$11.1K
Largest payer
SUN PHARMACEUTICAL INDUSTRIES 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.
Brand vs generic prescribing mix · Brand-heavy
Sanjaykumar Hapani, M.D - brand share 51.0%
Internal Medicine Physician average
51% brand-name claims vs 0% generic, on 3,086 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.
3,086
Total Claims
$14.8M
Total Drug Cost
323
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 3,864
- Total Day Supply
- 103,171
- Brand vs Generic
- 51% brand / 0% generic
- Brand Drug Cost
- $13.2M
- Opioid Claims
- 347 (11.2% rate)
- Antibiotic Claims
- 26
Patient Demographics
- Average Patient Age
- 72.3 years
- Avg HCC Risk Score
- 2.32
- Gender Split
- 53% female / 47% male
- Age Distribution
- <65: 46, 65-74: 149, 75-84: 108, 85+: 20
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Sanjaykumar Hapani, M.D prescribes most
Top Medicare Part D drugs by claim count, 2023
- Procrit
Procrit
392 claims
- Abiraterone Acetate
Abiraterone Acetate
234 claims
- Oxycodone Hcl 153
Oxycodone Hcl
153 claims
- Imbruvica 144
Imbruvica
144 claims
- Xgeva 141
Xgeva
141 claims
- Xtandi 136
Xtandi
136 claims
- Octagam 121
Octagam
121 claims
- Fulphila 97
Fulphila
97 claims
| Drug | Claims |
|---|---|
| Procrit Epoetin Alfa | 392 |
| Abiraterone Acetate | 234 |
| Oxycodone Hcl | 153 |
| Imbruvica Ibrutinib | 144 |
| Xgeva Denosumab | 141 |
| Xtandi Enzalutamide | 136 |
| Octagam Immun Globg(Igg)/Malt/Iga Ov50 | 121 |
| Fulphila Pegfilgrastim-Jmdb | 97 |
| Prednisone | 95 |
| Acyclovir | 85 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Internal Medicine Physician Overview
How Sanjaykumar Hapani, M.D fits within the Internal Medicine Physician landscape nationally.
172,737
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider
Sanjaykumar Hapani, M.D's 3,086 claims are above the specialty average of 2,716.
Nearby Internal Medicine Physician Providers in Oklahoma
Other clinicians with the same primary specialty enrolled in Oklahoma, drawn from the same CMS NPPES roster as Hapani.
Abdelrahman Abdalla
Oklahoma City, OK
Dr. Al-Ola Abdallah
M.D
Tulsa, OK
Dr. Tony Abdo
M.D
Oklahoma City, OK
Dr. David Abernethy
M.D.
Oklahoma City, OK
Dr. Ahmed Abou Elmagd
MD
Fort Sill, OK
Compare Internal Medicine 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 Oklahoma medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Internal Medicine 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.
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Frequently Asked Questions
What is Sanjaykumar Hapani, M.D's specialty? ▼
Sanjaykumar Hapani, M.D specializes in Internal Medicine Physician and practices in Edmond, Oklahoma. Credentials: M.D.
How much does Sanjaykumar Hapani, M.D prescribe under Medicare Part D? ▼
In 2023, Sanjaykumar Hapani, M.D wrote 3,086 Medicare Part D claims totaling $14.8M in drug costs for 323 beneficiaries.
What is Sanjaykumar Hapani, M.D's Medicare quality score? ▼
Sanjaykumar Hapani, M.D has a CMS MIPS Final Score of 85.7/100 (Quality: 90.3, Cost: 62). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Sanjaykumar Hapani, M.D located? ▼
Sanjaykumar Hapani, M.D is located at 13301 N MERIDIAN AVE, Edmond, OK, 73120. Phone: (405) 752-0872.
What is Sanjaykumar Hapani, M.D's NPI number? ▼
Sanjaykumar Hapani, M.D's National Provider Identifier (NPI) is 1952508533, issued on 06/28/2007.
Does Sanjaykumar Hapani, M.D prescribe more brand-name or generic drugs? ▼
Sanjaykumar Hapani, M.D's prescribing is 51% brand-name and 0% generic drugs by claim count, with $13.2M in brand drug costs.
Does Sanjaykumar Hapani, M.D prescribe opioids? ▼
Yes, Sanjaykumar Hapani, M.D had 347 opioid claims in 2023 with an opioid prescribing rate of 11.2%.
How many Internal Medicine Physician providers are there in the US? ▼
There are 172,737 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
What drugs does Sanjaykumar Hapani, M.D prescribe most often? ▼
Based on 2023 Medicare Part D data, Sanjaykumar Hapani, M.D's most frequently prescribed drugs include Procrit, Abiraterone Acetate, Oxycodone Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Sanjaykumar Hapani, M.D accept Medicare? ▼
Sanjaykumar Hapani, M.D appears in CMS Medicare data with 3,086 Part D claims and 323 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Sanjaykumar Hapani, M.D's credentials? ▼
Sanjaykumar Hapani, M.D's NPI is 1952508533 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
Compiled from official public sources by the PlainDoctor editorial team.
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.