NPI registry status
Active
2026 NPPES data Pain Medicine (Physical Medicine & Rehabilitation) Physician NPI 1154487528 M.D.
Verify on CMS → Sanjeev Agarwal, M.D.
Pain Medicine (Physical Medicine & Rehabilitation) Physician in Brooklyn, New York.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,626 in Pain Medicine (Physical Medicine & Rehabilitation) 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
567
Medicare Part D claims · 216 beneficiaries · Pain Medicine (Physical Medicine & Rehabilitation) Physician avg: 1K
MIPS score
93.5/100
▲ 10 pts above national avg 83.1 · Exceptional
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Sanjeev Agarwal, M.D. reported a CMS MIPS final score of 93.5/100 - above the 83.1 national average - and filed 567 Medicare Part D claims in 2023.
- 93.5/100
- MIPS score · +10 vs avg
- 567
- 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.
Sanjeev Agarwal, 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
94 Top 29% higher than 71% 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 Sanjeev Agarwal, M.D. sits
This provider among pain medicine (physical medicine & rehabilitation) physician peers
Across the 526 pain medicine (physical medicine & rehabilitation) physician providers who report both Medicare Part D prescribing and a MIPS quality score, Sanjeev Agarwal, M.D. writes more Part D claims than 40% of them and scores higher on MIPS quality than 80% - placing this provider in the lower-volume, high-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 pain medicine (physical medicine & rehabilitation) physician peer from a representative sample of 60; the gold marker is Sanjeev Agarwal, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Sanjeev Agarwal, 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 Sanjeev Agarwal, M.D.?
High performer (top quartile)Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Medicare Part D claims
567 60% vs specialty avg
MIPS final score
93.5/100 10.4 pts vs avg
Specialty distribution in New York
How Pain Medicine (Physical Medicine & Rehabilitation) Physician compares to other specialties among New York providers
Medicare quality performance, MIPS
Sanjeev Agarwal, M.D.'s 2023 MIPS final score plotted against the Pain Medicine (Physical Medicine & Rehabilitation) Physician national average
- MIPS Final Score
- 93.5/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Pain Medicine (Physical Medicine & Rehabilitation) Physician) - 93.5/100 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).
Sanjeev Agarwal, M.D. appears in the CMS NPPES registry as a Pain Medicine (Physical Medicine & Rehabilitation) Physician provider holding M.D. credentials at 450 CLARKSON AVE # 30, Brooklyn, NY, 11203, with a listed phone of (718) 270-2045. NPI 1154487528 was issued on 12/29/2006.
Medicare Part D records for calendar year 2023 show 567 prescription claims written by this provider, covering 216 Medicare beneficiaries and totaling roughly $24K in drug spend, with an opioid prescribing rate of 22.8%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 93.5/100 for the 2023 performance year (Quality 72.6), compared with the national average of 83.1.
Pain Medicine (Physical Medicine & Rehabilitation) Physician is a narrow specialty nationwide, with 1,626 enrolled providers across 50 states and an average of 1,401 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 | 1154487528 |
|---|---|
| Specialty | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 12/29/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
93.49
Final Score
Avg: 83.1
72.6283
Quality
90.5862
Promoting Interoperability
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where Sanjeev Agarwal, 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.
New York Sports Spine Pain Medicine P.C.
South Richmond Hill, NY
University Physicians OF Brooklyn, Inc.
Brooklyn, NY
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
License & disciplinary context - New York NYSBPMC 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 ~100K New York medical licensees in 2023 - they are NOT specific to Sanjeev Agarwal, M.D.. To verify Sanjeev Agarwal, M.D.'s current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases
NYSBPMC 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 New York 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.
567
Total Claims
$24K
Total Drug Cost
216
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 653
- Total Day Supply
- 16,446
- Generic Drug Cost
- $16K
- Opioid Claims
- 129 (22.8% rate)
Patient Demographics
- Average Patient Age
- 69.4 years
- Avg HCC Risk Score
- 1.41
- Gender Split
- 76% female / 24% male
- Age Distribution
- <65: 52, 65-74: 105, 75-84: 46, 85+: 13
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Sanjeev Agarwal, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Diclofenac Sodium
Diclofenac Sodium
183 claims
- Meloxicam
Meloxicam
83 claims
- Gabapentin 58
Gabapentin
58 claims
- Cyclobenzaprine Hcl 51
Cyclobenzaprine Hcl
51 claims
- Oxycodone-Acetamin… 50
Oxycodone-Acetaminophen
50 claims
- Tramadol Hcl 42
Tramadol Hcl
42 claims
- Acetaminophen-Code… 31
Acetaminophen-Codeine
31 claims
| Drug | Claims |
|---|---|
| Diclofenac Sodium | 183 |
| Meloxicam | 83 |
| Gabapentin | 58 |
| Cyclobenzaprine Hcl | 51 |
| Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen | 50 |
| Tramadol Hcl | 42 |
| Acetaminophen-Codeine Acetaminophen With Codeine | 31 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Pain Medicine (Physical Medicine & Rehabilitation) Physician in NY →
All providers in New York →
Compare specialties →
Pain Medicine (Physical Medicine & Rehabilitation) Physician Overview
How Sanjeev Agarwal, M.D. fits within the Pain Medicine (Physical Medicine & Rehabilitation) Physician landscape nationally.
1,626
Pain Medicine (Physical Medicine & Rehabilitation) Physician Providers in US
50
States with Pain Medicine (Physical Medicine & Rehabilitation) Physician
1,401
Avg Claims per Provider
Sanjeev Agarwal, M.D.'s 567 claims are below the specialty average of 1,401.
Nearby Pain Medicine (Physical Medicine & Rehabilitation) Physician Providers in New York
Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as Agarwal.
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 York medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Pain Medicine (Physical Medicine & Rehabilitation) 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 Sanjeev Agarwal, M.D.'s specialty? ▼
Sanjeev Agarwal, M.D. specializes in Pain Medicine (Physical Medicine & Rehabilitation) Physician and practices in Brooklyn, New York. Credentials: M.D..
How much does Sanjeev Agarwal, M.D. prescribe under Medicare Part D? ▼
In 2023, Sanjeev Agarwal, M.D. wrote 567 Medicare Part D claims totaling $24K in drug costs for 216 beneficiaries.
What is Sanjeev Agarwal, M.D.'s Medicare quality score? ▼
Sanjeev Agarwal, M.D. has a CMS MIPS Final Score of 93.5/100 (Quality: 72.6). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Sanjeev Agarwal, M.D. located? ▼
Sanjeev Agarwal, M.D. is located at 450 CLARKSON AVE # 30, Brooklyn, NY, 11203. Phone: (718) 270-2045.
What is Sanjeev Agarwal, M.D.'s NPI number? ▼
Sanjeev Agarwal, M.D.'s National Provider Identifier (NPI) is 1154487528, issued on 12/29/2006.
Does Sanjeev Agarwal, M.D. prescribe opioids? ▼
Yes, Sanjeev Agarwal, M.D. had 129 opioid claims in 2023 with an opioid prescribing rate of 22.8%.
How many Pain Medicine (Physical Medicine & Rehabilitation) Physician providers are there in the US? ▼
There are 1,626 Pain Medicine (Physical Medicine & Rehabilitation) Physician providers across 50 states in the US. The average Pain Medicine (Physical Medicine & Rehabilitation) Physician provider writes 1,401 Medicare Part D claims per year.
What drugs does Sanjeev Agarwal, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Sanjeev Agarwal, M.D.'s most frequently prescribed drugs include Diclofenac Sodium, Meloxicam, Gabapentin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Sanjeev Agarwal, M.D. accept Medicare? ▼
Sanjeev Agarwal, M.D. appears in CMS Medicare data with 567 Part D claims and 216 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Sanjeev Agarwal, M.D.'s credentials? ▼
Sanjeev Agarwal, M.D.'s NPI is 1154487528 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.