2026 NPPES data Neurology Physician NPI 1790728574 M.D.
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SANJEEV GARG, M.D.

Neurology Physician in KINGSTON, Pennsylvania. 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
4K
Medicare Part D claims · 509 beneficiaries · Neurology Physician avg: 1K
Generic prescribing
83%
generic claims · 17% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
90.3495/100
▲ 7 pts above national avg 83.1 · [object Object]
Industry payments
$8.4K
188 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

SANJEEV GARG, M.D. reported a CMS MIPS final score of 90.3495/100 — above the 83.1 national average — and filed 3,559 Medicare Part D claims in 2023.

90.3495/100
MIPS score · +7 vs avg
4K
Part D claims, 2023
83%
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.

SANJEEV GARG, 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

90 Top 40% higher than 60% 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%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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)

SANJEEV GARG, 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 GARG, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 06/13/2006

NPI 1790728574

Primary specialty

Neurology Physician

Mid-sized

19,866 US NPIs in this specialty

Medicare Part D claims

3,559 172% vs specialty avg

2023 prescription claims

Specialty avg: 1,309

MIPS final score

90.3495/100 7.249500000000012% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Pennsylvania

How Neurology Physician compares to other specialties among Pennsylvania providers

Pennsylvania providers

Neurology Physician share within Pennsylvania

1. Neurology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Neurology Physician share within Pennsylvania

Medicare quality performance — MIPS

SANJEEV GARG, M.D.'s 2023 MIPS final score plotted against the Neurology Physician national average

High performer (top quartile)
MIPS Final Score
90.3495/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Neurology Physician) — 90.3495/100 vs national avg 83.1

0%100%National avg83%90.3%
MIPS final score (Neurology Physician) — 90.3495/100 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).

SANJEEV GARG, M.D. appears in the CMS NPPES registry as a Neurology Physician provider holding M.D. credentials at 517 PIERCE ST, KINGSTON, PA, 18704, with a listed phone of (570) 763-4690. NPI 1790728574 was issued on 06/13/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GARG 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 3,559 prescription claims written by this provider, covering 509 Medicare beneficiaries and totaling roughly $4.1 million in drug spend, split 17% brand-name and 83% 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 90.3495/100 for the 2023 performance year (Quality 80.699), compared with the national average of 83.1.

Neurology Physician is a mid-sized specialty nationwide, with 19,866 enrolled providers across 54 states and an average of 1,309 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

517 PIERCE ST
KINGSTON, PA 18704

Provider Details

NPI 1790728574
Specialty Neurology Physician
Credentials M.D.
Gender Male
NPI Issued 06/13/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

90.3495
Final Score
Avg: 83.1
80.699
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where SANJEEV GARG, 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.

COMMONWEALTH PHYSICIAN NETWORK LLC
NANTICOKE, PA
PHOENIX REHABILITATION AND HEALTH SERVICES INC
CRANBERRY TOWNSHIP, PA

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 SANJEEV GARG, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$8.4K

Largest payer

ABBVIE 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.

License & disciplinary context — Pennsylvania PA-BOM 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 ~45K Pennsylvania medical licensees in 2023 — they are NOT specific to SANJEEV GARG, M.D.. To verify SANJEEV GARG, M.D.'s current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases

PA-BOM 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 Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

SANJEEV GARG, M.D. — brand share 17.0%
Specialty average (est.)

17% brand-name claims vs 83% generic, on 3,559 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.

3,559
Total Claims
$4.1M
Total Drug Cost
509
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
5,419
Total Day Supply
158,849
Brand vs Generic
17% brand / 83% generic
Brand Drug Cost
$3.9M
Generic Drug Cost
$293K

Patient Demographics

Average Patient Age
69.5 years
Avg HCC Risk Score
1.48
Gender Split
61% female / 39% male
Age Distribution
<65: 121, 65-74: 197, 75-84: 152, 85+: 39

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What SANJEEV GARG, 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
Carbidopa-Levodopa
Carbidopa/Levodopa
280
Gabapentin
218
Levetiracetam
206
Duloxetine Hcl
199
Lamotrigine
134
Topiramate
133
Donepezil Hcl
110
Memantine Hcl
97
Pramipexole Dihydrochloride
Pramipexole Di-Hcl
93
Propranolol Hcl
74

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Neurology Physician Overview

How SANJEEV GARG, M.D. fits within the Neurology Physician landscape nationally.

19,866
Neurology Physician Providers in US
54
States with Neurology Physician
1,309
Avg Claims per Provider

SANJEEV GARG, M.D.'s 3,559 claims are above the specialty average of 1,309.

Nearby Neurology Physician Providers in Pennsylvania

Other clinicians with the same primary specialty enrolled in Pennsylvania, drawn from the same CMS NPPES roster as GARG.

Compare Neurology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is SANJEEV GARG, M.D.'s specialty?
SANJEEV GARG, M.D. specializes in Neurology Physician and practices in KINGSTON, Pennsylvania. Credentials: M.D..
How much does SANJEEV GARG, M.D. prescribe under Medicare Part D?
In 2023, SANJEEV GARG, M.D. wrote 3,559 Medicare Part D claims totaling $4.1M in drug costs for 509 beneficiaries.
What is SANJEEV GARG, M.D.'s Medicare quality score?
SANJEEV GARG, M.D. has a CMS MIPS Final Score of 90.3495/100 (Quality: 80.699). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SANJEEV GARG, M.D. located?
SANJEEV GARG, M.D. is located at 517 PIERCE ST, KINGSTON, PA, 18704. Phone: (570) 763-4690.
What is SANJEEV GARG, M.D.'s NPI number?
SANJEEV GARG, M.D.'s National Provider Identifier (NPI) is 1790728574, issued on 06/13/2006.
Does SANJEEV GARG, M.D. prescribe more brand-name or generic drugs?
SANJEEV GARG, M.D.'s prescribing is 17% brand-name and 83% generic drugs by claim count, with $3.9M in brand drug costs.
How many Neurology Physician providers are there in the US?
There are 19,866 Neurology Physician providers across 54 states in the US. The average Neurology Physician provider writes 1,309 Medicare Part D claims per year.
What drugs does SANJEEV GARG, M.D. prescribe most often?
Based on 2023 Medicare Part D data, SANJEEV GARG, M.D.'s most frequently prescribed drugs include Carbidopa-Levodopa, Gabapentin, Levetiracetam. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SANJEEV GARG, M.D. accept Medicare?
SANJEEV GARG, M.D. appears in CMS Medicare data with 3,559 Part D claims and 509 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SANJEEV GARG, M.D.'s credentials?
SANJEEV GARG, M.D.'s NPI is 1790728574 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