2026 NPPES data Hospitalist Physician NPI 1053362178 MD
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SANJEEV KUMAR, MD

Hospitalist Physician in ANDERSON, South Carolina. 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 · 163 beneficiaries · Hospitalist Physician avg: 888
Generic prescribing
87%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
69.8526/100
▼ 13 pts below national avg 83.1 · [object Object]
What the federal data reveals: SANJEEV KUMAR, MD is a Hospitalist Physician ([object Object]) practicing in ANDERSON, South Carolina with a Medicare Part D prescribing footprint of 4K claims across 163 beneficiaries — 13% brand-name prescribing . Their CMS MIPS Final Score of 69.8526/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: SANJEEV KUMAR, MD reported a CMS MIPS final score of 69.8526 out of 100, below the 83.1 national average, and filed 3,577 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

SANJEEV KUMAR, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

SANJEEV KUMAR, MD at a glance

Below national average

NPI registry status

Active

Issued 05/13/2006

NPI 1053362178

Primary specialty

Hospitalist Physician

Mid-sized

16,825 US NPIs in this specialty

Medicare Part D claims

3,577 303% vs specialty avg

2023 prescription claims

Specialty avg: 888

MIPS final score

69.8526/100 13.247399999999999% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in South Carolina

How Hospitalist Physician compares to other specialties among South Carolina providers

South Carolina providers

Hospitalist Physician share within South Carolina

1. Hospitalist Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Hospitalist Physician share within South Carolina

Medicare quality performance — MIPS

SANJEEV KUMAR, MD's 2023 MIPS final score plotted against the Hospitalist Physician national average

Below national average
MIPS Final Score
69.8526/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Hospitalist Physician) — 69.8526/100 vs national avg 83.1

0%100%National avg83%69.9%
MIPS final score (Hospitalist Physician) — 69.8526/100 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 KUMAR, MD is a Hospitalist Physician provider practicing in ANDERSON, South Carolina, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1053362178. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

SANJEEV KUMAR, MD appears in the CMS NPPES registry as a Hospitalist Physician provider holding MD credentials at 819 N FANT ST, ANDERSON, SC, 29621, with a listed phone of (864) 261-1800. NPI 1053362178 was issued on 05/13/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what KUMAR 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 3,577 prescription claims written by this provider, covering 163 Medicare beneficiaries and totaling roughly $161K in drug spend, split 13% brand-name and 87% generic by claim count, with an opioid prescribing rate of 3.2%. 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 69.8526/100 for the 2023 performance year (Quality 57.55, Cost 68.1298), compared with the national average of 83.1.

Hospitalist Physician is a mid-sized specialty nationwide, with 16,825 enrolled providers across 54 states and an average of 888 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

819 N FANT ST
ANDERSON, SC 29621

Provider Details

NPI 1053362178
Specialty Hospitalist Physician
Credentials MD
Gender Male
NPI Issued 05/13/2006

CMS Quality Score (MIPS)

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

69.8526
Final Score
Avg: 83.1
57.55
Quality
68.1298
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where SANJEEV KUMAR, MD 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.

24 ON PHYSICIANS PC
ANDERSON, SC

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Brand vs generic prescribing mix · Typical

SANJEEV KUMAR, MD — brand share 13.0%
Specialty average (est.)

13% brand-name claims vs 87% generic, on 3,577 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.

3,577
Total Claims
$161K
Total Drug Cost
163
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,747
Total Day Supply
91,148
Brand vs Generic
13% brand / 87% generic
Brand Drug Cost
$97K
Generic Drug Cost
$61K
Opioid Claims
116 (3.2% rate)
Antibiotic Claims
194

Patient Demographics

Average Patient Age
80.6 years
Avg HCC Risk Score
2.00
Gender Split
66% female / 34% male
Age Distribution
<65: 13, 65-74: 39, 75-84: 43, 85+: 68

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Furosemide
159
Pantoprazole Sodium
152
Levothyroxine Sodium
110
Eliquis
Apixaban
105
Trazodone Hcl
94
Divalproex Sodium
89
Famotidine
86
Escitalopram Oxalate
85
Gabapentin
76
Donepezil Hcl
75

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

Hospitalist Physician Overview

How SANJEEV KUMAR, MD fits within the Hospitalist Physician landscape nationally.

16,825
Hospitalist Physician Providers in US
54
States with Hospitalist Physician
888
Avg Claims per Provider

SANJEEV KUMAR, MD's 3,577 claims are above the specialty average of 888.

Nearby Hospitalist Physician Providers in South Carolina

Other clinicians with the same primary specialty enrolled in South Carolina, drawn from the same CMS NPPES roster as KUMAR.

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

Frequently Asked Questions

What is SANJEEV KUMAR, MD's specialty?
SANJEEV KUMAR, MD specializes in Hospitalist Physician and practices in ANDERSON, South Carolina. Credentials: MD.
How much does SANJEEV KUMAR, MD prescribe under Medicare Part D?
In 2023, SANJEEV KUMAR, MD wrote 3,577 Medicare Part D claims totaling $161K in drug costs for 163 beneficiaries.
What is SANJEEV KUMAR, MD's Medicare quality score?
SANJEEV KUMAR, MD has a CMS MIPS Final Score of 69.8526/100 (Quality: 57.55, Cost: 68.1298). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SANJEEV KUMAR, MD located?
SANJEEV KUMAR, MD is located at 819 N FANT ST, ANDERSON, SC, 29621. Phone: (864) 261-1800.
What is SANJEEV KUMAR, MD's NPI number?
SANJEEV KUMAR, MD's National Provider Identifier (NPI) is 1053362178, issued on 05/13/2006.
Does SANJEEV KUMAR, MD prescribe more brand-name or generic drugs?
SANJEEV KUMAR, MD's prescribing is 13% brand-name and 87% generic drugs by claim count, with $97K in brand drug costs.
Does SANJEEV KUMAR, MD prescribe opioids?
Yes, SANJEEV KUMAR, MD had 116 opioid claims in 2023 with an opioid prescribing rate of 3.2%.
How many Hospitalist Physician providers are there in the US?
There are 16,825 Hospitalist Physician providers across 54 states in the US. The average Hospitalist Physician provider writes 888 Medicare Part D claims per year.
What drugs does SANJEEV KUMAR, MD prescribe most often?
Based on 2023 Medicare Part D data, SANJEEV KUMAR, MD's most frequently prescribed drugs include Furosemide, Pantoprazole Sodium, Levothyroxine Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SANJEEV KUMAR, MD accept Medicare?
SANJEEV KUMAR, MD appears in CMS Medicare data with 3,577 Part D claims and 163 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SANJEEV KUMAR, MD's credentials?
SANJEEV KUMAR, MD's NPI is 1053362178 with credentials MD. 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