2026 NPPES data Pain Medicine (Anesthesiology) Physician NPI 1245407279 M.D.
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SANJEEV KUMAR, M.D.

Pain Medicine (Anesthesiology) Physician in GAINESVILLE, Florida. 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
305
Medicare Part D claims · 106 beneficiaries · Pain Medicine (Anesthesiology) Physician avg: 2K
MIPS score
78.1881/100
▼ 5 pts below national avg 83.1 · [object Object]
Industry payments
$32.69
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

SANJEEV KUMAR, M.D. reported a CMS MIPS final score of 78.1881/100 — below the 83.1 national average — and filed 305 Medicare Part D claims in 2023.

78.1881/100
MIPS score · -5 vs avg
305
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 KUMAR, 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

78 27th percentile higher than 27% 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%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 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)

SANJEEV KUMAR, M.D. 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).

What does the federal data show about SANJEEV KUMAR, M.D.?

Near national average

NPI registry status

Active

Issued 05/08/2008

NPI 1245407279

Primary specialty

Pain Medicine (Anesthesiology) Physician

Niche

4,020 US NPIs in this specialty

Medicare Part D claims

305 82% vs specialty avg

2023 prescription claims

Specialty avg: 1,657

MIPS final score

78.1881/100 4.911899999999989% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Florida

How Pain Medicine (Anesthesiology) Physician compares to other specialties among Florida providers

Florida providers

Pain Medicine (Anesthesiology) Physician share within Florida

1. Pain Medicine (Anesthesiology) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pain Medicine (Anesthesiology) Physician share within Florida

Medicare quality performance — MIPS

SANJEEV KUMAR, M.D.'s 2023 MIPS final score plotted against the Pain Medicine (Anesthesiology) Physician national average

Near national average
MIPS Final Score
78.1881/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pain Medicine (Anesthesiology) Physician) — 78.1881/100 vs national avg 83.1

0%100%National avg83%78.2%
MIPS final score (Pain Medicine (Anesthesiology) Physician) — 78.1881/100 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, M.D. appears in the CMS NPPES registry as a Pain Medicine (Anesthesiology) Physician provider holding M.D. credentials at 1600 SW ARCHER RD, GAINESVILLE, FL, 32610, with a listed phone of (352) 273-8610. NPI 1245407279 was issued on 05/08/2008. 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 305 prescription claims written by this provider, covering 106 Medicare beneficiaries and totaling roughly $9K in drug spend, with an opioid prescribing rate of 40.3%. 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 78.1881/100 for the 2023 performance year (Quality 72.5473, Cost 54.7463), compared with the national average of 83.1.

Pain Medicine (Anesthesiology) Physician is a narrow specialty nationwide, with 4,020 enrolled providers across 53 states and an average of 1,657 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

1600 SW ARCHER RD
GAINESVILLE, FL 32610

Provider Details

NPI 1245407279
Specialty Pain Medicine (Anesthesiology) Physician
Credentials M.D.
Gender Male
NPI Issued 05/08/2008

CMS Quality Score (MIPS)

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

78.1881
Final Score
Avg: 83.1
72.5473
Quality
54.7463
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where SANJEEV KUMAR, 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.

FLORIDA CLINICAL PRACTICE ASSOCIATION INC
GAINESVILLE, FL

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 KUMAR, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$33

Largest payer

Boston Scientific Corporation

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 — Florida FLDOH 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 ~75K Florida medical licensees in 2023 — they are NOT specific to SANJEEV KUMAR, M.D.. To verify SANJEEV KUMAR, M.D.'s current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases

FLDOH 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 Florida 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.

305
Total Claims
$9K
Total Drug Cost
106
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
373
Total Day Supply
8,997
Generic Drug Cost
$7K
Opioid Claims
123 (40.3% rate)

Patient Demographics

Average Patient Age
71.1 years
Avg HCC Risk Score
1.61
Gender Split
67% female / 33% male

Top Prescribed Drugs (Medicare Part D)

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

What SANJEEV KUMAR, 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
Pregabalin
74
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
42
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
37
Gabapentin
27
Duloxetine Hcl
21
Meloxicam
15
Tramadol Hcl
15

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

Pain Medicine (Anesthesiology) Physician Overview

How SANJEEV KUMAR, M.D. fits within the Pain Medicine (Anesthesiology) Physician landscape nationally.

4,020
Pain Medicine (Anesthesiology) Physician Providers in US
53
States with Pain Medicine (Anesthesiology) Physician
1,657
Avg Claims per Provider

SANJEEV KUMAR, M.D.'s 305 claims are below the specialty average of 1,657.

Nearby Pain Medicine (Anesthesiology) Physician Providers in Florida

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

Compare Pain Medicine (Anesthesiology) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is SANJEEV KUMAR, M.D.'s specialty?
SANJEEV KUMAR, M.D. specializes in Pain Medicine (Anesthesiology) Physician and practices in GAINESVILLE, Florida. Credentials: M.D..
How much does SANJEEV KUMAR, M.D. prescribe under Medicare Part D?
In 2023, SANJEEV KUMAR, M.D. wrote 305 Medicare Part D claims totaling $9K in drug costs for 106 beneficiaries.
What is SANJEEV KUMAR, M.D.'s Medicare quality score?
SANJEEV KUMAR, M.D. has a CMS MIPS Final Score of 78.1881/100 (Quality: 72.5473, Cost: 54.7463). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SANJEEV KUMAR, M.D. located?
SANJEEV KUMAR, M.D. is located at 1600 SW ARCHER RD, GAINESVILLE, FL, 32610. Phone: (352) 273-8610.
What is SANJEEV KUMAR, M.D.'s NPI number?
SANJEEV KUMAR, M.D.'s National Provider Identifier (NPI) is 1245407279, issued on 05/08/2008.
Does SANJEEV KUMAR, M.D. prescribe opioids?
Yes, SANJEEV KUMAR, M.D. had 123 opioid claims in 2023 with an opioid prescribing rate of 40.3%.
How many Pain Medicine (Anesthesiology) Physician providers are there in the US?
There are 4,020 Pain Medicine (Anesthesiology) Physician providers across 53 states in the US. The average Pain Medicine (Anesthesiology) Physician provider writes 1,657 Medicare Part D claims per year.
What drugs does SANJEEV KUMAR, M.D. prescribe most often?
Based on 2023 Medicare Part D data, SANJEEV KUMAR, M.D.'s most frequently prescribed drugs include Pregabalin, Oxycodone-Acetaminophen, Hydrocodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SANJEEV KUMAR, M.D. accept Medicare?
SANJEEV KUMAR, M.D. appears in CMS Medicare data with 305 Part D claims and 106 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SANJEEV KUMAR, M.D.'s credentials?
SANJEEV KUMAR, M.D.'s NPI is 1245407279 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