2026 NPPES data Neurological Surgery Physician NPI 1376504894 M.D.
Verify on CMS →

Sanjoy Sundaresan, M.D.

Neurological Surgery Physician in Wichita Falls, Texas.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 8,116 in Neurological Surgery 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
5K
Medicare Part D claims · 387 beneficiaries · Neurological Surgery Physician avg: 181
Generic prescribing
99%
generic claims · 1% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
0/100
▼ 83 pts below national avg 83.1 · Penalty band
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Sanjoy Sundaresan, M.D. reported a CMS MIPS final score of 0/100 - below the 83.1 national average - and filed 5,266 Medicare Part D claims in 2023.

0/100
MIPS score · -83 vs avg
5K
Part D claims, 2023
99%
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.

Sanjoy Sundaresan, 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

0 0th percentile higher than 0% of 477,587 scored providers

0–10: 8,684 scored providers (2%). This entry sits in this band. 10–20: 3,008 scored providers (1%). Above this entry. 20–30: 3,069 scored providers (1%). Above this entry. 30–40: 2,746 scored providers (1%). Above this entry. 40–50: 2,928 scored providers (1%). Above this entry. 50–60: 5,882 scored providers (1%). Above this entry. 60–70: 13,906 scored providers (3%). Above this entry. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 90+: 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

Where Sanjoy Sundaresan, M.D. sits

This provider among neurological surgery physician peers

Across the 1,737 neurological surgery physician providers who report both Medicare Part D prescribing and a MIPS quality score, Sanjoy Sundaresan, M.D. writes more Part D claims than 100% of them and scores higher on MIPS quality than 0% - 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

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.949.974.899.8Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 10Sanjoy Sundaresan, M.D.-Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 0
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one neurological surgery physician peer from a representative sample of 60; the gold marker is Sanjoy Sundaresan, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

Sanjoy Sundaresan, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting - 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 Sanjoy Sundaresan, M.D.?

Below national average

NPI registry status

Active

Issued 04/01/2006

NPI 1376504894

Primary specialty

Neurological Surgery Physician

Mid-sized

8,116 US NPIs in this specialty

Medicare Part D claims

5,266 29× vs specialty avg

2023 prescription claims

Specialty avg: 181

MIPS final score

0/100 83.1 pts vs avg

Penalty band band

vs 83.1 national avg

Specialty distribution in Texas

How Neurological Surgery Physician compares to other specialties among Texas providers

Texas providers
Behavior Technician - 5.6%Behavior Technician5.6%Student in an Organized Health Care Education/Training Program - 5.1%Student in an Organized Health Care Education/Training Program5.1%Family Nurse Practitioner - 4.5%Family Nurse Practitioner4.5%Professional Counselor - 4.4%Professional Counselor4.4%Pharmacist - 4.4%Pharmacist4.4%Speech-Language Pathologist - 3.9%Speech-Language Pathologist3.9%Neurological Surgery Physician - 0.1%Neurological Surgery Physician0.1%
Largest specialties in Texas (% of in-state providers)

Medicare quality performance, MIPS

Sanjoy Sundaresan, M.D.'s 2023 MIPS final score plotted against the Neurological Surgery Physician national average

Below national average
MIPS Final Score
0/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Neurological Surgery Physician) - 0/100 vs national avg 83.1

0%100%National avg83%0%
MIPS final score (Neurological Surgery Physician) - 0/100 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).

Sanjoy Sundaresan, M.D. appears in the CMS NPPES registry as a Neurological Surgery Physician provider holding M.D. credentials at 1511 10TH ST, Wichita Falls, TX, 76301, with a listed phone of (940) 767-0818. NPI 1376504894 was issued on 04/01/2006.

Medicare Part D records for calendar year 2023 show 5,266 prescription claims written by this provider, covering 387 Medicare beneficiaries and totaling roughly $122K in drug spend, split 1% brand-name and 99% generic by claim count, with an opioid prescribing rate of 89.4%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 0/100 for the 2023 performance year (Quality 0), compared with the national average of 83.1.

Neurological Surgery Physician is a mid-sized specialty nationwide, with 8,116 enrolled providers across 53 states and an average of 181 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

1511 10TH ST
Wichita Falls, TX 76301

Provider Details

NPI 1376504894
Specialty Neurological Surgery Physician
Credentials M.D.
Gender Male
NPI Issued 04/01/2006

CMS Quality Score (MIPS)

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

0
Final Score
Avg: 83.1
0
Quality

Reporting: Individual

License & disciplinary context - Texas TMB 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 ~77K Texas medical licensees in 2023 - they are NOT specific to Sanjoy Sundaresan, M.D.. To verify Sanjoy Sundaresan, M.D.'s current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB 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 Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

Sanjoy Sundaresan, M.D. - brand share 1.0%
Neurological Surgery Physician average

1% brand-name claims vs 99% generic, on 5,266 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.

5,266
Total Claims
$122K
Total Drug Cost
387
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
5,315
Total Day Supply
113,938
Brand vs Generic
1% brand / 99% generic
Brand Drug Cost
$1K
Generic Drug Cost
$121K
Opioid Claims
4,710 (89.4% rate)

Patient Demographics

Average Patient Age
65.4 years
Avg HCC Risk Score
2.01
Gender Split
65% female / 35% male
Age Distribution
<65: 162, 65-74: 167, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

What Sanjoy Sundaresan, 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
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
3,463
Oxycodone Hcl
318
Tizanidine Hcl
264
Morphine Sulfate Er
Morphine Sulfate
244
Hydromorphone Hcl
234
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
181
Gabapentin
143
Acetaminophen-Codeine
Acetaminophen With Codeine
117
Tramadol Hcl
112
Methocarbamol
43

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

Neurological Surgery Physician Overview

How Sanjoy Sundaresan, M.D. fits within the Neurological Surgery Physician landscape nationally.

8,116
Neurological Surgery Physician Providers in US
53
States with Neurological Surgery Physician
181
Avg Claims per Provider

Sanjoy Sundaresan, M.D.'s 5,266 claims are above the specialty average of 181.

Nearby Neurological Surgery Physician Providers in Texas

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

Compare Neurological Surgery 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 Texas medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Neurological Surgery 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.

Frequently Asked Questions

What is Sanjoy Sundaresan, M.D.'s specialty?
Sanjoy Sundaresan, M.D. specializes in Neurological Surgery Physician and practices in Wichita Falls, Texas. Credentials: M.D..
How much does Sanjoy Sundaresan, M.D. prescribe under Medicare Part D?
In 2023, Sanjoy Sundaresan, M.D. wrote 5,266 Medicare Part D claims totaling $122K in drug costs for 387 beneficiaries.
What is Sanjoy Sundaresan, M.D.'s Medicare quality score?
Sanjoy Sundaresan, M.D. has a CMS MIPS Final Score of 0/100 (Quality: 0). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Sanjoy Sundaresan, M.D. located?
Sanjoy Sundaresan, M.D. is located at 1511 10TH ST, Wichita Falls, TX, 76301. Phone: (940) 767-0818.
What is Sanjoy Sundaresan, M.D.'s NPI number?
Sanjoy Sundaresan, M.D.'s National Provider Identifier (NPI) is 1376504894, issued on 04/01/2006.
Does Sanjoy Sundaresan, M.D. prescribe more brand-name or generic drugs?
Sanjoy Sundaresan, M.D.'s prescribing is 1% brand-name and 99% generic drugs by claim count, with $1K in brand drug costs.
Does Sanjoy Sundaresan, M.D. prescribe opioids?
Yes, Sanjoy Sundaresan, M.D. had 4,710 opioid claims in 2023 with an opioid prescribing rate of 89.4%.
How many Neurological Surgery Physician providers are there in the US?
There are 8,116 Neurological Surgery Physician providers across 53 states in the US. The average Neurological Surgery Physician provider writes 181 Medicare Part D claims per year.
What drugs does Sanjoy Sundaresan, M.D. prescribe most often?
Based on 2023 Medicare Part D data, Sanjoy Sundaresan, M.D.'s most frequently prescribed drugs include Hydrocodone-Acetaminophen, Oxycodone Hcl, Tizanidine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Sanjoy Sundaresan, M.D. accept Medicare?
Sanjoy Sundaresan, M.D. appears in CMS Medicare data with 5,266 Part D claims and 387 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Sanjoy Sundaresan, M.D.'s credentials?
Sanjoy Sundaresan, M.D.'s NPI is 1376504894 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.