2026 NPPES data Epilepsy Physician NPI 1043211212 M.D.
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SAURABH SINHA, M.D.

Epilepsy Physician in PHILADELPHIA, 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
888
Medicare Part D claims · 149 beneficiaries · Epilepsy Physician avg: 878
MIPS score
85.4852/100
▲ 2 pts above national avg 83.1 · [object Object]
Industry payments
$653.65
9 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: SAURABH SINHA, M.D. is a Epilepsy Physician ([object Object]) practicing in PHILADELPHIA, Pennsylvania with a Medicare Part D prescribing footprint of 888 claims across 149 beneficiaries . Their CMS MIPS Final Score of 85.4852/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $653.65 across 9 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: SAURABH SINHA, M.D. reported a CMS MIPS final score of 85.4852 out of 100, above the 83.1 national average, and filed 888 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)

SAURABH SINHA, 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).

SAURABH SINHA, M.D. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 08/09/2005

NPI 1043211212

Primary specialty

Epilepsy Physician

Rare

354 US NPIs in this specialty

Medicare Part D claims

888 1% vs specialty avg

2023 prescription claims

Specialty avg: 878

MIPS final score

85.4852/100 2.3852000000000118% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Pennsylvania

How Epilepsy Physician compares to other specialties among Pennsylvania providers

Pennsylvania providers

Epilepsy Physician share within Pennsylvania

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

Medicare quality performance — MIPS

SAURABH SINHA, M.D.'s 2023 MIPS final score plotted against the Epilepsy Physician national average

High performer (top quartile)
MIPS Final Score
85.4852/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Epilepsy Physician) — 85.4852/100 vs national avg 83.1

0%100%National avg83%85.5%
MIPS final score (Epilepsy Physician) — 85.4852/100 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).

SAURABH SINHA, M.D. is a Epilepsy Physician provider practicing in PHILADELPHIA, Pennsylvania, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1043211212. 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.

SAURABH SINHA, M.D. appears in the CMS NPPES registry as a Epilepsy Physician provider holding M.D. credentials at 3400 SPRUCE STREET, PHILADELPHIA, PA, 19104, with a listed phone of (215) 662-3606. NPI 1043211212 was issued on 08/09/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SINHA 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 888 prescription claims written by this provider, covering 149 Medicare beneficiaries and totaling roughly $381K in drug spend. 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 85.4852/100 for the 2023 performance year (Quality 73.6095), compared with the national average of 83.1.

Epilepsy Physician is a narrow specialty nationwide, with 354 enrolled providers across 42 states and an average of 878 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

3400 SPRUCE STREET
PHILADELPHIA, PA 19104

Provider Details

NPI 1043211212
Specialty Epilepsy Physician
Credentials M.D.
Gender Male
NPI Issued 08/09/2005

CMS Quality Score (MIPS)

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

85.4852
Final Score
Avg: 83.1
73.6095
Quality
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where SAURABH SINHA, 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.

LANCASTER GENERAL MEDICAL GROUP
LANCASTER, PA
UNIVERSITY OF PENN-MEDICAL GROUP
PHILADELPHIA, 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 SAURABH SINHA, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$654

Largest payer

JAZZ PHARMACEUTICALS 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 SAURABH SINHA, M.D.. To verify SAURABH SINHA, 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.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

888
Total Claims
$381K
Total Drug Cost
149
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,377
Total Day Supply
39,625
Generic Drug Cost
$70K

Patient Demographics

Average Patient Age
54.6 years
Avg HCC Risk Score
1.36
Gender Split
51% female / 49% male
Age Distribution
<65: 91, 65-74: 32, 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.

Drug Claims
Levetiracetam
125
Lacosamide
117
Lamotrigine
79
Clobazam
53
Topiramate
44
Lamotrigine Er
Lamotrigine
40
Epidiolex
Cannabidiol (Cbd)
32
Zonisamide
32
Fycompa
Perampanel
31
Clonazepam
26

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

Epilepsy Physician Overview

How SAURABH SINHA, M.D. fits within the Epilepsy Physician landscape nationally.

354
Epilepsy Physician Providers in US
42
States with Epilepsy Physician
878
Avg Claims per Provider

SAURABH SINHA, M.D.'s 888 claims are above the specialty average of 878.

Nearby Epilepsy Physician Providers in Pennsylvania

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

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

Frequently Asked Questions

What is SAURABH SINHA, M.D.'s specialty?
SAURABH SINHA, M.D. specializes in Epilepsy Physician and practices in PHILADELPHIA, Pennsylvania. Credentials: M.D..
How much does SAURABH SINHA, M.D. prescribe under Medicare Part D?
In 2023, SAURABH SINHA, M.D. wrote 888 Medicare Part D claims totaling $381K in drug costs for 149 beneficiaries.
What is SAURABH SINHA, M.D.'s Medicare quality score?
SAURABH SINHA, M.D. has a CMS MIPS Final Score of 85.4852/100 (Quality: 73.6095). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SAURABH SINHA, M.D. located?
SAURABH SINHA, M.D. is located at 3400 SPRUCE STREET, PHILADELPHIA, PA, 19104. Phone: (215) 662-3606.
What is SAURABH SINHA, M.D.'s NPI number?
SAURABH SINHA, M.D.'s National Provider Identifier (NPI) is 1043211212, issued on 08/09/2005.
How many Epilepsy Physician providers are there in the US?
There are 354 Epilepsy Physician providers across 42 states in the US. The average Epilepsy Physician provider writes 878 Medicare Part D claims per year.
What drugs does SAURABH SINHA, M.D. prescribe most often?
Based on 2023 Medicare Part D data, SAURABH SINHA, M.D.'s most frequently prescribed drugs include Levetiracetam, Lacosamide, Lamotrigine. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SAURABH SINHA, M.D. accept Medicare?
SAURABH SINHA, M.D. appears in CMS Medicare data with 888 Part D claims and 149 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SAURABH SINHA, M.D.'s credentials?
SAURABH SINHA, M.D.'s NPI is 1043211212 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