2026 NPPES data Family Medicine Physician NPI 1053640722 M.D
Verify on CMS →

Sein Win, M.D

Family Medicine Physician in New York, New York. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers — including 147,640 in Family Medicine 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
8K
Medicare Part D claims · 243 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
84%
generic claims · 15% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
22.2/100
▼ 61 pts below national avg 83.1 · Below average
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Sein Win, M.D reported a CMS MIPS final score of 22.2/100 — below the 83.1 national average — and filed 8,427 Medicare Part D claims in 2023.

22.2/100
MIPS score · -61 vs avg
8K
Part D claims, 2023
84%
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.

Sein Win, 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

22 3rd percentile higher than 3% 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%). This entry sits in this band. 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. 90–100: 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

Where Sein Win, M.D sits

This provider among family medicine physician peers

Across the 22,040 family medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Sein Win, M.D writes more Part D claims than 83% of them and scores higher on MIPS quality than 3% — 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 quality02550751000255075100Part D claim volume — percentile in specialtyMIPS quality — percentilePart D claim volume — percentile in specialty: 92 · MIPS quality — percentile: 82Part D claim volume — percentile in specialty: 67 · MIPS quality — percentile: 47Part D claim volume — percentile in specialty: 17 · MIPS quality — percentile: 68Part D claim volume — percentile in specialty: 63 · MIPS quality — percentile: 60Part D claim volume — percentile in specialty: 43 · MIPS quality — percentile: 77Part D claim volume — percentile in specialty: 22 · MIPS quality — percentile: 37Part D claim volume — percentile in specialty: 3 · MIPS quality — percentile: 80Part D claim volume — percentile in specialty: 27 · MIPS quality — percentile: 90Part D claim volume — percentile in specialty: 5 · MIPS quality — percentile: 38Part D claim volume — percentile in specialty: 7 · MIPS quality — percentile: 92Part D claim volume — percentile in specialty: 68 · MIPS quality — percentile: 63Part D claim volume — percentile in specialty: 62 · MIPS quality — percentile: 58Part D claim volume — percentile in specialty: 32 · MIPS quality — percentile: 42Part D claim volume — percentile in specialty: 20 · MIPS quality — percentile: 23Part D claim volume — percentile in specialty: 70 · MIPS quality — percentile: 17Part D claim volume — percentile in specialty: 12 · MIPS quality — percentile: 98Part D claim volume — percentile in specialty: 60 · MIPS quality — percentile: 22Part D claim volume — percentile in specialty: 37 · MIPS quality — percentile: 15Part D claim volume — percentile in specialty: 45 · MIPS quality — percentile: 35Part D claim volume — percentile in specialty: 18 · MIPS quality — percentile: 43Part D claim volume — percentile in specialty: 75 · MIPS quality — percentile: 12Part D claim volume — percentile in specialty: 38 · MIPS quality — percentile: 13Part D claim volume — percentile in specialty: 23 · MIPS quality — percentile: 72Part D claim volume — percentile in specialty: 2 · MIPS quality — percentile: 18Part D claim volume — percentile in specialty: 10 · MIPS quality — percentile: 3Part D claim volume — percentile in specialty: 53 · MIPS quality — percentile: 10Part D claim volume — percentile in specialty: 80 · MIPS quality — percentile: 73Part D claim volume — percentile in specialty: 85 · MIPS quality — percentile: 87Part D claim volume — percentile in specialty: 88 · MIPS quality — percentile: 5Part D claim volume — percentile in specialty: 33 · MIPS quality — percentile: 92Part D claim volume — percentile in specialty: 13 · MIPS quality — percentile: 40Part D claim volume — percentile in specialty: 82 · MIPS quality — percentile: 27Part D claim volume — percentile in specialty: 83 · MIPS quality — percentile: 97Part D claim volume — percentile in specialty: 98 · MIPS quality — percentile: 2Part D claim volume — percentile in specialty: 27 · MIPS quality — percentile: 50Part D claim volume — percentile in specialty: 48 · MIPS quality — percentile: 78Part D claim volume — percentile in specialty: 50 · MIPS quality — percentile: 7Part D claim volume — percentile in specialty: 93 · MIPS quality — percentile: 62Part D claim volume — percentile in specialty: 90 · MIPS quality — percentile: 28Part D claim volume — percentile in specialty: 55 · MIPS quality — percentile: 32Part D claim volume — percentile in specialty: 97 · MIPS quality — percentile: 25Part D claim volume — percentile in specialty: 65 · MIPS quality — percentile: 50Part D claim volume — percentile in specialty: 8 · MIPS quality — percentile: 18Part D claim volume — percentile in specialty: 73 · MIPS quality — percentile: 48Part D claim volume — percentile in specialty: 42 · MIPS quality — percentile: 33Part D claim volume — percentile in specialty: 25 · MIPS quality — percentile: 8Part D claim volume — percentile in specialty: 15 · MIPS quality — percentile: 30Part D claim volume — percentile in specialty: 47 · MIPS quality — percentile: 45Part D claim volume — percentile in specialty: 30 · MIPS quality — percentile: 82Part D claim volume — percentile in specialty: 100 · MIPS quality — percentile: 98Part D claim volume — percentile in specialty: 40 · MIPS quality — percentile: 68Part D claim volume — percentile in specialty: 0 · MIPS quality — percentile: 73Part D claim volume — percentile in specialty: 78 · MIPS quality — percentile: 50Part D claim volume — percentile in specialty: 52 · MIPS quality — percentile: 55Part D claim volume — percentile in specialty: 58 · MIPS quality — percentile: 85Part D claim volume — percentile in specialty: 57 · MIPS quality — percentile: 63Part D claim volume — percentile in specialty: 72 · MIPS quality — percentile: 87Part D claim volume — percentile in specialty: 77 · MIPS quality — percentile: 57Part D claim volume — percentile in specialty: 35 · MIPS quality — percentile: 67Part D claim volume — percentile in specialty: 95 · MIPS quality — percentile: 92Sein Win, M.D — Part D claim volume — percentile in specialty: 83 · MIPS quality — percentile: 3
Part D claim volume vs MIPS quality, by specialty percentile

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

Board certification likely (heuristic — not verified)

Sein Win, 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 Sein Win, M.D?

Below national average

NPI registry status

Active

Issued 12/09/2009

NPI 1053640722

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

8,427 147% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

MIPS final score

22.2/100 60.9 pts vs avg

Below average band

vs 83.1 national avg

Specialty distribution in New York

How Family Medicine Physician compares to other specialties among New York providers

New York providers

Largest specialties in New York (% of in-state providers)

Student in an Organized Health Care Education/Training Program — 7.8%Student in an Organized Health Care Education/Training Program7.8%Registered Nurse — 5.2%Registered Nurse5.2%Clinical Social Worker — 4.9%Clinical Social Worker4.9%Social Worker — 4.5%Social Worker4.5%Speech-Language Pathologist — 4.5%Speech-Language Pathologist4.5%Licensed Practical Nurse — 4.3%Licensed Practical Nurse4.3%Family Medicine Physician — 1.1%Family Medicine Physician1.1%
Largest specialties in New York (% of in-state providers)

Medicare quality performance — MIPS

Sein Win, M.D's 2023 MIPS final score plotted against the Family Medicine Physician national average

Below national average
MIPS Final Score
22.2/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Medicine Physician) — 22.2/100 vs national avg 83.1

0%100%National avg83%22.2%
MIPS final score (Family Medicine Physician) — 22.2/100 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).

Sein Win, M.D appears in the CMS NPPES registry as a Family Medicine Physician provider holding M.D credentials at 98 E BROADWAY FL 5, New York, NY, 10002, with a listed phone of (212) 227-4349. NPI 1053640722 was issued on 12/09/2009. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Win 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 8,427 prescription claims written by this provider, covering 243 Medicare beneficiaries and totaling roughly $365K in drug spend, split 15% brand-name and 84% generic by claim count, with an opioid prescribing rate of 1.0%. 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 22.2/100 for the 2023 performance year (Quality 0, Cost 73.9), compared with the national average of 83.1.

Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 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

98 E BROADWAY FL 5
New York, NY 10002

Provider Details

NPI 1053640722
Specialty Family Medicine Physician
Credentials M.D
Gender Male
NPI Issued 12/09/2009

CMS Quality Score (MIPS)

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

22.1692
Final Score
Avg: 83.1
0
Quality
73.8975
Cost

Reporting: Individual

License & disciplinary context — New York NYSBPMC 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 ~100K New York medical licensees in 2023 — they are NOT specific to Sein Win, M.D. To verify Sein Win, M.D's current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases

NYSBPMC 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 New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

Sein Win, M.D — brand share 15.0%
Family Medicine Physician average

15% brand-name claims vs 84% generic, on 8,427 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.

8,427
Total Claims
$365K
Total Drug Cost
243
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
8,630
Total Day Supply
129,858
Brand vs Generic
15% brand / 84% generic
Brand Drug Cost
$242K
Generic Drug Cost
$121K
Opioid Claims
83 (1.0% rate)
Antibiotic Claims
166

Patient Demographics

Average Patient Age
82.2 years
Avg HCC Risk Score
2.37
Gender Split
65% female / 35% male

Top Prescribed Drugs (Medicare Part D)

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

What Sein Win, 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
Atorvastatin Calcium
708
Amlodipine Besylate
442
Metoprolol Tartrate
340
Levothyroxine Sodium
322
Eliquis
Apixaban
288
Mirtazapine
282
Furosemide
259
Tamsulosin Hcl
234
Metformin Hcl
219
Losartan Potassium
202

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

Family Medicine Physician Overview

How Sein Win, M.D fits within the Family Medicine Physician landscape nationally.

147,640
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

Sein Win, M.D's 8,427 claims are above the specialty average of 3,418.

Nearby Family Medicine Physician Providers in New York

Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as Win.

Compare Family Medicine 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 New York medical board — federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Family Medicine 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 Sein Win, M.D's specialty?
Sein Win, M.D specializes in Family Medicine Physician and practices in New York, New York. Credentials: M.D.
How much does Sein Win, M.D prescribe under Medicare Part D?
In 2023, Sein Win, M.D wrote 8,427 Medicare Part D claims totaling $365K in drug costs for 243 beneficiaries.
What is Sein Win, M.D's Medicare quality score?
Sein Win, M.D has a CMS MIPS Final Score of 22.2/100 (Quality: 0, Cost: 73.9). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Sein Win, M.D located?
Sein Win, M.D is located at 98 E BROADWAY FL 5, New York, NY, 10002. Phone: (212) 227-4349.
What is Sein Win, M.D's NPI number?
Sein Win, M.D's National Provider Identifier (NPI) is 1053640722, issued on 12/09/2009.
Does Sein Win, M.D prescribe more brand-name or generic drugs?
Sein Win, M.D's prescribing is 15% brand-name and 84% generic drugs by claim count, with $242K in brand drug costs.
Does Sein Win, M.D prescribe opioids?
Yes, Sein Win, M.D had 83 opioid claims in 2023 with an opioid prescribing rate of 1.0%.
How many Family Medicine Physician providers are there in the US?
There are 147,640 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does Sein Win, M.D prescribe most often?
Based on 2023 Medicare Part D data, Sein Win, M.D's most frequently prescribed drugs include Atorvastatin Calcium, Amlodipine Besylate, Metoprolol Tartrate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Sein Win, M.D accept Medicare?
Sein Win, M.D appears in CMS Medicare data with 8,427 Part D claims and 243 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Sein Win, M.D's credentials?
Sein Win, M.D's NPI is 1053640722 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

Compiled from official public sources by the PlainDoctor editorial team.