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2026 NPPES data Endocrinology, Diabetes & Metabolism Physician NPI 1871851782 M.D.
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Sukhampal Sidhu, M.D.

Endocrinology, Diabetes & Metabolism Physician in Fresno, California.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 7,871 in Endocrinology, Diabetes & Metabolism 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
2K
Medicare Part D claims · 395 beneficiaries · Endocrinology, Diabetes & Metabolism Physician avg: 3K
Generic prescribing
19%
generic claims · 70% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
59.9/100
▼ 23 pts below national avg 83.1 · Mid-tier
Industry payments
$95.79
4 payments · CMS Open Payments (Sunshine Act)
Verify NPI on CMS Methodology
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Sukhampal Sidhu, M.D. reported a CMS MIPS final score of 59.9/100 - below the 83.1 national average - and filed 2,117 Medicare Part D claims in 2023.

59.9/100
MIPS score · -23 vs avg
2K
Part D claims, 2023
19%
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.

Sukhampal Sidhu, 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

60 5th percentile higher than 5% 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%). This entry sits in this band. 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 Sukhampal Sidhu, M.D. sits

This provider among endocrinology, diabetes & metabolism physician peers

Across the 2,521 endocrinology, diabetes & metabolism physician providers who report both Medicare Part D prescribing and a MIPS quality score, Sukhampal Sidhu, M.D. writes more Part D claims than 44% of them and scores higher on MIPS quality than 7% - placing this provider in the lower-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: 42 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 98Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 98Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 52Sukhampal Sidhu, M.D.-Part D claim volume, percentile in specialty: 44 · MIPS quality, percentile: 7
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one endocrinology, diabetes & metabolism physician peer from a representative sample of 60; the gold marker is Sukhampal Sidhu, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

✓
Board certification likely (heuristic, not verified)

Sukhampal Sidhu, 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).

What does the federal data show about Sukhampal Sidhu, M.D.?

Below national average

NPI registry status

Active

Issued 04/27/2012

NPI 1871851782

Primary specialty

Endocrinology, Diabetes & Metabolism Physician

Mid-sized

7,871 US NPIs in this specialty

Medicare Part D claims

2,117 20% vs specialty avg

2023 prescription claims

Specialty avg: 2,639

MIPS final score

59.9/100 23.2 pts vs avg

Mid-tier band

vs 83.1 national avg

Specialty distribution in California

How Endocrinology, Diabetes & Metabolism Physician compares to other specialties among California providers

California providers
Behavior Technician - 17.3%Behavior Technician17.3%Marriage & Family Therapist - 5.5%Marriage & Family Therapist5.5%Student in an Organized Health Care Education/Training Program - 5%Student in an Organized Health Care Education/Training Program5%Mental Health Counselor - 3.9%Mental Health Counselor3.9%Pharmacist - 3.5%Pharmacist3.5%Clinical Social Worker - 3.1%Clinical Social Worker3.1%Endocrinology, Diabetes & Metabolism Physician - 0.1%Endocrinology, Diabetes & Metabolism Physician0.1%
Largest specialties in California (% of in-state providers)

Medicare quality performance, MIPS

Sukhampal Sidhu, M.D.'s 2023 MIPS final score plotted against the Endocrinology, Diabetes & Metabolism Physician national average

Below national average
MIPS Final Score
59.9/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Endocrinology, Diabetes & Metabolism Physician) - 59.9/100 vs national avg 83.1

0%100%National avg83%59.9%
MIPS final score (Endocrinology, Diabetes & Metabolism Physician) - 59.9/100 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).

Sukhampal Sidhu, M.D. appears in the CMS NPPES registry as an Endocrinology, Diabetes & Metabolism Physician provider holding M.D. credentials at 1313 E HERNDON AVE STE 106, Fresno, CA, 93720, with a listed phone of (559) 228-6600. NPI 1871851782 was issued on 04/27/2012.

Medicare Part D records for calendar year 2023 show 2,117 prescription claims written by this provider, covering 395 Medicare beneficiaries and totaling roughly $2.2 million in drug spend, split 70% brand-name and 19% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 59.9/100 for the 2023 performance year (Quality 70.8, Cost 70.5), compared with the national average of 83.1.

Endocrinology, Diabetes & Metabolism Physician is a mid-sized specialty nationwide, with 7,871 enrolled providers across 54 states and an average of 2,639 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

1313 E HERNDON AVE STE 106
Fresno, CA 93720
(559) 228-6600

Provider Details

NPI 1871851782
Specialty Endocrinology, Diabetes & Metabolism Physician
Credentials M.D.
Gender Male
NPI Issued 04/27/2012

CMS Quality Score (MIPS)

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

59.8863
Final Score
Avg: 83.1
70.7698
Quality
70.5179
Cost
0
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Sukhampal Sidhu, 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.

Long Term Care Medical Group, Inc
Fresno, CA
Saint Agnes Medical Foundation
Fresno, CA

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 Sukhampal Sidhu, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$96

Largest payer

Abbott Laboratories

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 - California MBC 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 ~150K California medical licensees in 2023 - they are NOT specific to Sukhampal Sidhu, M.D.. To verify Sukhampal Sidhu, M.D.'s current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC 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 California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Brand-heavy

Sukhampal Sidhu, M.D. - brand share 70.0%
Endocrinology, Diabetes & Metabolism Physician average

70% brand-name claims vs 19% generic, on 2,117 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.

2,117
Total Claims
$2.2M
Total Drug Cost
395
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
4,721
Total Day Supply
139,884
Brand vs Generic
70% brand / 19% generic
Brand Drug Cost
$2.1M
Generic Drug Cost
$37K

Patient Demographics

Average Patient Age
68.3 years
Avg HCC Risk Score
2.49
Gender Split
60% female / 40% male
Age Distribution
<65: 109, 65-74: 175, 75-84: 85, 85+: 26

Top Prescribed Drugs (Medicare Part D)

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

What Sukhampal Sidhu, 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
Ozempic
Semaglutide
353
Farxiga
Dapagliflozin Propanediol
140
Levothyroxine Sodium
 137
Novolog Flexpen
Insulin Aspart
91
Jardiance
Empagliflozin
79
Trulicity
Dulaglutide
60
Novolog Mix 70-30 Flexpen
Insulin Aspart Prot/Insuln Asp
52
Januvia
Sitagliptin Phosphate
46
Metformin Hcl
 42
Humalog Kwikpen U-100
Insulin Lispro
38

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

More Endocrinology, Diabetes & Metabolism Physician in CA → All providers in California → Compare specialties →

Endocrinology, Diabetes & Metabolism Physician Overview

How Sukhampal Sidhu, M.D. fits within the Endocrinology, Diabetes & Metabolism Physician landscape nationally.

7,871
Endocrinology, Diabetes & Metabolism Physician Providers in US
54
States with Endocrinology, Diabetes & Metabolism Physician
2,639
Avg Claims per Provider

Sukhampal Sidhu, M.D.'s 2,117 claims are below the specialty average of 2,639.

Nearby Endocrinology, Diabetes & Metabolism Physician Providers in California

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

Dr. Anita Abraham
M.D.
Stockton, CA
Dr. Sallie Adams
M.D.
Roseville, CA
Ananta Addala
Palo Alto, CA
Dr. Helen Adelberg
M.D.
Encino, CA
Dr. David Aftergood
MD
Beverly Hills, CA

Compare Endocrinology, Diabetes & Metabolism 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 California medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Endocrinology, Diabetes & Metabolism 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.

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Frequently Asked Questions

What is Sukhampal Sidhu, M.D.'s specialty? ▼
Sukhampal Sidhu, M.D. specializes in Endocrinology, Diabetes & Metabolism Physician and practices in Fresno, California. Credentials: M.D..
How much does Sukhampal Sidhu, M.D. prescribe under Medicare Part D? ▼
In 2023, Sukhampal Sidhu, M.D. wrote 2,117 Medicare Part D claims totaling $2.2M in drug costs for 395 beneficiaries.
What is Sukhampal Sidhu, M.D.'s Medicare quality score? ▼
Sukhampal Sidhu, M.D. has a CMS MIPS Final Score of 59.9/100 (Quality: 70.8, Cost: 70.5). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Sukhampal Sidhu, M.D. located? ▼
Sukhampal Sidhu, M.D. is located at 1313 E HERNDON AVE STE 106, Fresno, CA, 93720. Phone: (559) 228-6600.
What is Sukhampal Sidhu, M.D.'s NPI number? ▼
Sukhampal Sidhu, M.D.'s National Provider Identifier (NPI) is 1871851782, issued on 04/27/2012.
Does Sukhampal Sidhu, M.D. prescribe more brand-name or generic drugs? ▼
Sukhampal Sidhu, M.D.'s prescribing is 70% brand-name and 19% generic drugs by claim count, with $2.1M in brand drug costs.
How many Endocrinology, Diabetes & Metabolism Physician providers are there in the US? ▼
There are 7,871 Endocrinology, Diabetes & Metabolism Physician providers across 54 states in the US. The average Endocrinology, Diabetes & Metabolism Physician provider writes 2,639 Medicare Part D claims per year.
What drugs does Sukhampal Sidhu, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Sukhampal Sidhu, M.D.'s most frequently prescribed drugs include Ozempic, Farxiga, Levothyroxine Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Sukhampal Sidhu, M.D. accept Medicare? ▼
Sukhampal Sidhu, M.D. appears in CMS Medicare data with 2,117 Part D claims and 395 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Sukhampal Sidhu, M.D.'s credentials? ▼
Sukhampal Sidhu, M.D.'s NPI is 1871851782 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.