2026 NPPES data Specialist NPI 1144238544 M.D.
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SUNIL BUTANI, M.D.

Specialist in MINEOLA, New York. 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
1K
Medicare Part D claims · 343 beneficiaries · Specialist avg: 1K
Generic prescribing
90%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$49.27
2 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

SUNIL BUTANI, M.D. filed 1,434 Medicare Part D claims in 2023 as a Specialist in MINEOLA, New York, prescribing 90% generic.

1K
Part D claims, 2023
90%
generic prescribing
$49.27
industry payments (Sunshine Act)

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.

SUNIL BUTANI, M.D.'s Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

1,434 Top 20% higher than 80% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). This entry sits in this band. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023

What does the federal data show about SUNIL BUTANI, M.D.?

Quality data not reported

NPI registry status

Active

Issued 08/03/2006

NPI 1144238544

Primary specialty

Specialist

High-volume

69,658 US NPIs in this specialty

Medicare Part D claims

1,434 3% vs specialty avg

2023 prescription claims

Specialty avg: 1,474

Specialty distribution in New York

How Specialist compares to other specialties among New York providers

New York providers

Specialist share within New York

1. Specialist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Specialist share within New York

Specialty board-certification context

Estimated specialty board-certified rate — Specialist (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Specialist ABMS/AOA estimate

Est. board-certified rate (Specialist) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Specialist) — ABMS / AOA estimate

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).

SUNIL BUTANI, M.D. appears in the CMS NPPES registry as a Specialist provider holding M.D. credentials at 184 OLD COUNTRY RD, MINEOLA, NY, 11501, with a listed phone of (516) 747-5042. NPI 1144238544 was issued on 08/03/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BUTANI 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 1,434 prescription claims written by this provider, covering 343 Medicare beneficiaries and totaling roughly $305K in drug spend, split 10% brand-name and 90% generic by claim count, with an opioid prescribing rate of 19.0%. 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.

Specialist is a high-volume specialty nationwide, with 69,658 enrolled providers across 55 states and an average of 1,474 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

184 OLD COUNTRY RD
MINEOLA, NY 11501

Provider Details

NPI 1144238544
Specialty Specialist
Credentials M.D.
Gender Male
NPI Issued 08/03/2006

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 SUNIL BUTANI, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$49

Largest payer

SCILEX 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 — 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 SUNIL BUTANI, M.D.. To verify SUNIL BUTANI, 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

SUNIL BUTANI, M.D. — brand share 10.0%
Specialty average (est.)

10% brand-name claims vs 90% generic, on 1,434 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.

1,434
Total Claims
$305K
Total Drug Cost
343
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,548
Total Day Supply
43,186
Brand vs Generic
10% brand / 90% generic
Brand Drug Cost
$217K
Generic Drug Cost
$88K
Opioid Claims
272 (19.0% rate)

Patient Demographics

Average Patient Age
71.3 years
Avg HCC Risk Score
1.28
Gender Split
60% female / 40% male
Age Distribution
<65: 59, 65-74: 159, 75-84: 105, 85+: 20

Top Prescribed Drugs (Medicare Part D)

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

What SUNIL BUTANI, 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
Diclofenac Sodium
327
Lidocaine
178
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
127
Gabapentin
103
Doxepin Hcl
91
Tramadol Hcl
67
Pennsaid
Diclofenac Sodium
63
Acetaminophen-Codeine
Acetaminophen With Codeine
53
Lidocaine-Prilocaine
Lidocaine/Prilocaine
48
Cyclobenzaprine Hcl
45

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

Specialist Overview

How SUNIL BUTANI, M.D. fits within the Specialist landscape nationally.

69,658
Specialist Providers in US
55
States with Specialist
1,474
Avg Claims per Provider

SUNIL BUTANI, M.D.'s 1,434 claims are below the specialty average of 1,474.

Nearby Specialist Providers in New York

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

Compare Specialist nationally: see state-by-state distribution →

Frequently Asked Questions

What is SUNIL BUTANI, M.D.'s specialty?
SUNIL BUTANI, M.D. specializes in Specialist and practices in MINEOLA, New York. Credentials: M.D..
How much does SUNIL BUTANI, M.D. prescribe under Medicare Part D?
In 2023, SUNIL BUTANI, M.D. wrote 1,434 Medicare Part D claims totaling $305K in drug costs for 343 beneficiaries.
Where is SUNIL BUTANI, M.D. located?
SUNIL BUTANI, M.D. is located at 184 OLD COUNTRY RD, MINEOLA, NY, 11501. Phone: (516) 747-5042.
What is SUNIL BUTANI, M.D.'s NPI number?
SUNIL BUTANI, M.D.'s National Provider Identifier (NPI) is 1144238544, issued on 08/03/2006.
Does SUNIL BUTANI, M.D. prescribe more brand-name or generic drugs?
SUNIL BUTANI, M.D.'s prescribing is 10% brand-name and 90% generic drugs by claim count, with $217K in brand drug costs.
Does SUNIL BUTANI, M.D. prescribe opioids?
Yes, SUNIL BUTANI, M.D. had 272 opioid claims in 2023 with an opioid prescribing rate of 19.0%.
How many Specialist providers are there in the US?
There are 69,658 Specialist providers across 55 states in the US. The average Specialist provider writes 1,474 Medicare Part D claims per year.
What drugs does SUNIL BUTANI, M.D. prescribe most often?
Based on 2023 Medicare Part D data, SUNIL BUTANI, M.D.'s most frequently prescribed drugs include Diclofenac Sodium, Lidocaine, Oxycodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SUNIL BUTANI, M.D. accept Medicare?
SUNIL BUTANI, M.D. appears in CMS Medicare data with 1,434 Part D claims and 343 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SUNIL BUTANI, M.D.'s credentials?
SUNIL BUTANI, M.D.'s NPI is 1144238544 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.
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