2026 NPPES data Legal Medicine NPI 1568402733 M.D.
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SYLVIA PAGULAYAN, M.D.

Legal Medicine in JERSEY CITY, New Jersey. 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
56
Medicare Part D claims · 15 beneficiaries · Legal Medicine avg: 3K
What the federal data reveals: SYLVIA PAGULAYAN, M.D. is a Legal Medicine ([object Object]) practicing in JERSEY CITY, New Jersey with a Medicare Part D prescribing footprint of 56 claims across 15 beneficiaries .

What stands out: SYLVIA PAGULAYAN, M.D. filed 56 Medicare Part D claims in 2023 across JERSEY CITY, New Jersey. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

SYLVIA PAGULAYAN, M.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 06/07/2006

NPI 1568402733

Primary specialty

Legal Medicine

Niche

1,067 US NPIs in this specialty

Medicare Part D claims

56 98% vs specialty avg

2023 prescription claims

Specialty avg: 2,821

Specialty distribution in New Jersey

How Legal Medicine compares to other specialties among New Jersey providers

New Jersey providers

Legal Medicine share within New Jersey

1. Legal Medicine42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Legal Medicine share within New Jersey

Specialty board-certification context

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

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

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

0%100%78%
Est. board-certified rate (Legal Medicine) — 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).

SYLVIA PAGULAYAN, M.D. is a Legal Medicine provider practicing in JERSEY CITY, New Jersey, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1568402733. 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.

SYLVIA PAGULAYAN, M.D. appears in the CMS NPPES registry as a Legal Medicine provider holding M.D. credentials at 8 BALDWIN AVE, JERSEY CITY, NJ, 07304, with a listed phone of (201) 333-5300. NPI 1568402733 was issued on 06/07/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PAGULAYAN 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 56 prescription claims written by this provider, covering 15 Medicare beneficiaries and totaling roughly $7K 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.

Legal Medicine is a narrow specialty nationwide, with 1,067 enrolled providers across 51 states and an average of 2,821 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

8 BALDWIN AVE
JERSEY CITY, NJ 07304

Provider Details

NPI 1568402733
Specialty Legal Medicine
Credentials M.D.
Gender Female
NPI Issued 06/07/2006

Medicare Part D Prescribing Data

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

56
Total Claims
$7K
Total Drug Cost
15
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
154
Total Day Supply
4,539
Generic Drug Cost
$3K

Patient Demographics

Average Patient Age
75.9 years
Avg HCC Risk Score
1.24
Age Distribution
<65: 0, 65-74: N/A, 75-84: N/A, 85+: N/A

Legal Medicine Overview

How SYLVIA PAGULAYAN, M.D. fits within the Legal Medicine landscape nationally.

1,067
Legal Medicine Providers in US
51
States with Legal Medicine
2,821
Avg Claims per Provider

SYLVIA PAGULAYAN, M.D.'s 56 claims are below the specialty average of 2,821.

Nearby Legal Medicine Providers in New Jersey

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

Compare Legal Medicine nationally: see state-by-state distribution →

Frequently Asked Questions

What is SYLVIA PAGULAYAN, M.D.'s specialty?
SYLVIA PAGULAYAN, M.D. specializes in Legal Medicine and practices in JERSEY CITY, New Jersey. Credentials: M.D..
How much does SYLVIA PAGULAYAN, M.D. prescribe under Medicare Part D?
In 2023, SYLVIA PAGULAYAN, M.D. wrote 56 Medicare Part D claims totaling $7K in drug costs for 15 beneficiaries.
Where is SYLVIA PAGULAYAN, M.D. located?
SYLVIA PAGULAYAN, M.D. is located at 8 BALDWIN AVE, JERSEY CITY, NJ, 07304. Phone: (201) 333-5300.
What is SYLVIA PAGULAYAN, M.D.'s NPI number?
SYLVIA PAGULAYAN, M.D.'s National Provider Identifier (NPI) is 1568402733, issued on 06/07/2006.
How many Legal Medicine providers are there in the US?
There are 1,067 Legal Medicine providers across 51 states in the US. The average Legal Medicine provider writes 2,821 Medicare Part D claims per year.
Does SYLVIA PAGULAYAN, M.D. accept Medicare?
SYLVIA PAGULAYAN, M.D. appears in CMS Medicare data with 56 Part D claims and 15 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SYLVIA PAGULAYAN, M.D.'s credentials?
SYLVIA PAGULAYAN, M.D.'s NPI is 1568402733 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