Prabhat Sinha, MD
NPI 1013988286 · Internal Medicine Physician · Toms River, NJ
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prabhat Sinha, MD is a Internal Medicine Physician provider in Toms River, NJ (NPI 1013988286).
Provider details
- NPI number
- 1013988286
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MA68270 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
8,036 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 1,989 | $134 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 1,194 | $122 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 589 | $81 |
| Subsequent Nursing Facility Care With High Level of Medical Decision Making, Per Day, If Using Time, at Least 45 Minutes99310 | 450 | $160 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 386 | $178 |
| Subsequent Nursing Facility Care With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 30 Minutes |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 257 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 957 | 250 |
| Levothyroxine Sodium | 752 | 192 |
| Amlodipine Besylate | 743 | 187 |
| Pantoprazole Sodium | 574 | 173 |
| Metformin Hcl | 550 | 150 |
| Apixabanbrand: Eliquis | 521 | 84 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,716 across 64 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-01-27
- Last updated
- 2017-05-12
Frequently asked questions
- What is Prabhat Sinha's NPI number?
- Prabhat Sinha's National Provider Identifier (NPI) is 1013988286, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Prabhat Sinha's specialty?
- Prabhat Sinha is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Prabhat Sinha located?
- Prabhat Sinha's practice location on file with NPPES is 20 Hospital Dr, Toms River, NJ 08755-6434.
- What is Prabhat Sinha's phone number?
- The practice phone number listed in the NPPES registry for Prabhat Sinha is (732) 341-9900.
- Does Prabhat Sinha accept Medicare?
- Prabhat Sinha is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Prabhat Sinha's NPI active?
- Yes — Prabhat Sinha's NPI (1013988286) is active in the NPPES registry as of the last update on 2017-05-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.