Sunjay Sethi, MD
NPI 1932561099 · Neuromuscular Medicine (Psychiatry & Neurology) Physician · Milford, MA
Enrolled with Medicare as Practitioner - Neurology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sunjay Sethi, MD is a Neuromuscular Medicine (Psychiatry & Neurology) Physician provider in Milford, MA (NPI 1932561099).
Provider details
- NPI number
- 1932561099
- Entity type
- Individual
- Primary specialty
- Neuromuscular Medicine (Psychiatry & Neurology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 282406 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
10 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
620 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 Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 99 | $92 |
| Needle Measurement of Electrical Activity in Arm Or Leg Muscles, Limited Study95885 | 71 | $18 |
| Initial Hospital Care With Straightforward Or Low Level of Medical Decision Making, Per Day, If Using Time, at Least 40 Minutes99221 | 68 | $81 |
| Subsequent Hospital Care With Straightforward Or Low Level of Medical Decision Making, Per Day, If Using Time, at Least 25 Minutes99231 | 51 | $48 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 50 | $126 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 8 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Gabapentin | 108 | 34 |
| Prednisone | 44 | 12 |
| Pyridostigmine Bromide | 42 | 12 |
| Mycophenolate Mofetil | 32 | — |
| Duloxetine Hcl | 22 | — |
| Venlafaxine Hclbrand: Venlafaxine Hcl Er | 22 | — |
| Pregabalin | 16 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$418 across 26 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
Additional practice locations (2)
- 60 Fenwood Rd Fl 4Boston, MA 02115-6128Phone: (617) 732-7432
- 55 Fogg Rd # 150South Weymouth, MA 02190-2432Phone: (781) 624-8197
Registry dates
- Enumerated
- 2016-03-27
- Last updated
- 2023-08-04
- Certified
- 2023-08-04
Frequently asked questions
- What is Sunjay Sethi's NPI number?
- Sunjay Sethi's National Provider Identifier (NPI) is 1932561099, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sunjay Sethi's specialty?
- Sunjay Sethi is listed in the NPPES registry with a primary specialty of Neuromuscular Medicine (Psychiatry & Neurology) Physician (Allopathic & Osteopathic Physicians).
- Where is Sunjay Sethi located?
- Sunjay Sethi's practice location on file with NPPES is 14 Prospect St, Milford, MA 01757-3003.
- What is Sunjay Sethi's phone number?
- The practice phone number listed in the NPPES registry for Sunjay Sethi is (508) 381-5016.
- Does Sunjay Sethi accept Medicare?
- Sunjay Sethi is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sunjay Sethi's NPI active?
- Yes — Sunjay Sethi's NPI (1932561099) is active in the NPPES registry as of the last update on 2023-08-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.