Doctor profile · Federal record

Dr. Sanjay Kavathia, M.D.

Internal Medicine Physician (CMS: Internal Medicine) · Internal Medicine Physician · Hackettstown, NJ

  • NPI 1124078142
  • Accepts Medicare
  • 32 yrs in practice
  • Male
  • Solo practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
616 Willow Grove St, Unit 1A
Hackettstown, NJ 078401779
(908) 852-8484
fax (908) 852-4197

Credentials & registration

NPPES · NUCC
NPI registered
May 2006 — 20 yrs on file
Profile last updated
February 5, 2015
Year of graduation
1994 — 32 yrs since
Specialty taxonomy
207R00000X — NUCC code
State licenses (2)
New Jersey #25MA07267000 · New Jersey #MA072670
Medicaid
NJ #8684308

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1124078142. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
6,456
Distinct HCPCS
10
Medicare allowed
$634,813
HCPCS Description Services Patients Avg allowed
99441 Telephone medical discussion with physician, 5-10 minutes 1,283 394 $51
99214 Established patient office or other outpatient visit, 30-39 minutes 851 263 $140
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 480 92 $117
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 471 119 $105
36415 Insertion of needle into vein for collection of blood sample 389 219 $3
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 369 46 $138
99213 Established patient office or other outpatient visit, 20-29 minutes 228 132 $99
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 221 46 $69
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes 200 79 $81
99497 Advance care planning, first 30 minutes 199 197 $90

In context: peer comparison

Among 13 peers in Hackettstown Internal Medicine Physician, average services per provider: 137. This provider delivers 47× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$1,782
Transactions
64
Manufacturers
13
Payer (manufacturer) Industry Txns Amount
AstraZeneca Pharmaceuticals Lp 27 $836.24
Abbvie INC. 3 $152.22
Boehringer Ingelheim Pharmaceuticals, INC. 2 $140.94
Bayer Healthcare Pharmaceuticals INC. 7 $129.31
Lexicon Pharmaceuticals, INC. 1 $96.03
Otsuka America Pharmaceutical, INC. 5 $94.79
Exact Sciences Corporation 4 $90.68
Lilly USA, LLC 5 $78.24
Novo Nordisk INC 3 $53.66
Lundbeck LLC 3 $52.16
Sumitomo Pharma America, INC. 2 $30.05
Amgen INC. 1 $14.40
Salix Pharmaceuticals, A Division of Bausch Health US, LLC 1 $13.12

By nature of payment

Food and Beverage
$1,782

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
6,289
Patients
1,718
Total drug cost
$272,384
Drug Type Claims Patients Total cost
Atorvastatin Calcium Generic 936 245 $12,458
Amlodipine Besylate Generic 722 207 $6,836
Levothyroxine Sodium Generic 588 146 $9,051
Pantoprazole Sodium Generic 390 131 $5,392
Montelukast Sodium Generic 380 122 $5,663
Metoprolol Succinate Generic 365 91 $5,877
Eliquis (Apixaban) Brand 351 64 $181,460
Gabapentin Generic 351 97 $6,753
Metoprolol Tartrate Generic 343 84 $3,103
Potassium Chloride Generic 335 110 $6,460

Frequently asked questions

Auto-generated from federal data
What is Dr. Sanjay Kavathia's medical specialty?
Dr. Sanjay Kavathia practices Internal Medicine Physician in Hackettstown, NJ.
Where does Dr. Sanjay Kavathia practice?
Dr. Sanjay Kavathia practices at 616 Willow Grove St, Hackettstown, NJ 078401779. Office phone: 9088528484.
What is Dr. Sanjay Kavathia's NPI?
Dr. Sanjay Kavathia's National Provider Identifier (NPI) is 1124078142, issued by NPPES.
Does Dr. Sanjay Kavathia accept Medicare assignment?
Yes. Dr. Sanjay Kavathia accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Sanjay Kavathia commonly perform?
Top Medicare-reported procedures in 2023: Telephone medical discussion with physician (HCPCS 99441); Established patient office or other outpatient visit (HCPCS 99214); Subsequent hospital care with moderate levelof medical decision making (HCPCS 99233). Source: CMS Medicare Physician & Other Practitioners file.