Prabhat Kumar Sinha, MD
NPI 1013988286ActiveIndividual· Internal Medicine· Toms River, NJ
Internal Medicine (MD) with Ocean Family and Geriatric Associates LLC and 1 other group, practicing in Toms River, New Jersey. Their prescriptions cost Medicare Part D more than their services did: $2,082,111 for 21,357 claims, against $757,775 paid for services in 2024. Astrazeneca Pharmaceuticals LP was the largest of 22 companies reporting payments in 2025, $1,607 in all, mostly food and beverage. Lists Ascension Providence Hospital, Southfield and Novi and 3 other hospitals as hospital affiliations.
Overview
| NPI | 1013988286 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jan 27, 2006 |
| Last updated in NPPES | May 12, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | MA68270 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (NJ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 1,150 |
|---|---|
| Services billed | 8,197 across 50 procedure codes |
| Paid by Medicare | $757,775 |
Part D prescriptions in 2024
| Prescriptions (claims) | 21,357 · 32,173 30-day fills |
|---|---|
| Patients | 1,162 |
| Total drug cost | $2,082,111 |
| Generic share | 85% of claims |
Education and affiliations
| Graduation year | 1992 |
|---|---|
| Medicare specialty | Family Practice |
| Secondary specialties | Geriatric Medicine, Internal Medicine |
| Telehealth | Offers telehealth |
Medical groups
- Ocean Family and Geriatric Associates LLCToms River, NJ · 10 clinicians
- Botox and Family Associates LLCToms River, NJ · 5 clinicians
Hospital affiliations
- Ascension Providence Hospital, Southfield and NoviSouthfield, MI
- Community Medical CenterToms River, NJ
- Monmouth Medical Center-Southern CampusLakewood, NJ
- Southern Ocean Medical CenterManahawkin, NJ
Other facilities
- Bayada Home Health Care, IncHome health agency · Whiting, NJ
- Hackensack Meridian at Home Ocean CountyHome health agency · Brick, NJ
- Visiting Nurse Association of Central Jersey Home Care and HospiceHome health agency · Toms River, NJ
- Affinity Care of Nj, LLCHospice · Brick, NJ
- Grace Healthcare Services LLCHospice · Edison, NJ
- Serenity Hospice CareHospice · Trenton, NJ
- Vna of Central Jersey Home Care & HospiceHospice · Toms River, NJ
- Aristacare at WhitingNursing home · Whiting, NJ
- Complete Care at Bey Lea, LLCNursing home · Toms River, NJ
- Community Medical Center TcuNursing home · Toms River, NJ
- Hampton Ridge Healthcare and RehabilitationNursing home · Toms River, NJ
- Shore Gardens Rehabilitation and Nursing CenterNursing home · Toms River, NJ
Industry payments (Open Payments)
- 2025$1,607 · 70 payments from 22 companies
- 2024$1,716 · 65 payments from 17 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Astrazeneca Pharmaceuticals LP | $366.51 | 12 |
| Corcept Therapeutics | $203.82 | 8 |
| Bayer Healthcare Pharmaceuticals Inc. | $203.08 | 5 |
| Amgen Inc. | $175.10 | 12 |
| Pfizer Inc. | $127.15 | 3 |
What the 2025 payments were for
- Food and Beverage$1,607 · 70 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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