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SANJAY CHAUDHRY MD
NPI 1013088228
Specialist in Martins Ferry, OH

Active since November 10, 2006PECOS EnrolledAccepts Medicare Assignment
62.07/100
CMS Quality Rating
92 N 4TH ST, SUITE 11, MARTINS FERRY, OH 43935(740) 633-4447(740) 633-4250 Get Directions Write a Review

NPPES record last updated: September 30, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sanjay Chaudhry Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANJAY CHAUDHRY MD (NPI 1013088228) is an individual specialist in Martins Ferry, Ohio, licensed in Ohio (35062737C) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Wellspan Ephrata Community Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1013088228
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameSANJAY CHAUDHRYCredential: MD
Location Address92 N 4TH ST, SUITE 11Martins Ferry, OH 43935-1691
Mailing Address92 N 4th St Ste 11Martins Ferry, OH 43935-1600 · (740) 633-4447 · Fax (740) 633-4250
Phone(740) 633-4447
Fax(740) 633-4250
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateNovember 10, 2006
Last NPPES UpdateSeptember 30, 2025
NPPES CertifiedSeptember 30, 2025
✔ NPI 1013088228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Licenses✔ Licensed in OH · 35062737C✔ Licensed in WV · 18071
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X · License MD043561E (PA)
92 N 4TH ST, Martins Ferry, OH 43935
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1954 Isabel DrLebanon, PA 17042-7482 · Phone (717) 376-1180 · Fax (717) 376-1184
Location 24150 Barrett Blvd Ste 200Ephrata, PA 17522-8979 · Phone (717) 738-5648 · Fax (717) 327-4014

Other Identifiers 2

Medicaid0956069OH
Medicaid0077693000WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sanjay Chaudhry Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901890060
PECOS Enrollment IDI20251014004139
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
265 services206 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
69 services69 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
29 services28 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
18 services17 patients
Diagnostic exam of large bowel using a flexible endoscope 45378
This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.
17 services17 patients
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121
Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
16 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wellspan Ephrata Community Hospital

Acute Care Hospitals · Ephrata, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390225
Location169 Martin AvenueEphrata, PA 17522 · Lancaster County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

62.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality90
Improvement Activities0
Cost86.91

Reported Quality Measures

Appropriate Follow-Up Interval for Normal Colonoscopy in Average Risk Patients
Percentage of patients aged 50 to 75 years of age receiving a screening colonoscopy without biopsy or polypectomy who had a recommended follow-up interval of at least 10 years for repeat colonoscopy documented in their colonoscopy report
100%135 patients
Colonoscopy Interval for Patients with a History of Adenomatous Polyps - Avoidance of Inappropriate Use
Percentage of patients aged 18 years and older receiving a surveillance colonoscopy, with a history of a prior adenomatous polyp(s) in previous colonoscopy findings, which had an interval of 3 or more years since their last colonoscopy
100%229 patients5/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
100%1,253 patients5/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%5,048 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
84%88 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
98%1,567 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
1%3,105 patients1/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
33%3,105 patients2/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
0%3,105 patients1/55-star benchmark: 79%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR MARIO C MEJIA PC
Internal Medicine
92 N 4TH ST, SUITE 18
MARTINS FERRY, OH 43935
Belmont County (740) 633-4305
ASHRAF S BADOUR M.D.
Psychiatry & Neurology (Neurology)
92 N 4TH ST
MARTINS FERRY, OH 43935
Belmont County (740) 633-4194
JOSEPH A GABIS MD INC
Internal Medicine (Cardiovascular Disease)
92 N 4TH ST
MARTINS FERRY, OH 43935
Belmont County (740) 633-6462
WHEELING HOSPITAL, INC.
Clinic/Center
92 N 4TH ST
MARTINS FERRY, OH 43935
Belmont County (304) 243-3000
WILLIAM BAILER M.D.
Surgery
92 N 4TH ST, SUITE 14
MARTINS FERRY, OH 43935
Belmont County (740) 633-6504
JAMES R SHOPE MD LLC
Plastic Surgery
92 N 4TH ST, SUITE A
MARTINS FERRY, OH 43935
Belmont County (740) 633-4303
MARIO CORDOVA MEJIA MD
Internal Medicine
92 N 4TH ST, SUITE 18
MARTINS FERRY, OH 43935
Belmont County (740) 633-4305
ALECTO EAST OHIO PHYSICIANS, INC.
Family Medicine
92 N 4TH ST, SUITE 11
MARTINS FERRY, OH 43935
Belmont County (740) 633-1100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sanjay Chaudhry's NPI number?

The NPI number for Sanjay Chaudhry is 1013088228. It was assigned to this individual provider in the NPPES registry on November 10, 2006.

Where is Sanjay Chaudhry located?

Sanjay Chaudhry practices at 92 N 4th St Suite 11, Martins Ferry, OH 43935. The listed phone number is (740) 633-4447.

What is Sanjay Chaudhry's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Sanjay Chaudhry enrolled in Medicare?

Yes. Sanjay Chaudhry is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Sanjay Chaudhry accept?

Health plans from CareSource and Molina Healthcare list Sanjay Chaudhry as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Sanjay Chaudhry affiliated with any hospitals?

According to CMS data, Sanjay Chaudhry is affiliated with Wellspan Ephrata Community Hospital.

When was this NPI record last updated?

The NPPES record for Sanjay Chaudhry was last updated on September 30, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.