DR. SANDEEP BANSAL MD
NPI 1215105267
Internal Medicine - Pulmonary Disease in Du Bois, PA

Q: What is Sandeep Bansal's NPI number?

The NPI number for Sandeep Bansal is 1215105267. It was assigned to this individual provider in the NPPES registry on February 12, 2008.

Q: What is Sandeep Bansal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Sandeep Bansal was last updated on July 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 12, 2008PECOS EnrolledAccepts Medicare Assignment

92.35/100

CMS Quality Rating

100 HOSPITAL AVE, DU BOIS, PA 15801(814) 375-3770(814) 375-3772 Get Directions Write a Review

NPPES record last updated: July 5, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. Sandeep Bansal Md NPPES

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

DR. SANDEEP BANSAL MD (NPI 1215105267) is an individual pulmonary disease provider in Du Bois, Pennsylvania, licensed in Pennsylvania (MD440735) and active in the NPI registry since February 2008. He is enrolled in Medicare PECOS, is affiliated with Penn Highlands Huntingdon, and is a graduate of University College Of Medicine (1999).

NPPES Registry Identity

NPI1215105267

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameDR. SANDEEP BANSALCredential: MD

Location Address100 HOSPITAL AVEDu Bois, PA 15801-1440

Mailing Address100 Hospital AveDu Bois, PA 15801-1440 · (814) 375-3770 · Fax (814) 375-3772

Phone(814) 375-3770

Fax(814) 375-3772

Sole ProprietorNo

Medical School CMSUniversity College Of MedicineGraduated 1999

Enumeration DateFebruary 12, 2008

Last NPPES UpdateJuly 5, 2024

NPPES CertifiedJuly 5, 2024

✔ NPI 1215105267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

Licenses✔ Licensed in PA · MD440735✔ Licensed in IN · 01064798A

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal MedicineTaxonomy 207R00000X · License MD440735 (PA), 01064798A (IN)

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License MD0440735 (PA), 01064798A (IN)

100 HOSPITAL AVE, Du Bois, PA 15801

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Sandeep Bansal 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 ID6901971167

PECOS Enrollment IDI20110426000749

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.

Medicare Billing Reassignments

Medicare enrollment records show Sandeep Bansal reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dubois Regional Medical Center

Same address

Pulmonary Disease

100 HOSPITAL AVE
Du Bois, PA 15801

Reassigned Medicare billing, Pennsylvania enrollment
14 clinicians in this Medicare group

NPI 1659534337 (814) 375-3770

Dubois Regional Medical Group, PC

0.1 mi

Family Medicine

145 HOSPITAL AVE STE 104
Du Bois, PA 15801

Reassigned Medicare billing, Pennsylvania enrollment
28 clinicians in this Medicare group

NPI 1093956617 (814) 375-8055

J C Blair Memorial Hospital

44 mi

Rheumatology

417 SABBATH REST RD STE 4
Altoona, PA 16601

Reassigned Medicare billing, Pennsylvania enrollment
45 clinicians in this Medicare group

NPI 1669217808 (814) 684-6341

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 27

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 moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

366 services185 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

304 services171 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

206 services204 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

158 services156 patients

Irrigation and suction of lung airways to obtain cells using an endoscope 31624

This is a procedure where a thin, flexible tube called an endoscope is inserted through your mouth into the lungs. A small amount of saline is then introduced to wash the airways. The fluid, along with cells from the lung, is suctioned back for analysis.

121 services108 patients

Exam of lung airways and sampling of lymph nodes using an endoscope and ultrasound guidance, 1-2 lymph nodes 31652

This procedure involves a special tube with a camera (endoscope) entering your lung airways. Guided by ultrasound, it collects samples from 1-2 lymph nodes. This helps doctors understand and diagnose potential issues in your lungs.

106 services96 patients

Test to determine lung volumes using sensors 94726

This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.

95 services95 patients

Biopsy of lobe of lung using an endoscope, 1 lobe 31628

A lung biopsy is a procedure where a small piece of lung tissue is taken for testing. An endoscope, a flexible tube with a light and camera, is used. It's inserted through the mouth or nose, down the windpipe, and into one lobe of the lung.

82 services75 patients

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

81 services17 patients

Needle biopsy of windpipe cartilage, airway, and/or lung using an endoscope 31629

A needle biopsy of windpipe cartilage, airway, or lung involves using a thin, flexible tube with a camera (endoscope) to access and collect tissue samples. This procedure helps doctors diagnose lung conditions or diseases effectively and safely.

75 services69 patients

Exam of lung airways with diagnostic or therapeutic procedure on growths using an endoscope and ultrasound 31654

This procedure involves using a specialized instrument, called an endoscope, to examine the lung airways. An ultrasound is also used to get a clearer image of any growths. If necessary, the doctor can perform procedures to diagnose or treat these growths.

70 services64 patients

Computer-assisted image-guided navigation of lung airways using an endoscope 31627

This procedure involves the use of a special camera, called an endoscope, and computer technology to create real-time images of your lung airways. This helps doctors navigate through your lungs accurately, aiding in diagnosis or treatment.

63 services58 patients

Test to determine lung volumes using gas dilution or washout 94727

This test measures lung volumes by either diluting or washing out a known amount of gas in your lungs. You'll breathe in a harmless gas, then exhale. The exhaled air is analyzed to assess your lung capacity and function.

58 services56 patients

Biopsy of lung airway using an endoscope 31625

A biopsy of the lung airway using an endoscope is a procedure where a small, flexible tube with a light and camera is inserted through your mouth or nose to reach your lungs. A tiny tool on the endoscope collects a small tissue sample for examination.

34 services32 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

32 services32 patients

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.

30 services27 patients

Aspiration of initial secretion of lung airway using an endoscope 31645

This procedure involves using a thin, flexible tube called an endoscope to collect initial secretions from your lung airway. This helps doctors diagnose and treat respiratory conditions. It's a safe, minimally invasive procedure.

24 services20 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

24 services18 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

23 services18 patients

Inhalation treatment for airway obstruction or sputum production 94640

Inhalation treatment, also known as nebulizer therapy, helps clear airway obstructions and reduce sputum production. It involves breathing in medication through a device, turning it into a mist. This can open up the airways, making breathing easier and helping to cough out mucus.

22 services18 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

22 services22 patients

Aspiration of fluid from chest cavity using imaging guidance 32555

This procedure, known as a thoracentesis, involves removing fluid from the space between the lungs and chest wall, called the pleural space. It's performed under imaging guidance to ensure precision. It can help diagnose conditions or relieve symptoms like shortness of breath.

20 services16 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

20 services18 patients

Placement of radiation therapy markers into lung airways using an endoscope 31626

This procedure involves inserting tiny markers into your lung airways with an endoscope, a thin tube with a light and camera. These markers help accurately target radiation therapy, improving its effectiveness in treating lung conditions.

19 services19 patients

Dilation of windpipe cartilage or treatment of broken windpipe cartilage using an endoscope 31630

This procedure uses an endoscope, a small tube with a camera, to view and treat issues with the windpipe cartilage. It can be used to expand narrowed areas or repair broken cartilage, helping restore normal breathing.

18 services17 patients

Destruction of growth or narrowing of lung airway using an endoscope 31641

This procedure involves using a special tool called an endoscope to treat abnormal growths or narrowing in the lung airway. The endoscope, inserted through the mouth, allows the doctor to visualize and treat the affected area without making large incisions.

17 services16 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Penn Highlands Huntingdon

Acute Care Hospitals · Huntingdon, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390056

Location1225 Warm Springs AveHuntingdon, PA 16652 · Huntingdon County

Emergency services

Penn Highlands Dubois

Acute Care Hospitals · Dubois, PA

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390086

Location100 Hospital AvenueDubois, PA 15801 · Clearfield County

Punxsutawney Area Hospital

Acute Care Hospitals · Punxsutawney, PA

OwnershipVoluntary non-profit - Private

CMS Certification Number390199

Location81 Hillcrest DrivePunxsutawney, PA 15767 · Jefferson County

Emergency services Birthing friendly

Penn Highlands Brookville

Critical Access Hospitals · Brookville, PA

OwnershipVoluntary non-profit - Private

CMS Certification Number391312

Location100 Hospital RoadBrookville, PA 15825 · Jefferson County

Emergency services

Penn Highlands Elk

Critical Access Hospitals · Saint Marys, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number391315

Location763 Johnsonburg RoadSaint Marys, PA 15857 · Elk County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15801 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$126.34 typical visit price

range $54.64 – $166.87

Typical copayment $31.58 (range $13.66 – $41.71)

Most-billed visit code 99204

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

92.35/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 26

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

9 suppliers67 claims68 services$42.45 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

16 suppliers67 claims67 services$111.94 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

16 suppliers62 claims115 services$40.65 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

12 suppliers56 claims210 services$24.31 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

5 suppliers17 claims64 services$18.99 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

15 suppliers81 claims81 services$67.74 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

17 suppliers93 claims93 services$21.27 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

14 suppliers50 claims50 services$19.99 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

16 suppliers134 claims608 services$2.68 avg. paid by Medicare

Filter, non disposable, used with positive airway pressure device A7039

DME-Other DME · category DE001N

11 suppliers29 claims29 services$7.90 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

10 suppliers26 claims26 services$13.61 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

8 suppliers70 claims70 services$19.88 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

4 suppliers52 claims52 services$913.83 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470

DME-Other DME · category DE001N

3 suppliers16 claims16 services$111.38 avg. paid by Medicare

High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each E0483

DME-Other DME · category DE000N

3 suppliers67 claims67 services$823.87 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

6 suppliers55 claims55 services$16.34 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

6 suppliers67 claims67 services$8.04 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

11 suppliers128 claims128 services$41.20 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

15 suppliers209 claims209 services$112.91 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

2 suppliers37 claims37 services$34.38 avg. paid by Medicare

Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605

DME-Drugs Administered Through DME · category DG006N

1 supplier11 claims660 services$4.34 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

8 suppliers16 claims3,162 services$0.03 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

5 suppliers25 claims2,880 services$0.10 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

2 suppliers12 claims720 services$0.81 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

3 suppliers12 claims12 services$35.62 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

13 suppliers38 claims38 services$25.32 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

SUSAN M. MITCHELL CRNP

Nurse Practitioner

100 HOSPITAL AVE
DU BOIS, PA 15801

Clearfield County (814) 375-3770

NICHOLAS E SIPES PA-C

Physician Assistant

100 HOSPITAL AVE
DU BOIS, PA 15801

Clearfield County (814) 375-3261

NICHOLE ELISE ANDERSON FNP-C

Nurse Practitioner (Family)

100 HOSPITAL AVE
DU BOIS, PA 15801

Clearfield County (814) 375-3770

RAINTREE MRI SERVICES INC

Radiology (Diagnostic Radiology)

100 HOSPITAL AVE
DU BOIS, PA 15801

Clearfield County (814) 371-1784

DR. PAUL J VALIGORSKY II M.D.

Anesthesiology

100 HOSPITAL AVE
DU BOIS, PA 15801

Clearfield County (814) 375-3034

ZEKE DAVID FEYOCK

Nurse Practitioner

100 HOSPITAL AVE
DU BOIS, PA 15801

Clearfield County (814) 375-6440

RHONDA K MCCONNELL BSN, RN

Registered Nurse

100 HOSPITAL AVE
DU BOIS, PA 15801

Clearfield County (814) 375-3890

BRANDY DANIELLE HETRICK NP

Nurse Practitioner (Gerontology)

100 HOSPITAL AVE
DU BOIS, PA 15801

Clearfield County (814) 371-2200

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 Sandeep Bansal's NPI number?

The NPI number for Sandeep Bansal is 1215105267. It was assigned to this individual provider in the NPPES registry on February 12, 2008.

Where is Sandeep Bansal located?

Sandeep Bansal practices at 100 Hospital Ave, Du Bois, PA 15801. The listed phone number is (814) 375-3770.

What is Sandeep Bansal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Sandeep Bansal enrolled in Medicare?

Yes. Sandeep Bansal 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.

Which organizations bill Medicare for Sandeep Bansal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sandeep Bansal reassigns Medicare benefits to 3 organizations: Dubois Regional Medical Center (Du Bois, PA), Dubois Regional Medical Group, PC (Du Bois, PA) and J C Blair Memorial Hospital (Altoona, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sandeep Bansal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sandeep Bansal accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Sandeep Bansal 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 Sandeep Bansal affiliated with any hospitals?

According to CMS data, Sandeep Bansal is affiliated with Penn Highlands Huntingdon, Penn Highlands Dubois, Punxsutawney Area Hospital, Penn Highlands Brookville and Penn Highlands Elk.

When was this NPI record last updated?

The NPPES record for Sandeep Bansal was last updated on July 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.