SUNJAY VERMA MD
NPI 1285625244
Radiology - Diagnostic Radiology in Glens Falls, NY

Active since October 31, 2005PECOS EnrolledAccepts Medicare Assignment
86.64/100
CMS Quality Rating
11 MURRAY ST, GLENS FALLS, NY 12801(518) 793-1000(518) 793-1976 Get Directions Write a Review

NPPES record last updated: May 20, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sunjay Verma Md NPPES

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

SUNJAY VERMA MD (NPI 1285625244) is an individual diagnostic radiology provider in Glens Falls, New York, licensed in New York (220975) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Aurelia Osborn Fox Memorial Hospital, and is a graduate of University Of Wisconsin School Of Medicine (1984).

NPPES Registry Identity

NPI1285625244
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameSUNJAY VERMACredential: MD
Location Address11 MURRAY STGlens Falls, NY 12801-4311
Mailing Address11 Murray St, Po Box 985Glens Falls, NY 12801-4311 · (518) 793-1000 · Fax (518) 793-1976
Fax(518) 793-1976
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 1984
Enumeration DateOctober 31, 2005
Last NPPES UpdateMay 20, 2016
✔ NPI 1285625244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in NY · 220975
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedRadiology · NeuroradiologyTaxonomy 2085N0700X · License 220975 (NY)
Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X · License 220975 (NY)
11 MURRAY ST, Glens Falls, NY 12801

Other Identifiers 1

Medicare UPINC34824

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

Sunjay Verma 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 ID4981684792
PECOS Enrollment IDI20040722000689
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

4

Medicare enrollment records show Sunjay Verma reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Critical Access
178 GRANDVIEW DR
Cobleskill, NY 12043
  • Reassigned Medicare billing, New York enrollment
  • 202 clinicians in this Medicare group
Critical Access
140 BURWELL ST
Little Falls, NY 13365
  • Reassigned Medicare billing, New York enrollment
  • 202 clinicians in this Medicare group
Multi-Specialty
1 ATWELL RD
Cooperstown, NY 13326
  • Reassigned Medicare billing, New York enrollment
  • 1,052 clinicians in this Medicare group
Critical Access
460 ANDES RD
Delhi, NY 13753
  • Reassigned Medicare billing, New York enrollment
  • 199 clinicians in this Medicare group

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 21

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.

Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
131 services131 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
131 services131 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
77 services77 patients
Complete ultrasound scan behind abdominal cavity 76770
A complete ultrasound scan behind the abdominal cavity is a non-invasive imaging procedure. It uses sound waves to create pictures of the structures and organs located at the back of your abdomen. It helps in diagnosing health conditions and monitoring ongoing treatments.
32 services32 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
30 services30 patients
Limited ultrasound scan of abdomen 76705
A limited ultrasound scan of the abdomen is a non-invasive imaging test. It uses sound waves to produce images of the abdominal organs such as the liver, gallbladder, spleen, pancreas, and kidneys. This helps to identify any abnormalities or issues.
30 services29 patients

Hospital Affiliations CMS Care Compare 5

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

Aurelia Osborn Fox Memorial Hospital

Acute Care Hospitals · Oneonta, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330085
LocationOne Norton AvenueOneonta, NY 13820 · Otsego County
Emergency services

Bassett Healthcare

Acute Care Hospitals · Cooperstown, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330136
LocationOne Atwell RoadCooperstown, NY 13326 · Otsego County
Emergency services Birthing friendly

O'connor Hospital

Critical Access Hospitals · Delhi, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331305
Location460 Andes RoadDelhi, NY 13753 · Delaware County
Emergency services

Little Falls Hospital

Critical Access Hospitals · Little Falls, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331311
Location140 Burwell StreetLittle Falls, NY 13365 · Herkimer County
Emergency services

Cobleskill Regional Hospital

Critical Access Hospitals · Cobleskill, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number331320
Location178 Grandview DriveCobleskill, NY 12043 · Schoharie County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12801 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
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.

86.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.13
Promoting Interoperability74
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

Radiology (Vascular & Interventional Radiology)
11 MURRAY ST
GLENS FALLS, NY 12801
Physician Assistant
11 MURRAY ST
GLENS FALLS, NY 12801

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 Sunjay Verma's NPI number?

The NPI number for Sunjay Verma is 1285625244. It was assigned to this individual provider in the NPPES registry on October 31, 2005.

Where is Sunjay Verma located?

Sunjay Verma practices at 11 Murray St, Glens Falls, NY 12801. The listed phone number is (518) 793-1000.

What is Sunjay Verma's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Sunjay Verma enrolled in Medicare?

Yes. Sunjay Verma 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 Sunjay Verma's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sunjay Verma reassigns Medicare benefits to 4 organizations: Bassett Hospital Of Schoharie County (Cobleskill, NY), Little Falls Hospital (Little Falls, NY), Mary Imogene Bassett Hospital (Cooperstown, NY) and O'connor Hospital (Delhi, NY). 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 Sunjay Verma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Sunjay Verma affiliated with any hospitals?

According to CMS data, Sunjay Verma is affiliated with Aurelia Osborn Fox Memorial Hospital, Bassett Healthcare, O'connor Hospital, Little Falls Hospital and Cobleskill Regional Hospital.

When was this NPI record last updated?

The NPPES record for Sunjay Verma was last updated on May 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.