DR. SANDHYA IYER M.D.
NPI 1285708073
Ophthalmology in Fort Worth, TX

Active since November 20, 2006PECOS EnrolledAccepts Medicare Assignment
90.14/100
CMS Quality Rating
1201 SUMMIT AVE, FORT WORTH, TX 76102(817) 332-2020(817) 332-4797 Get Directions Write a Review

NPPES record last updated: August 21, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Sandhya Iyer M.d. NPPES

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

DR. SANDHYA IYER M.D. (NPI 1285708073) is an individual ophthalmology provider in Fort Worth, Texas, licensed in Texas (N0124) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1285708073
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameDR. SANDHYA IYERCredential: M.D.
Location Address1201 SUMMIT AVEFort Worth, TX 76102
Mailing Address1201 Summit AveFort Worth, TX 76102-4413 · (178) 332-2020
Fax(817) 332-4797
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateNovember 20, 2006
Last NPPES UpdateAugust 21, 2018
NPI 1285708073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in TX · N0124
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
1201 SUMMIT AVE, Fort Worth, TX 76102

Other Identifiers 1

Other00A998750CA · Blue Shield

Accepted 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

Dr. Sandhya Iyer M.d. 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 ID3678661584
PECOS Enrollment IDI20080910000542
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 15

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.
645 services471 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.
224 services188 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
189 services180 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
129 services77 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
121 services73 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.
102 services102 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76102 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
$129.63 typical visit price
range $56.47 – $171.07
Typical copayment $32.40 (range $14.11 – $42.76)
Most-billed visit code 99204
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
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.

90.14/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost67.15

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.

Ophthalmology
1201 SUMMIT AVE
FORT WORTH, TX 76102
Ophthalmology
1201 SUMMIT AVE
FORT WORTH, TX 76102
Technician/Technologist (Optician)
1201 SUMMIT AVE
FORT WORTH, TX 76102
Ophthalmology
1201 SUMMIT AVE
FORT WORTH, TX 76102
Clinic/Center (Pain)
1201 SUMMIT AVE, SUITE 400
FORT WORTH, TX 76102
Clinic/Center (Pain)
1201 SUMMIT AVE, SUITE 400
FT WORTH, TX 76102
Clinic/Center (Pain)
1201 SUMMIT AVE, SUITE 400
FT WORTH, TX 76102
Ophthalmology
1201 SUMMIT AVE
FORT WORTH, TX 76102

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 Sandhya Iyer's NPI number?

The NPI number for Sandhya Iyer is 1285708073. It was assigned to this individual provider in the NPPES registry on November 20, 2006.

Where is Sandhya Iyer located?

Sandhya Iyer practices at 1201 Summit Ave, Fort Worth, TX 76102. The listed phone number is (817) 332-2020.

What is Sandhya Iyer's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Sandhya Iyer enrolled in Medicare?

Yes. Sandhya Iyer 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 Sandhya Iyer accept?

Health plans from Providence Health Plan list Sandhya Iyer 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.

When was this NPI record last updated?

The NPPES record for Sandhya Iyer was last updated on August 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.