1. Home
  2. Directory
  3. California
  4. Santa Rosa
  5. Ophthalmology
  6. NPI Profile

DR. SANJAY BANSAL M.D.
NPI 1346275484
Ophthalmology in Santa Rosa, CA

Active since July 11, 2006PECOS Enrolled
27.98/100
CMS Quality Rating
3540 MENDOCINO AVENUE, SUITE 200, SANTA ROSA, CA 95403(707) 522-6200(707) 522-6215 Get Directions Write a Review

NPPES record last updated: July 9, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Sanjay Bansal M.d. NPPES

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

DR. SANJAY BANSAL M.D. (NPI 1346275484) is an individual ophthalmology provider in Santa Rosa, California, licensed in California (G66178) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Nebraska College Of Medicine (1988).

NPPES Registry Identity

NPI1346275484
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. SANJAY BANSALCredential: M.D.
Location Address3540 MENDOCINO AVENUE, SUITE 200Santa Rosa, CA 95403-3639
Mailing Address3540 Mendocino Avenue, Suite 200Santa Rosa, CA 95403-3639 · (707) 522-6200 · Fax (707) 522-6215
Phone(707) 522-6200
Fax(707) 522-6215
Sole ProprietorYes
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 1988
Enumeration DateJuly 11, 2006
Last NPPES UpdateJuly 9, 2012
✔ NPI 1346275484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in CA · G66178
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.
3540 MENDOCINO AVENUE, Santa Rosa, CA 95403
Open in Google Maps ↗

Other Names 1

Professional Name (2)Dr. Jay Bansal Md

Other Identifiers 2

Medicare ID-Type Unspecified11000231CA
Medicare UPINF25128CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sanjay Bansal M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID840209052
PECOS Enrollment IDI20060417000776
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 6

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.

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.
258 services145 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
171 services171 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
130 services92 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 services128 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
113 services112 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
14 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95403 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
$142.00 typical visit price
range $63.04 – $187.01
Typical copayment $35.50 (range $15.76 – $46.75)
Most-billed visit code 99204
Established Patient
$77.94 typical visit price
range $21.02 – $153.40
Typical copayment $19.48 (range $5.25 – $38.35)
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.

27.98/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost93.27

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 Bansal's NPI number?

The NPI number for Sanjay Bansal is 1346275484. It was assigned to this individual provider in the NPPES registry on July 11, 2006. The provider is also known as Dr. Jay Bansal MD.

Where is Sanjay Bansal located?

Sanjay Bansal practices at 3540 Mendocino Avenue Suite 200, Santa Rosa, CA 95403. The listed phone number is (707) 522-6200.

What is Sanjay Bansal's specialty?

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

Is Sanjay Bansal enrolled in Medicare?

Yes. Sanjay Bansal is registered in the Medicare PECOS enrollment system.

What insurance does Sanjay Bansal accept?

Health plans from BlueCross BlueShield of Tennessee list Sanjay 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.

When was this NPI record last updated?

The NPPES record for Sanjay Bansal was last updated on July 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.