ABHAY SANAN M.D.
NPI 1366411019
Neurological Surgery in Tucson, AZ

Active since March 15, 2006PECOS EnrolledAccepts Medicare Assignment
70.61/100
CMS Quality Rating
2450 E RIVER RD, SUITE 100, TUCSON, AZ 85718(520) 795-7923(520) 320-2155 Get Directions Write a Review

NPPES record last updated: February 23, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Abhay Sanan M.d. NPPES

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

ABHAY SANAN M.D. (NPI 1366411019) is an individual neurological surgery provider in Tucson, Arizona, licensed in Arizona (27663) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Boston University School Of Medicine (1991).

NPPES Registry Identity

NPI1366411019
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameABHAY SANANCredential: M.D.
Location Address2450 E RIVER RD, SUITE 100Tucson, AZ 85718-6526
Mailing Address2450 E River Rd, Suite 100Tucson, AZ 85718-6526 · (520) 795-7923 · Fax (520) 320-2155
Fax(520) 320-2155
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 1991
Enumeration DateMarch 15, 2006
Last NPPES UpdateFebruary 23, 2016
NPI 1366411019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License Licensed in AZ · 27663
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
2450 E RIVER RD, Tucson, AZ 85718

Other Names 1

Other Name (5)None None None Md

Other Identifiers 3

Medicare PIN229211AZ
Medicaid471855AZ
Medicare UPING89873

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

Abhay Sanan 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 ID8628965951
PECOS Enrollment IDI20040302000619
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 12

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.

Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml A9579
This is an MRI procedure where a gadolinium-based contrast agent is injected into your body. The agent enhances the images, making it easier to detect abnormalities. It's safe and side effects are rare. It's administered per milliliter as needed.
285 services35 patients
Injection, gadobutrol, 0.1 ml A9585
Gadobutrol is a contrast agent used during MRI scans to help provide clearer images. It's injected into your vein before the scan. This helps doctors to see certain areas more clearly for better diagnosis. It's generally safe with few side effects.
281 services34 patients
Mri scan of brain before and after contrast 70553
An MRI scan of the brain, both before and after contrast, helps visualize different brain structures. Initially, images are taken without a contrast agent. Then, a safe dye is injected which helps highlight certain areas, providing clearer, more detailed images.
56 services53 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
49 services48 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
43 services31 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.
36 services36 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85718 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

70.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality40.27
Promoting Interoperability100
Improvement Activities40
Cost61.78

Reported Quality Measures

Advance Care Plan
88%180 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
84%354 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%170 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
55%334 patients2/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
10%346 patients1/55-star benchmark: 61%
Provide Patients Electronic Access to Their Health Information
100%209 patients5/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 179 patients
Patients totalRate: 0% · 179 patients
0%179 patients5/55-star benchmark: 100%
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 20

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

Nurse Practitioner (Acute Care)
2450 E RIVER RD
TUCSON, AZ 85718
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
2450 E RIVER RD
TUCSON, AZ 85718
Psychiatry & Neurology (Neurology)
2450 E RIVER RD
TUCSON, AZ 85718
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
2450 E RIVER RD
TUCSON, AZ 85718
Clinical Neuropsychologist
2450 E RIVER RD
TUCSON, AZ 85718
Nurse Practitioner
2450 E RIVER RD
TUCSON, AZ 85718
Audiologist
2450 E RIVER RD
TUCSON, AZ 85718
Psychiatry & Neurology (Neurology)
2450 E RIVER RD
TUCSON, AZ 85718

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 Abhay Sanan's NPI number?

The NPI number for Abhay Sanan is 1366411019. It was assigned to this individual provider in the NPPES registry on March 15, 2006. The provider is also known as None None None MD.

Where is Abhay Sanan located?

Abhay Sanan practices at 2450 E River Rd Suite 100, Tucson, AZ 85718. The listed phone number is (520) 795-7923.

What is Abhay Sanan's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Abhay Sanan enrolled in Medicare?

Yes. Abhay Sanan 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 Abhay Sanan accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and Imperial Insurance Companies, Inc. list Abhay Sanan 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 Abhay Sanan was last updated on February 23, 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.