DR. SANJAYA HEBBAR M.D.
NPI 1366435455
Internal Medicine in Oro Valley, AZ

Active since August 24, 2005PECOS EnrolledAccepts Medicare Assignment
89.28/100
CMS Quality Rating
10370 N LA CANADA DR STE 150, ORO VALLEY, AZ 85737(520) 544-4100 Get Directions Write a Review

NPPES record last updated: August 23, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 27, 2021, Sep 9, 2020, May 7, 2018 and 2 more (5 updates tracked since 2017).

About Dr. Sanjaya Hebbar M.d. NPPES

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

DR. SANJAYA HEBBAR M.D. (NPI 1366435455) is an individual internal medicine provider in Oro Valley, Arizona, licensed in Arizona (35435) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (1994).

NPPES Registry Identity

NPI1366435455
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. SANJAYA HEBBARCredential: M.D.
Location Address10370 N LA CANADA DR STE 150Oro Valley, AZ 85737-7270
Mailing Address10370 N La Canada Dr Ste 150Oro Valley, AZ 85737-7270 · (520) 544-4100
Sole ProprietorNo
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 1994
Enumeration DateAugust 24, 2005
Last NPPES UpdateAugust 23, 20255 updates tracked since enumeration
NPPES CertifiedAugust 23, 2025
NPI 1366435455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in AZ · 35435 Licensed in MO · 114746 Licensed in KS · 04-27448
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

10370 N LA CANADA DR STE 150, Oro Valley, AZ 85737

Secondary Practice Locations 3

Location 13375 N Campbell AveTucson, AZ 85719-2306 · Phone (520) 838-3540 · Fax (520) 325-3526
Location 210370 N La Canada Dr Ste 150Tucson, AZ 85737-7270 · Phone (520) 544-4100
Location 31238 W Orange Grove Rd Ste 103Tucson, AZ 85704-2950 · Phone (520) 838-3540 · Fax (520) 325-3526

Other Identifiers 5

Other2292242Aetna
Medicaid204635007MO
Other337620First Guard
Other25819019Bcbs
Medicaid100349090AKS

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. Sanjaya Hebbar 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 ID8224096193
PECOS Enrollment IDI20061004000130
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 10

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.
480 services324 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
334 services334 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
287 services287 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
235 services235 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.
143 services126 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.
120 services120 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85737 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
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

89.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.56
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
52%21 patients2/55-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.

Referred Medical Equipment & Supplies CMS DME claims 16

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
12 suppliers39 claims104 services$6.50 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers21 claims30 services$1.06 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
5 suppliers20 claims20 services$34.97 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers18 claims18 services$72.11 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
5 suppliers15 claims34 services$28.31 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
4 suppliers11 claims65 services$16.67 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 4

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

Family Medicine
10370 N LA CANADA DR STE 150
ORO VALLEY, AZ 85737
Physician Assistant
10370 N LA CANADA DR STE 150
ORO VALLEY, AZ 85737
Physician Assistant
10370 N LA CANADA DR STE 150
ORO VALLEY, AZ 85737
Nurse Practitioner (Family)
10370 N LA CANADA DR STE 150
ORO VALLEY, AZ 85737

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 Sanjaya Hebbar's NPI number?

The NPI number for Sanjaya Hebbar is 1366435455. It was assigned to this individual provider in the NPPES registry on August 24, 2005.

Where is Sanjaya Hebbar located?

Sanjaya Hebbar practices at 10370 N La Canada Dr Ste 150, Oro Valley, AZ 85737. The listed phone number is (520) 544-4100.

What is Sanjaya Hebbar's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sanjaya Hebbar enrolled in Medicare?

Yes. Sanjaya Hebbar 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 Sanjaya Hebbar accept?

Health plans from Blue Cross Blue Shield of Arizona and UnitedHealthcare list Sanjaya Hebbar 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 Sanjaya Hebbar was last updated on August 23, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.