SANJAY S IYER MD
NPI 1376561472
Psychiatry & Neurology - Neurology in Charlotte, NC

Active since July 17, 2006PECOS EnrolledAccepts Medicare Assignment
94.78/100
CMS Quality Rating
411 BILLINGSLEY RD STE 103, CHARLOTTE, NC 28211(704) 577-3186(704) 626-2701 Get Directions Write a Review

NPPES record last updated: December 1, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 17, 2023, May 25, 2022, Sep 16, 2019 and 16 more (19 updates tracked since 2018).

About Sanjay S Iyer Md NPPES

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

SANJAY S IYER MD (NPI 1376561472) is an individual neurology provider in Charlotte, North Carolina, licensed in North Carolina (2006-00999) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Novant Health Presbyterian Medical Center, and is a graduate of Medical College Of Georgia School Of Medicine (2000).

NPPES Registry Identity

NPI1376561472
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameSANJAY S IYERCredential: MD
Location Address411 BILLINGSLEY RD STE 103Charlotte, NC 28211-1066
Mailing Address411 Billingsley Rd Ste 103Charlotte, NC 28211-1066 · (704) 577-3186 · Fax (704) 626-2701
Fax(704) 626-2701
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2000
Enumeration DateJuly 17, 2006
Last NPPES UpdateDecember 1, 202319 updates tracked since enumeration
NPPES CertifiedDecember 1, 2023
NPI 1376561472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in NC · 2006-00999
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
411 BILLINGSLEY RD STE 103, Charlotte, NC 28211

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

Sanjay S Iyer 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 ID7416933072
PECOS Enrollment IDI20061017000287
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 17

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, incobotulinumtoxin a, 1 unit J0588
Incobotulinumtoxin A, 1 unit, is an injection commonly known as Botox. It's used to treat various conditions like muscle spasms or wrinkles. The substance temporarily paralyzes muscles, providing relief or aesthetic improvement.
17,840 services46 patients
Injection, rimabotulinumtoxinb, 100 units J0587
RimabotulinumtoxinB injection is a treatment involving the use of a specific medication to relax muscles. It's commonly used to address muscle stiffness/spasms. The medication is injected directly into the affected muscles by a healthcare professional.
2,275 services13 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
435 services237 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
206 services126 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
150 services72 patients
Injection of chemical for paralysis of nerve muscles on side of neck excluding voice box 64616
This procedure involves injecting a chemical into specific neck muscles, causing temporary paralysis. It's designed to alleviate symptoms related to nerve disorders. The voice box isn't affected, ensuring normal speech post-procedure.
78 services31 patients

Hospital Affiliations CMS Care Compare 2

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

Novant Health Presbyterian Medical Center

Acute Care Hospitals · Charlotte, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340053
Location200 Hawthorne Lane Box 33549Charlotte, NC 28233 · Mecklenburg County
Emergency services Birthing friendly

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28211 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

94.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality89.57
Improvement Activities40

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment
4%26 patients
Advance Care Plan
98%384 patients4/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
58%151 patients3/55-star benchmark: 87%
Dementia: Cognitive Assessment
99%112 patients
Documentation of Current Medications in the Medical Record
97%965 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
100%376 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
43%292 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
69%240 patients3/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
29%861 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 99% · 437 patients
99%437 patients
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients screened: 87% · 309 patients
87%309 patients
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

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
3 suppliers16 claims16 services$55.41 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 14

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

Physician Assistant
411 BILLINGSLEY RD STE 103
CHARLOTTE, NC 28211
Physical Therapist
411 BILLINGSLEY RD STE 103
CHARLOTTE, NC 28211
Occupational Therapist
411 BILLINGSLEY RD STE 103
CHARLOTTE, NC 28211
Speech-Language Pathologist
411 BILLINGSLEY RD STE 103
CHARLOTTE, NC 28211
Physical Therapist
411 BILLINGSLEY RD STE 103
CHARLOTTE, NC 28211
Occupational Therapist
411 BILLINGSLEY RD STE 103
CHARLOTTE, NC 28211
Physician Assistant
411 BILLINGSLEY RD STE 103
CHARLOTTE, NC 28211
Psychiatry & Neurology (Neurology)
411 BILLINGSLEY RD STE 103
CHARLOTTE, NC 28211

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 Iyer's NPI number?

The NPI number for Sanjay Iyer is 1376561472. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Sanjay Iyer located?

Sanjay Iyer practices at 411 Billingsley Rd Ste 103, Charlotte, NC 28211. The listed phone number is (704) 577-3186.

What is Sanjay Iyer's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Sanjay Iyer enrolled in Medicare?

Yes. Sanjay 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 Sanjay Iyer accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Sanjay 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.

Is Sanjay Iyer affiliated with any hospitals?

According to CMS data, Sanjay Iyer is affiliated with Novant Health Presbyterian Medical Center and Carolinas Medical Center/Behav Health.

When was this NPI record last updated?

The NPPES record for Sanjay Iyer was last updated on December 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.