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DR. SANDYA THIMMAPPA M.D.
NPI 1477505113
Ophthalmology in Greensboro, NC

Active since May 17, 2006PECOS EnrolledAccepts Medicare Assignment
1317 N ELM ST, SUITE 4, GREENSBORO, NC 27401(336) 378-1442(336) 378-1970 Get Directions Write a Review

NPPES record last updated: July 31, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Sandya Thimmappa M.d. NPPES

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

DR. SANDYA THIMMAPPA M.D. (NPI 1477505113) is an individual ophthalmology provider in Greensboro, North Carolina, licensed in North Carolina (200200614) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Virginia Commonwealth University, School Of Medicine.

NPPES Registry Identity

NPI1477505113
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameDR. SANDYA THIMMAPPACredential: M.D.
Location Address1317 N ELM ST, SUITE 4Greensboro, NC 27401
Mailing Address1317 N Elm St, Suite 4Greensboro, NC 27401-1033 · (336) 378-1442 · Fax (336) 378-1970
Phone(336) 378-1442
Fax(336) 378-1970
Sole ProprietorYes
Medical School CMSVirginia Commonwealth University, School Of Medicine
Enumeration DateMay 17, 2006
Last NPPES UpdateJuly 31, 2018
✔ NPI 1477505113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in NC · 200200614
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.
1317 N ELM ST, Greensboro, NC 27401
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Other Names 1

Former Name (1)Dr. Sandya Thimmappa M.d.

Other Identifiers 4

Other25448NC · Opticare
Medicaid89132F9NC
Other132F9NC · Blue Cross Blue Shield
Other2135314NC · United Healthcare Of Nc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of NC, Blue Cross and Blue Shield of Oklahoma and more.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. Sandya Thimmappa 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 ID3072502152
PECOS Enrollment IDI20040512000771
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 2

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 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.
49 services28 patients
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.
20 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27401 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
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement
Percentage of patients aged 50 years and older with a diagnosis of age-related macular degeneration (AMD) or their caregiver(s) who were counseled within 12 months on the benefits and/or risks of the Age-Related Eye Disease Study (AREDS) formulation for…
89%27 patients4/55-star benchmark: 100%
Age-Related Macular Degeneration (AMD): Dilated Macular Examination
Percentage of patients aged 50 years and older with a diagnosis of age-related macular degeneration (AMD) who had a dilated macular examination performed which included documentation of the presence or absence of macular thickening or geographic atrophy or…
96%27 patients4/55-star benchmark: 100%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
95%59 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%792 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
70%1,166 patients3/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
34%174 patients2/55-star benchmark: 99%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
18%273 patients1/55-star benchmark: 99%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
65%26 patients3/55-star benchmark: 90%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
48%77 patients3/55-star benchmark: 88%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 58% · 212 patients
57%212 patients
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
Percentage of patients aged 18 years and older with a diagnosis of primary open-angle glaucoma (POAG) who have an optic nerve head evaluation during one or more office visits within 12 months
70%23 patients2/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
4%273 patients1/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
0%273 patients1/55-star benchmark: 59%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 174 patients
0%174 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 18

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

ROBERT LANIER GROAT M.D.
Ophthalmology
1317 N ELM ST, SUITE 4
GREENSBORO, NC 27401
Guilford County (336) 378-1442
DR. CLYDE NOLAN JR. M.D.
Dermatology
1317 N ELM ST, PARKVIEW PLAZA, STE 9
GREENSBORO, NC 27401
Guilford County (336) 379-1193
MRS. VEITA JOYCE BLAND M.D.
Family Medicine
1317 N ELM ST, SUITE 7
GREENSBORO, NC 27401
Guilford County (336) 373-1557
DR. GERALD KENNETH HILL M.D.
Family Medicine
1317 N ELM ST, SUITE 7
GREENSBORO, NC 27401
Guilford County (336) 373-1557
JAMES HEATH MAXWELL MD
Radiology (Diagnostic Radiology)
1317 N ELM ST, SUITE 1B
GREENSBORO, NC 27401
Guilford County (336) 274-9617
DR. EDWIN JAY GREEN MD
Internal Medicine
1317 N ELM ST, STE 2
GREENSBORO, NC 27401
Guilford County (336) 373-1676
WILLIAM ROSS STEVENS M.D.
Radiology (Diagnostic Radiology)
1317 N ELM ST, SUITE 1B
GREENSBORO, NC 27401
Guilford County (336) 274-9617
JUDITH A. WALKER DDS, PA
Dentist (General Practice)
1317 N ELM ST, SUITE 6
GREENSBORO, NC 27401
Guilford County (336) 275-1472

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 Sandya Thimmappa's NPI number?

The NPI number for Sandya Thimmappa is 1477505113. It was assigned to this individual provider in the NPPES registry on May 17, 2006. The provider is also known as Dr. Sandya Thimmappa M.D..

Where is Sandya Thimmappa located?

Sandya Thimmappa practices at 1317 N Elm St Suite 4, Greensboro, NC 27401. The listed phone number is (336) 378-1442.

What is Sandya Thimmappa's specialty?

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

Is Sandya Thimmappa enrolled in Medicare?

Yes. Sandya Thimmappa 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 Sandya Thimmappa accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of NC, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Oscar Health Plan of North Carolina, Inc and 1 other insurer list Sandya Thimmappa 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 Sandya Thimmappa was last updated on July 31, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.