DR. SIVASANKER BAKTHAVACHALAM M.D.
NPI 1730390204
Otolaryngology in Prosper, TX

Active since May 25, 2007PECOS Enrolled
82.9/100
CMS Quality Rating
4200 W UNIVERSITY DR, PROSPER, TX 75078(682) 303-4200(682) 303-4242 Get Directions Write a Review

NPPES record last updated: May 9, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 9, 2023, Apr 10, 2023, Oct 26, 2022 (3 updates tracked since 2022).

About Dr. Sivasanker Bakthavachalam M.d. NPPES

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

DR. SIVASANKER BAKTHAVACHALAM M.D. (NPI 1730390204) is an individual otolaryngology provider in Prosper, Texas, licensed in Texas (M6033) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730390204
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. SIVASANKER BAKTHAVACHALAMCredential: M.D.
Location Address4200 W UNIVERSITY DRProsper, TX 75078-9805
Mailing AddressPo Box 733784Dallas, TX 75373-3784 · (682) 885-6483 · Fax (682) 303-7132
Fax(682) 303-4242
Sole ProprietorNo
Enumeration DateMay 25, 2007
Last NPPES UpdateMay 9, 20233 updates tracked since enumeration
NPPES CertifiedMay 9, 2023
NPI 1730390204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in TX · M6033
Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

4200 W UNIVERSITY DR, Prosper, TX 75078

Other Names 1

Other Name (5)Dr. Sivi Bakthavachalam M.d.

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 (PECOS)

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

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75078 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

82.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.09
Promoting Interoperability100
Improvement Activities40
Cost65.94

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.

Pediatrics (Pediatric Cardiology)
4200 W UNIVERSITY DR
PROSPER, TX 75078
Surgery (Pediatric Surgery)
4200 W UNIVERSITY DR
PROSPER, TX 75078
Pediatrics (Pediatric Pulmonology)
4200 W UNIVERSITY DR
PROSPER, TX 75078
Pediatrics (Pediatric Gastroenterology)
4200 W UNIVERSITY DR
PROSPER, TX 75078
Pediatrics (Pediatric Endocrinology)
4200 W UNIVERSITY DR
PROSPER, TX 75078
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
4200 W UNIVERSITY DR
PROSPER, TX 75078
Dietitian, Registered (Nutrition, Pediatric)
4200 W UNIVERSITY DR
PROSPER, TX 75078
Internal Medicine (Hematology & Oncology)
4200 W UNIVERSITY DR
PROSPER, TX 75078

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730390204, enumerated as an "individual" on May 25, 2007.

The provider is located at 4200 W UNIVERSITY DR PROSPER, TX 75078 and the phone number is (682) 303-4200.

Otolaryngology with taxonomy code 207Y00000X.

The provider might be accepting Accepts: Imperial Insurance Companies, Inc.. Please consult your insurance carrier or call the provider to verify.