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

Q: What is Sivasanker Bakthavachalam's NPI number?

The NPI number for Sivasanker Bakthavachalam is 1730390204. It was assigned to this individual provider in the NPPES registry on May 25, 2007. The provider is also known as Dr. Sivi Bakthavachalam M.D..

Q: What is Sivasanker Bakthavachalam's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

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: August 16, 2026.

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

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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

Phone(682) 303-4200

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

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Other Names 1

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Imperial Insurance Companies, Inc..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

Quality

74.09

Promoting Interoperability

100

Improvement Activities

Cost

65.94

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.

KARI MILCH PA-C

Physician Assistant