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SANJEEV GARG M.D.
NPI 1790728574
Psychiatry & Neurology - Neurology in Kingston, PA

Active since June 13, 2006PECOS EnrolledAccepts Medicare Assignment
90.34/100
CMS Quality Rating
517 PIERCE ST, KINGSTON, PA 18704(570) 763-4690(570) 288-9613 Get Directions Write a Review

NPPES record last updated: April 9, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sanjeev Garg M.d. NPPES

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

SANJEEV GARG M.D. (NPI 1790728574) is an individual neurology provider in Kingston, Pennsylvania, licensed in Pennsylvania (MD420095) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Wilkes-barre General Hospital, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1790728574
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameSANJEEV GARGCredential: M.D.
Location Address517 PIERCE STKingston, PA 18704-5756
Mailing Address517 Pierce StKingston, PA 18704-5756 · (570) 763-4690
Phone(570) 763-4690
Fax(570) 288-9613
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateJune 13, 2006
Last NPPES UpdateApril 9, 2020
NPPES CertifiedApril 9, 2020
✔ NPI 1790728574 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 PA · MD420095
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.
517 PIERCE ST, Kingston, PA 18704
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Other Identifiers 1

Medicaid100999892PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Sanjeev Garg 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 ID143206631
PECOS Enrollment IDI20040625000535
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 9

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.
396 services315 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.
269 services209 patients
Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
225 services164 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.
148 services148 patients
Nerve conduction, 3-4 studies 95908
Nerve conduction studies are tests that measure how well your nerves are working. In a 3-4 studies procedure, electrical signals are sent through 3-4 nerves. The speed and strength of the signal's travel is recorded to detect any nerve damage or dysfunction.
121 services119 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
87 services87 patients

Hospital Affiliations CMS Care Compare 3

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

Wilkes-Barre General Hospital

Acute Care Hospitals · Wilkes-Barre, PA
1/5 CMS rating
OwnershipProprietary
CMS Certification Number390137
Location575 North River StreetWilkes-Barre, PA 18764 · Luzerne County
Emergency services

Lehigh Valley Hospital - Hazleton

Acute Care Hospitals · Hazleton, PA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number390185
Location700 East Broad StreetHazleton, PA 18201 · Luzerne County
Emergency services Birthing friendly

Geisinger Wyoming Valley Medical Center

Acute Care Hospitals · Wilkes Barre, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390270
Location1000 East Mountain BoulevardWilkes Barre, PA 18711 · Luzerne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18704 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

90.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.69
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 15

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

DR. JEFFREY D'ANDREA DO
Internal Medicine (Cardiovascular Disease)
517 PIERCE ST
KINGSTON, PA 18704
Luzerne County (570) 371-3536
JEANNE A RINEHOUSE MD P C
Psychiatry & Neurology (Psychiatry)
517 PIERCE ST
KINGSTON, PA 18704
Luzerne County (570) 208-5530
LORI ANN ALESSON RN LCSW
Social Worker (Clinical)
517 PIERCE ST, SUITE B
KINGSTON, PA 18704
Luzerne County (570) 718-1988
JEANNE ANN RINEHOUSE MD
Psychiatry & Neurology (Psychiatry)
517 PIERCE ST, SUITE B
KINGSTON, PA 18704
Luzerne County (570) 718-6940
DR. MICHELE MATTIE PHD
Psychologist
517 PIERCE ST, SUITE B
KINGSTON, PA 18704
Luzerne County (570) 718-1150
FRANK A BERMAN, DDS, PC
Dentist (General Practice)
517 PIERCE ST
KINGSTON, PA 18704
Luzerne County (570) 718-6000
FRANCISCO J MORALES MD
Radiology (Diagnostic Radiology)
517 PIERCE ST
KINGSTON, PA 18704
Luzerne County (570) 714-7226
MICHELE MATTIE, PHD, LLC
Psychologist (Clinical Child & Adolescent)
517 PIERCE ST, SUITE B
KINGSTON, PA 18704
Luzerne County (570) 718-1150

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 Sanjeev Garg's NPI number?

The NPI number for Sanjeev Garg is 1790728574. It was assigned to this individual provider in the NPPES registry on June 13, 2006.

Where is Sanjeev Garg located?

Sanjeev Garg practices at 517 Pierce St, Kingston, PA 18704. The listed phone number is (570) 763-4690.

What is Sanjeev Garg's specialty?

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

Is Sanjeev Garg enrolled in Medicare?

Yes. Sanjeev Garg 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 Sanjeev Garg accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Sanjeev Garg 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 Sanjeev Garg affiliated with any hospitals?

According to CMS data, Sanjeev Garg is affiliated with Wilkes-Barre General Hospital, Lehigh Valley Hospital - Hazleton and Geisinger Wyoming Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Sanjeev Garg was last updated on April 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.