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ARCHANA BANSAL M.D.
NPI 1881663615
Internal Medicine in Sierra Vista, AZ

Active since March 15, 2006PECOS EnrolledAccepts Medicare Assignment
96.99/100
CMS Quality Rating
157 N CORONADO DR, #C, SIERRA VISTA, AZ 85635(520) 458-4335(520) 458-2988 Get Directions Write a Review

NPPES record last updated: November 13, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Archana Bansal M.d. NPPES

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

ARCHANA BANSAL M.D. (NPI 1881663615) is an individual internal medicine provider in Sierra Vista, Arizona, licensed in Arizona (35263) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS and is a graduate of Louisiana State University School Of Medicine In New Orleans (2005).

NPPES Registry Identity

NPI1881663615
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameARCHANA BANSALCredential: M.D.
Location Address157 N CORONADO DR, #CSierra Vista, AZ 85635-6360
Mailing Address157 N Coronado Dr, #cSierra Vista, AZ 85635-6360 · (520) 458-4335 · Fax (520) 458-2988
Phone(520) 458-4335
Fax(520) 458-2988
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 2005
Enumeration DateMarch 15, 2006
Last NPPES UpdateNovember 13, 2012
✔ NPI 1881663615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in AZ · 35263
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 18964 (MS)
157 N CORONADO DR, Sierra Vista, AZ 85635
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Other Identifiers 3

Medicare UPINI55093AZ
Medicare PINZ110022AZ
Medicaid098186AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.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

Archana Bansal 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 ID4981607173
PECOS Enrollment IDI20060808000226
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 7

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 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.
621 services181 patients
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.
309 services171 patients
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454
This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.
299 services29 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
299 services29 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
149 services149 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
72 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85635 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

96.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Promoting Interoperability100
Improvement Activities40
Cost89.97

Reported Quality Measures

Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse)
Lower rates are better for this measure.
93%69 patients1/55-star benchmark: 100%
Advance Care Plan
80%449 patients4/55-star benchmark: 100%
Breast Cancer Screening
82%288 patients4/55-star benchmark: 93%
Cervical Cancer Screening
58%215 patients3/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
29%597 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
72%546 patients4/55-star benchmark: 88%
Controlling High Blood Pressure
84%632 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
23%206 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
21%206 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
93%4,570 patients4/55-star benchmark: 100%
e-Prescribing
97%1,480 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
27%880 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
41%1,278 patients3/55-star benchmark: 61%
Provide Patients Electronic Access to Their Health Information
96%616 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
82%283 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 449 patients
Patients totalRate: 14% · 459 patients
15%459 patients3/55-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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims334 services$5.89 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$17.61 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers29 claims29 services$87.47 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$33.74 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 4

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

JOSE IGNACIO GONZALEZ MD
Internal Medicine (Cardiovascular Disease)
157 N CORONADO DR, STE A
SIERRA VISTA, AZ 85635
Cochise County (520) 458-1208
VALLEY VISTA MEDICAL CENTER
Internal Medicine
157 N CORONADO DR, #C
SIERRA VISTA, AZ 85635
Cochise County (520) 458-0993
MS. TINA M. PITTS LCSW
Social Worker (Clinical)
157 N CORONADO DR
SIERRA VISTA, AZ 85635
Cochise County (520) 308-1304
MR. ROBERT H DUFF NP
Family Medicine (Geriatric Medicine)
157 N CORONADO DR, STE B
SIERRA VISTA, AZ 85635
Cochise County (520) 629-4802

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 Archana Bansal's NPI number?

The NPI number for Archana Bansal is 1881663615. It was assigned to this individual provider in the NPPES registry on March 15, 2006.

Where is Archana Bansal located?

Archana Bansal practices at 157 N Coronado Dr #c, Sierra Vista, AZ 85635. The listed phone number is (520) 458-4335.

What is Archana Bansal's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Archana Bansal enrolled in Medicare?

Yes. Archana Bansal 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 Archana Bansal accept?

Health plans from Blue Cross Blue Shield of Arizona list Archana Bansal 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 Archana Bansal was last updated on November 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.