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SANJAY MISRA M.D.
NPI 1891896460
Orthopaedic Surgery in San Antonio, TX

Active since September 26, 2006PECOS EnrolledAccepts Medicare Assignment
315 N SAN SABA, SUITE 1175, SAN ANTONIO, TX 78207(210) 270-9999 Get Directions Write a Review

NPPES record last updated: January 13, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sanjay Misra M.d. NPPES

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

SANJAY MISRA M.D. (NPI 1891896460) is an individual orthopaedic surgery provider in San Antonio, Texas, licensed in Texas (J2211) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Baptist Medical Center, and is a graduate of University Of Texas Southwestern Medical School At Dallas (1991).

NPPES Registry Identity

NPI1891896460
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameSANJAY MISRACredential: M.D.
Location Address315 N SAN SABA, SUITE 1175San Antonio, TX 78207-3154
Mailing Address315 N San Saba, Suite 1175San Antonio, TX 78207-3154 · (210) 270-9999
Phone(210) 270-9999
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 1991
Enumeration DateSeptember 26, 2006
Last NPPES UpdateJanuary 13, 2010
✔ NPI 1891896460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in TX · J2211
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
315 N SAN SABA, San Antonio, TX 78207
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Other Identifiers 2

Medicaid110641105TX
Medicare PIN8F1143TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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

Sanjay Misra 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 ID8921031444
PECOS Enrollment IDI20050915000328
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 straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
46 services27 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.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Baptist Medical Center

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450058
Location111 Dallas StreetSan Antonio, TX 78205 · Bexar County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78207 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
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.

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
0%286 patients1/55-star benchmark: 87%
Documentation of Current Medications in the Medical Record
2%1,508 patients1/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%185 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
0%649 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%654 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
0%1,508 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 380 patients
0%380 patients
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 20

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

MR. ROMAN SITEK MD
Pediatrics
315 N SAN SABA, #1075
SAN ANTONIO, TX 78207
Bexar County (210) 223-3543
JEANNE H LOOP REGISTERES DIETITIAN
Dietitian, Registered
315 N SAN SABA, STE. 103
SAN ANTONIO, TX 78207
Bexar County (210) 738-8222
FUAD ANTONIO SPATH M.D.
Internal Medicine (Nephrology)
315 N SAN SABA, SUITE 102
SAN ANTONIO, TX 78207
Bexar County (210) 277-1418
D. DEBRA ROGERS, M.D., P.A.
Obstetrics & Gynecology
315 N SAN SABA, #1180
SAN ANTONIO, TX 78207
Bexar County (210) 270-7800
DR. MEAZA T. BEKELE M.D.
Pediatrics
315 N SAN SABA, SUITE 1075
SAN ANTONIO, TX 78207
Bexar County (210) 223-3543
DR. ANDREW DE LA GARZA JR. DDS
Dentist (General Practice)
315 N SAN SABA, SUITE 925
SAN ANTONIO, TX 78207
Bexar County (210) 227-1991
MR. RICARDO ALFRED RIOJAS MD
Pediatrics
315 N SAN SABA, #1075
SAN ANTONIO, TX 78207
Bexar County (210) 223-3543
SAN ANTONIO PEDIATRIC ASSOC PA
Pediatrics
315 N SAN SABA, #1075
SAN ANTONIO, TX 78207
Bexar County (210) 223-3543

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 Sanjay Misra's NPI number?

The NPI number for Sanjay Misra is 1891896460. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Where is Sanjay Misra located?

Sanjay Misra practices at 315 N San Saba Suite 1175, San Antonio, TX 78207. The listed phone number is (210) 270-9999.

What is Sanjay Misra's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Sanjay Misra enrolled in Medicare?

Yes. Sanjay Misra 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 Sanjay Misra accept?

Health plans from UnitedHealthcare list Sanjay Misra 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 Sanjay Misra affiliated with any hospitals?

According to CMS data, Sanjay Misra is affiliated with Baptist Medical Center.

When was this NPI record last updated?

The NPPES record for Sanjay Misra was last updated on January 13, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.