NPPES file of Aug 9, 2026

Sanjay Manohar Athavale, M.D.

Otolaryngology Physician · Cartersville, GA

Sanjay Manohar Athavale, M.D. is an otolaryngology physician with a practice address in Cartersville, Georgia, and NPI 1942404421, issued on Jun 11, 2007. Check the license (Georgia 69172, as entered in NPPES) on the Georgia Composite Medical Board; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1942404421
Name
Sanjay Manohar Athavale
Credential
M.D.
Primary taxonomy
Otolaryngology Physician 207Y00000X
License number
69172 GA
Self-reported in NPPES; status is on the state search
Practice location
970 Joe Frank Harris Pkwy SE Ste 330, Cartersville, GA 30120
Phone
(770) 217-6224
Enumerated
Jun 11, 2007
Record last updated
Jul 5, 2026
Fax
(706) 216-4830
Medicaid IDs
003131877I GA
003131877J GA
003131877M GA
Medicare enrollment
Enrolled (PECOS I20130312000554); accepts Medicare assignment
Medical or professional school
University Of South Florida College Of Medicine, 2007
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Verify Sanjay Manohar Athavale in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersGeorgia Composite Medical Board
    Search for license 69172
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Georgia license search

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About as many Medicare Part D claims as the average otolaryngology physician in 2024

543 Medicare Part D claims for 184 beneficiaries, against an average of 541 among the 8,339 providers of this specialty who prescribed in Part D. Brand-name drugs were 2% of claims. 91 claims were for opioids.

  1. Sanjay Athavale543
  2. Specialty average541

Most prescribed

  1. Prednisone94 claims
  2. Hydrocodone-Acetaminophen82 claims
  3. Ondansetron Odt73 claims
  4. Montelukast Sodium63 claims
  5. Amoxicillin-Clavulanate Potass52 claims
  6. Azelastine-Fluticasone20 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The MIPS final score for 2023 (Medicare payment program): 61.9 of 100

The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score55.1
  2. Costnot scored (reweighted)
  3. Promoting interoperabilitynot scored (reweighted)
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $438.88

15 payments; by number, the most common kind was food and beverage; the largest payer was Aerin Medical Inc. The 6,429 providers of this specialty with any payment received $1,922.50 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Sanjay Athavale$438.88
  2. Specialty average$1,922.50

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through 2 group practices

  1. Ent OF Georgia, LLCAtlanta, GA
  2. Georgia Surgical Professional Services LLCLawrenceville, GA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Sanjay Manohar Athavale among 355 otolaryngology physician records in Georgia

Sanjay Manohar Athavale, M.D. is one of 355 otolaryngology physician records with a practice address in Georgia. 79% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 51% of them.

  • NPI issued2007 · 51% of these records are older, 40% newer
  • In a Medicare fileYes · 79% of these records are
  • In the CMS Doctors and Clinicians fileYes · 68% of these records are
  • Graduated2007 · median 2002 among the 241 with a school on file
  • Record last updated2026 · 60% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207Y00000X and a Georgia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Otolaryngology Physician providers in Georgia

There are 355 otolaryngology physician records in Georgia.

The 8 otolaryngology physician records with the nearest ZIP codes

  1. Thomas Comstock, M.D.Carrollton, GA 301171164576534
  2. William Gambrell, M.D.Carrollton, GA 301171013056985
  3. L Gustafson, M.D.Carrollton, GA 301171073555629
  4. Christopher Harper, MDCarrollton, GA 301171407201486
  5. John Pezold, M.D.Carrollton, GA 301171245272806
  6. James French, M.D.Canton, GA 301151790814051
  7. Eric Weinman, MDCanton, GA 301151336180553
  8. Sandra Dickerson, M.D.Mableton, GA 301261164521985

Common questions

What is Sanjay Manohar Athavale, M.D.'s NPI number?

Sanjay Manohar Athavale, M.D.'s National Provider Identifier (NPI) is 1942404421, issued on Jun 11, 2007. An NPI identifies a provider in billing; it is not a license.

Where is Sanjay Manohar Athavale, M.D. located?

The NPPES record lists a practice address at 970 Joe Frank Harris Pkwy SE Ste 330, Cartersville, GA, 30120. Phone: (770) 217-6224. Providers update this record themselves, so call before visiting.

How can I verify Sanjay Manohar Athavale, M.D.'s license?

NPPES lists Georgia license number 69172, as entered by the provider. Search the Georgia Composite Medical Board at https://medicalboard.georgia.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Sanjay Manohar Athavale, M.D. prescribe under Medicare Part D?

In 2024, Sanjay Manohar Athavale, M.D. had 543 Medicare Part D claims for 184 beneficiaries; the average among otolaryngology physician prescribers was 541. Part D covers Medicare prescriptions only.

What is Sanjay Manohar Athavale, M.D.'s MIPS final score?

The 2023 MIPS final score is 61.9 of 100. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.