Sanjay Bansal, M.D.
Ophthalmology Physician · Santa Rosa, CA
Sanjay Bansal, M.D. is an ophthalmology physician with a practice address in Santa Rosa, California, and NPI 1346275484, issued on Jul 11, 2006. Check the license (California G66178, as entered in NPPES) on the Medical Board of California; the Medicare figures below come from public CMS files.
- Name
- Sanjay Bansal
- Credential
- M.D.
- Primary taxonomy
- Ophthalmology Physician 207W00000X
- License number
- G66178 CA
Self-reported in NPPES; status is on the state search - Practice location
- 3540 Mendocino Avenue, Santa Rosa, CA 95403
- Phone
- (707) 522-6200
- Enumerated
- Jul 11, 2006
- Record last updated
- Jul 9, 2012 (not updated in 14 years: call before relying on the address or phone)
- Fax
- (707) 522-6215
- Medicare enrollment
- Enrolled (PECOS I20060417000776); may accept Medicare assignment
- Medical or professional school
- University Of Nebraska College Of Medicine, 1988
- Entity
- Type 1 · individual
8 nearest ophthalmology physician records → All 2,899 in California → Look up another NPI →
Verify Sanjay Bansal in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMedical Board of California
Search for license G66178Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
65% fewer Medicare Part D claims than the average ophthalmology physician in 2024
528 Medicare Part D claims for 195 beneficiaries, against an average of 1,518 among the 16,459 providers of this specialty who prescribed in Part D. Brand-name drugs were 62% of claims.
Most prescribed
- Prednisolone Acetate200 claims
- Diclofenac Sodium82 claims
- Ofloxacin65 claims
- Latanoprost57 claims
- Restasis Multidose18 claims
- Restasis14 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): 28 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.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $1,219.68
38 payments; by number, the most common kind was food and beverage; the largest payer was Alcon Vision LLC. The 13,221 providers of this specialty with any payment received $4,535.02 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Laservue Eye Center Medical CorporationSanta Rosa, CA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Sanjay Bansal among 2,899 ophthalmology physician records in California
Sanjay Bansal, M.D. is one of 2,899 ophthalmology physician records with a practice address in California. 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 2006, is newer than 9% of them.
- NPI issued2006 · 9% of these records are older, 45% newer
- In a Medicare fileYes · 79% of these records are
- In the CMS Doctors and Clinicians fileYes · 66% of these records are
- Graduated1988 · median 2001 among the 1,907 with a school on file
- Record last updated2012 · 67% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207W00000X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Ophthalmology Physician providers in California
There are 2,899 ophthalmology physician records in California.
All 2,899 in California → Every provider in Santa Rosa → Ophthalmology Physician nationwide →
The 8 ophthalmology physician records with the nearest ZIP codes
- Patrick Caskey, M.D.Santa Rosa, CA 954031164425914
- Charlene Crockett, MDSanta Rosa, CA 954031720379316
- Nina Ni, MDSanta Rosa, CA 954031780959734
- Patrick Paglen, MDSanta Rosa, CA 954031205910270
- Esther Penn, MDSanta Rosa, CA 954031215009048
- Daniel Rich, M.D.Santa Rosa, CA 954031710965058
- Donald Rowell, MDSanta Rosa, CA 954031336223312
- Sophia Schluter, MDSanta Rosa, CA 954031982682324
Common questions
What is Sanjay Bansal, M.D.'s NPI number?
Sanjay Bansal, M.D.'s National Provider Identifier (NPI) is 1346275484, issued on Jul 11, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Sanjay Bansal, M.D. located?
The NPPES record lists a practice address at 3540 Mendocino Avenue, Santa Rosa, CA, 95403. Phone: (707) 522-6200. Providers update this record themselves, so call before visiting.
How can I verify Sanjay Bansal, M.D.'s license?
NPPES lists California license number G66178, as entered by the provider. Search the Medical Board of California at https://www.mbc.ca.gov/License-Verification/default.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Sanjay Bansal, M.D. prescribe under Medicare Part D?
In 2024, Sanjay Bansal, M.D. had 528 Medicare Part D claims for 195 beneficiaries; the average among ophthalmology physician prescribers was 1,518. Part D covers Medicare prescriptions only.
What is Sanjay Bansal, M.D.'s MIPS final score?
The 2023 MIPS final score is 28 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.