Sanjay Bhatia, M.D.
Neurological Surgery Physician · Madison, WI
Sanjay Bhatia, M.D. is a neurological surgery physician with a practice address in Madison, Wisconsin, and NPI 1306810973, issued on Feb 13, 2006. Check the license (Wisconsin 69315, as entered in NPPES) on the Wisconsin Medical Examining Board; the Medicare figures below come from public CMS files.
- Name
- Sanjay Bhatia
- Credential
- M.D.
- Primary taxonomy
- Neurological Surgery Physician 207T00000X
- License numbers
- 69315 WI
MD420967 PA
24189 WV
Self-reported in NPPES; status is on the state search - Practice location
- 7409 Timber Lake Trl Apt 104, Madison, WI 53719
- Phone
- (724) 814-2198
- Enumerated
- Feb 13, 2006
- Record last updated
- Jun 20, 2019 (not updated in 7 years: call before relying on the address or phone)
- Medicaid ID
- 3003715000 WV
- Medicare enrollment
- Enrolled (PECOS I20100922000038); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest neurological surgery physician records → All 176 in Wisconsin → Look up another NPI →
Verify Sanjay Bhatia in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWisconsin Medical Examining Board
Search for license 69315Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
87% fewer Medicare Part D claims than the average neurological surgery physician in 2024
22 Medicare Part D claims for 14 beneficiaries, against an average of 172 among the 4,378 providers of this specialty who prescribed in Part D.
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): 94.1 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).
Bills Medicare through one group practice
- West Virginia University Medical CorporationMorgantown, WV
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Sanjay Bhatia among 176 neurological surgery physician records in Wisconsin
Sanjay Bhatia, M.D. is one of 176 neurological surgery physician records with a practice address in Wisconsin. 74% 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 7% of them.
- NPI issued2006 · 7% of these records are older, 51% newer
- In a Medicare fileYes · 74% of these records are
- In the CMS Doctors and Clinicians fileYes · 64% of these records are
- Graduated1987 · median 2006 among the 112 with a school on file
- Record last updated2019 · 51% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207T00000X and a Wisconsin practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Neurological Surgery Physician providers in Wisconsin
There are 176 neurological surgery physician records in Wisconsin.
All 176 in Wisconsin → Every provider in Madison → Neurological Surgery Physician nationwide →
The 8 neurological surgery physician records with the nearest ZIP codes
- Christopher Baggott, M.D.Madison, WI 537151871818609
- Daniel Burkett, M.D.Madison, WI 537151972039550
- Richard Carter, MDMadison, WI 537151336180652
- Krisada Chanbusarakum, M.D.Madison, WI 537151548221849
- Mark Corriveau, M.D.Madison, WI 537151891182762
- Elena Gutierrez, M.D.Madison, WI 537151578785804
- Michael Koltz, MDMadison, WI 537151689700726
- Alan Lozier, MDMadison, WI 537151790726313
Common questions
What is Sanjay Bhatia, M.D.'s NPI number?
Sanjay Bhatia, M.D.'s National Provider Identifier (NPI) is 1306810973, issued on Feb 13, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Sanjay Bhatia, M.D. located?
The NPPES record lists a practice address at 7409 Timber Lake Trl Apt 104, Madison, WI, 53719. Phone: (724) 814-2198. Providers update this record themselves, so call before visiting.
How can I verify Sanjay Bhatia, M.D.'s license?
NPPES lists Wisconsin license number 69315, as entered by the provider. Search the Wisconsin Medical Examining Board at https://dsps.wi.gov/Pages/BoardsCouncils/MEB/Default.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Sanjay Bhatia, M.D. prescribe under Medicare Part D?
In 2024, Sanjay Bhatia, M.D. had 22 Medicare Part D claims for 14 beneficiaries; the average among neurological surgery physician prescribers was 172. Part D covers Medicare prescriptions only.
What is Sanjay Bhatia, M.D.'s MIPS final score?
The 2023 MIPS final score is 94.1 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.