Sanjay Prasad, M.D.
Otolaryngology Physician · Rockford, IL
Sanjay Prasad, M.D. is an otolaryngology physician with a practice address in Rockford, Illinois, and NPI 1437232139, issued on Oct 24, 2006. Check the license (Illinois 036176815, as entered in NPPES) on the Illinois Department of Financial and Professional Regulation; the Medicare figures below come from public CMS files.
- Name
- Sanjay Prasad
- Credential
- M.D.
- Primary taxonomy
- Otolaryngology Physician 207Y00000X
- License numbers
- 036176815 IL
D43688 MD
Self-reported in NPPES; status is on the state search - Practice location
- 1253 N Alpine RD, Rockford, IL 61107
- Phone
- (779) 696-9201
- Enumerated
- Oct 24, 2006
- Record last updated
- Mar 23, 2026
- Fax
- (815) 397-9667
- Medicare enrollment
- Enrolled (PECOS I20170104000844); accepts Medicare assignment
- Medical or professional school
- University Of Maryland School Of Medicine, 1985
- Entity
- Type 1 · individual
8 nearest otolaryngology physician records → All 482 in Illinois → Look up another NPI →
Also registered at 1253 N Alpine RD
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Ann Broughton, M.A.Audiologist1194903849
- Michaela FritzFamily Nurse Practitioner1154166882
- Amrutha Mary George, M.D.Endocrinology, Diabetes & Metabolism Physician1013267194
- James Harding, PA-CPhysician Assistant1487166310
- Heath Hoffman, D.P.M.Foot & Ankle Surgery Podiatrist1528231354
Verify Sanjay Prasad in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersIllinois Department of Financial and Professional Regulation
Search for license 036176815Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
40% fewer Medicare Part D claims than the average otolaryngology physician in 2024
327 Medicare Part D claims for 116 beneficiaries, against an average of 541 among the 8,339 providers of this specialty who prescribed in Part D. Brand-name drugs were 4% of claims.
Most prescribed
- Levofloxacin68 claims
- Cefuroxime47 claims
- Ofloxacin39 claims
- Azithromycin13 claims
- Epinephrine12 claims
- Fenofibrate12 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.
No measured MIPS final score for 2023
CMS assigned the neutral MIPS final score of 75 without scoring Quality, Cost, Promoting Interoperability or Improvement Activities. It is an administrative threshold, so PlainDoctor does not compare it with measured clinicians.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $115.08
1 payment: food and beverage; the largest payer was Phathom Pharmaceuticals, 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.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
5 hospitals and group practices
- Billings ClinicBillings, MT · Acute Care Hospitals4 of 5 stars
- Aspirus Rhinelander And Tomahawk Hospitals And Clinics, Inc.Rhinelander, WI
- Bon Secours Medical Group Richmond Specialty Care LLCRichmond, VA
- Osf Multi-Specialty GroupPeoria, IL
- Swedishamerican HospitalRockford, IL
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through); hospitals matched to CMS Hospital General Information (Care Compare) (data.cms.gov). Star ratings are CMS hospital ratings, not ratings of this provider.
Sanjay Prasad among 482 otolaryngology physician records in Illinois
Sanjay Prasad, M.D. is one of 482 otolaryngology physician records with a practice address in Illinois. 78% 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 12% of them.
- NPI issued2006 · 12% of these records are older, 56% newer
- In a Medicare fileYes · 78% of these records are
- In the CMS Doctors and Clinicians fileYes · 60% of these records are
- Graduated1985 · median 2005 among the 290 with a school on file
- Record last updated2026 · 46% 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 Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Otolaryngology Physician providers in Illinois
There are 482 otolaryngology physician records in Illinois.
All 482 in Illinois → Every provider in Rockford → Otolaryngology Physician nationwide →
The 8 otolaryngology physician records with the nearest ZIP codes
- Andrew Jun, MDRockford, IL 611071841270717
- Terrence Loughlin, MDRockford, IL 611071124141825
- Mark LundineRockford, IL 611071437251931
- Margaret ProvenzaRockford, IL 611071457378283
- Andrew Gaiziunas, MDRockford, IL 611041871504415
- Kurren Gill, M.D.Rockford, IL 611141275067530
- Adam Soliman, MDRockford, IL 611141245290758
- Michael Gerberi, M.D.Sterling, IL 610811619065455
Common questions
What is Sanjay Prasad, M.D.'s NPI number?
Sanjay Prasad, M.D.'s National Provider Identifier (NPI) is 1437232139, issued on Oct 24, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Sanjay Prasad, M.D. located?
The NPPES record lists a practice address at 1253 N Alpine RD, Rockford, IL, 61107. Phone: (779) 696-9201. Providers update this record themselves, so call before visiting.
How can I verify Sanjay Prasad, M.D.'s license?
NPPES lists Illinois license number 036176815, as entered by the provider. Search the Illinois Department of Financial and Professional Regulation at https://idfpr.illinois.gov/checklicense.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Sanjay Prasad, M.D. prescribe under Medicare Part D?
In 2024, Sanjay Prasad, M.D. had 327 Medicare Part D claims for 116 beneficiaries; the average among otolaryngology physician prescribers was 541. Part D covers Medicare prescriptions only.
What is Sanjay Prasad, M.D.'s MIPS final score?
CMS assigned the neutral MIPS final score of 75 for 2023 without scoring any category, so it is not a measured result.
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.