Sapna Pandya, D.P.M.
NPI 1194801142 · Podiatrist · New York, NY
Enrolled with Medicare as Practitioner - Podiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sapna Pandya, D.P.M. is a Podiatrist provider in New York, NY (NPI 1194801142).
Provider details
- NPI number
- 1194801142
- Entity type
- Individual
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- D.P.M.
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
83% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
120 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Removal of Fingernails Or Toenails, 6 Or More Nails11721 | 38 | $50 |
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More99212 | 30 | $64 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 25 | $101 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 14 | $125 |
| New Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 15 Minutes Or More99202 | 13 | $81 |
Typical Medicare-allowed amounts for these services range $50–$125 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 19 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Clotrimazole | 1,547 | 477 |
| Fluconazole | 398 | 147 |
| Diclofenac Sodium | 360 | 159 |
| Gabapentin | 287 | 141 |
| Ammonium Lactate | 243 | 138 |
| Meloxicam | 199 | 90 |
| Mupirocin | 176 | 83 |
| Cephalexin | 104 | 45 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$552 across 13 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-10-31
- Last updated
- 2025-09-22
- Certified
- 2025-09-22
Frequently asked questions
- What is Sapna Pandya's NPI number?
- Sapna Pandya's National Provider Identifier (NPI) is 1194801142, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sapna Pandya's specialty?
- Sapna Pandya is listed in the NPPES registry with a primary specialty of Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Sapna Pandya located?
- Sapna Pandya's practice location on file with NPPES is 571 Academy St Ste Gle, New York, NY 10034-5104.
- What is Sapna Pandya's phone number?
- The practice phone number listed in the NPPES registry for Sapna Pandya is (646) 991-9000.
- Does Sapna Pandya accept Medicare?
- Sapna Pandya is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sapna Pandya's NPI active?
- Yes — Sapna Pandya's NPI (1194801142) is active in the NPPES registry as of the last update on 2025-09-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.