Priya Sahay, M.D.
NPI 1255781548 · Endocrinology, Diabetes & Metabolism Physician · Toms River, NJ
Enrolled with Medicare as Practitioner - Endocrinology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Priya Sahay, M.D. is a Endocrinology, Diabetes & Metabolism Physician provider in Toms River, NJ (NPI 1255781548).
Provider details
- NPI number
- 1255781548
- Entity type
- Individual
- Primary specialty
- Endocrinology, Diabetes & Metabolism PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
10 yrs in NPPES registry
- Profile completeness25% of score
83% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
864 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 667 | $122 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 115 | $176 |
| Continuous Monitoring of Blood Sugar Level in Tissue Fluid Using Sensor Under Skin With Interpretation and Report95251 | 82 | $36 |
Typical Medicare-allowed amounts for these services range $36–$176 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote 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 · 36 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Levothyroxine Sodium | 307 | 99 |
| Semaglutidebrand: Ozempic | 259 | 56 |
| Metformin Hcl | 118 | 44 |
| Tirzepatidebrand: Mounjaro | 111 | 25 |
| Levothyroxine Sodiumbrand: Synthroid | 89 | 26 |
| Empagliflozinbrand: Jardiance | 85 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$2,262 across 74 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
Additional practice locations (1)
- 24 Nautilus Dr Ste 7&8Manahawkin, NJ 08050-2490Phone: (609) 978-0474
Registry dates
- Enumerated
- 2016-06-16
- Last updated
- 2022-06-21
- Certified
- 2022-06-21
Frequently asked questions
- What is Priya Sahay's NPI number?
- Priya Sahay's National Provider Identifier (NPI) is 1255781548, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Priya Sahay's specialty?
- Priya Sahay is listed in the NPPES registry with a primary specialty of Endocrinology, Diabetes & Metabolism Physician (Allopathic & Osteopathic Physicians).
- Where is Priya Sahay located?
- Priya Sahay's practice location on file with NPPES is 216 Commons Way Bldg B, Toms River, NJ 08755-6427.
- What is Priya Sahay's phone number?
- The practice phone number listed in the NPPES registry for Priya Sahay is (732) 505-9193.
- Does Priya Sahay accept Medicare?
- Priya Sahay is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Priya Sahay's NPI active?
- Yes — Priya Sahay's NPI (1255781548) is active in the NPPES registry as of the last update on 2022-06-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.