Doctor profile · Federal record
Dr. Sanjay Prasad, M.D.
Otolaryngology Physician (CMS: Otolaryngology) · Plastic Surgery Within the Head & Neck (Otolaryngology) Physician · Otology & Neurotology Physician · Rockford, IL
- NPI 1437232139
- MIPS 75.0 / 100 · 2023
- 41 yrs in practice
- Licensed in 2 states
- Male
- Solo practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
1253 N Alpine RD
Rockford, IL 611072201
(779) 696-9201
fax (815) 397-9667 - Additional location
-
10215 Fernwood RD, Suite 301
Bethesda, MD 208171106
(301) 493-9409
fax (301) 493-9429 - Mailing address
-
10215 Fernwood RD, Suite 301
Bethesda, MD 208171106
Credentials & registration
- NPI registered
- October 2006 — 20 yrs on file
- Profile last updated
- March 23, 2026
- Year of graduation
- 1985 — 41 yrs since
- Specialty taxonomy
- 207Y00000X — NUCC code
- State licenses (2)
- Illinois #036176815 · Maryland #D43688
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1437232139. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
4,077
Distinct HCPCS
10
Medicare allowed
$187,729
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
95004 |
Test for allergy using allergenic extract | 2,338 | 30 | $4 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 484 | 198 | $96 | |
92504 |
Exam of ear using a microscope | 356 | 176 | $32 | |
31231 |
Diagnostic exam of nasal passages using an endoscope | 270 | 146 | $194 | |
69210 |
Removal of impacted ear wax | 188 | 129 | $43 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 120 | 120 | $119 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 117 | 93 | $136 | |
69222 |
Complex removal of skin debris and drainage of mastoid cavity | 86 | 22 | $248 | |
G0268 |
Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing | 75 | 64 | $50 | |
95992 |
Repositioning exercises of head for treatment of dizziness, each day | 16 | 11 | $47 |
In context: peer comparison
Among 3 peers in Rockford Otolaryngology Physician, average services per provider: 255. This provider delivers 16× the peer median.Open Payments
Industry payments received
All-time total
$115
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Phathom Pharmaceuticals, INC. | 1 | $115.08 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
212
Patients
92
Total drug cost
$6,546
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Levofloxacin | Generic | 54 | 42 | $304 |
| Cefuroxime (Cefuroxime Axetil) | Brand | 33 | 27 | $715 |
| Ofloxacin | Generic | 17 | 12 | $826 |
| Azithromycin | Generic | 13 | 0 | $90 |
| Ciprofloxacin-Dexamethasone (Ciprofloxacin Hcl/Dexameth) | Brand | 13 | 0 | $3,122 |
| Atorvastatin Calcium | Generic | 12 | 0 | $258 |
| Fenofibrate (Fenofibrate,Micronized) | Brand | 12 | 0 | $763 |
| Hydrochlorothiazide | Generic | 12 | 0 | $40 |
| Losartan Potassium | Generic | 12 | 0 | $122 |
| Metformin Hcl ER (Metformin Hcl) | Brand | 12 | 0 | $63 |
Hospital affiliations
Frequently asked questions
What is Dr. Sanjay Prasad's medical specialty?
Dr. Sanjay Prasad practices Otolaryngology Physician in Rockford, IL.
Where does Dr. Sanjay Prasad practice?
Dr. Sanjay Prasad practices at 1253 N Alpine RD, Rockford, IL 611072201. Office phone: 7796969201.
What is Dr. Sanjay Prasad's NPI?
Dr. Sanjay Prasad's National Provider Identifier (NPI) is 1437232139, issued by NPPES.
Does Dr. Sanjay Prasad accept Medicare assignment?
Dr. Sanjay Prasad does not accept Medicare assignment for all services. Patients may be billed amounts beyond Medicare-allowed charges.
What procedures does Dr. Sanjay Prasad commonly perform?
Top Medicare-reported procedures in 2023: Test for allergy using allergenic extract (HCPCS 95004); Established patient office or other outpatient visit (HCPCS 99213); Exam of ear using a microscope (HCPCS 92504). Source: CMS Medicare Physician & Other Practitioners file.