Doctor profile · Federal record
Dr. Balaguru Sambandam, M.D.
Surgery Physician (CMS: General Surgery) · Fort Worth, TX
- NPI 1265694731
- MIPS 75.3 / 100 · 2023
- 18 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
3025 N Tarrant Pkwy Ste 100
Fort Worth, TX 761778625
(817) 717-5268
fax (817) 717-8021 - Mailing address
-
1540 Keller Pkwy # 108-249
Keller, TX 762483686
Credentials & registration
- NPI registered
- June 2008 — 18 yrs on file
- Profile last updated
- January 17, 2019
- Year of graduation
- 2008 — 18 yrs since
- Specialty taxonomy
- 208600000X — NUCC code
- State license (1)
- Texas #P5128
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1265694731. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
138
Distinct HCPCS
5
Medicare allowed
$16,263
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 47 | 28 | $77 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 25 | 16 | $119 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 24 | 24 | $155 | |
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 24 | 24 | $122 | |
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 18 | 18 | $166 |
In context: peer comparison
Among 23 peers in Fort Worth Surgery Physician, average services per provider: 48. This provider delivers 2.9× the peer median.Open Payments
Industry payments received
All-time total
$14
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Smith+Nephew, INC. | 1 | $13.74 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
47
Patients
42
Total drug cost
$360
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 47 | 42 | $360 |
Hospital affiliations
Frequently asked questions
What is Dr. Balaguru Sambandam's medical specialty?
Dr. Balaguru Sambandam practices Surgery Physician in Fort Worth, TX.
Where does Dr. Balaguru Sambandam practice?
Dr. Balaguru Sambandam practices at 3025 N Tarrant Pkwy Ste 100, Fort Worth, TX 761778625. Office phone: 8177175268.
What is Dr. Balaguru Sambandam's NPI?
Dr. Balaguru Sambandam's National Provider Identifier (NPI) is 1265694731, issued by NPPES.
Does Dr. Balaguru Sambandam accept Medicare assignment?
Dr. Balaguru Sambandam does not accept Medicare assignment for all services. Patients may be billed amounts beyond Medicare-allowed charges.
What procedures does Dr. Balaguru Sambandam commonly perform?
Top Medicare-reported procedures in 2023: Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232); Established patient office or other outpatient visit (HCPCS 99214); New patient office or other outpatient visit (HCPCS 99204). Source: CMS Medicare Physician & Other Practitioners file.