Doctor profile · Federal record
Dr. Sivasanker Bakthavachalam, M.D.
Otolaryngology Physician · Prosper, TX
- NPI 1730390204
- MIPS 82.0 / 100 · 2023
- 19 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
4200 W University Dr
Prosper, TX 750789805
(682) 303-4200
fax (682) 303-4242 - Mailing address
-
Po Box 733784
Dallas, TX 753733784
Credentials & registration
- NPI registered
- May 2007 — 19 yrs on file
- Profile last updated
- May 9, 2023
- Specialty taxonomy
- 207Y00000X — NUCC code
- State license (1)
- Texas #M6033
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1730390204. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
15
Distinct HCPCS
1
Medicare allowed
$1,297
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 15 | 15 | $86 |
In context: peer comparison
Among 1 peers in Prosper Otolaryngology Physician, average services per provider: 15. This provider delivers 1.0× the peer median.Open Payments
Industry payments received
All-time total
$1,447
Transactions
9
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Integra LifeSciences Corporation | 7 | $1,267.31 | |
| Inspire Medical Systems, INC. | 2 | $179.53 |
By nature of payment
Frequently asked questions
What is Dr. Sivasanker Bakthavachalam's medical specialty?
Dr. Sivasanker Bakthavachalam practices Otolaryngology Physician in Prosper, TX.
Where does Dr. Sivasanker Bakthavachalam practice?
Dr. Sivasanker Bakthavachalam practices at 4200 W University Dr, Prosper, TX 750789805. Office phone: 6823034200.
What is Dr. Sivasanker Bakthavachalam's NPI?
Dr. Sivasanker Bakthavachalam's National Provider Identifier (NPI) is 1730390204, issued by NPPES.
What procedures does Dr. Sivasanker Bakthavachalam commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.