SAPNA RAGHUNATHAN (MD) – Endocrinology, Diabetes & Metabolism Physician, NPI 1003225848
Endocrinology, Diabetes & Metabolism Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
13,290 INTERNAL MEDICINE in TX
Provider Addresses for SAPNA RAGHUNATHAN (MD)
8300 FLOYD CURL DR
SAN ANTONIO, TX 782293931
Phone: (210) 450-9490
Fax: (210) 450-6065
Type: Mailing
100 N ACADEMY AVE
DANVILLE, PA 178224903
Phone: (570) 271-6144
Fax: (570) 271-6578
Type: Mailing
1800 MULBERRY ST
SCRANTON, PA 185102369
Phone: (570) 703-7351
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $282.
Total Amount is formed as General ($282) + Research ($0) + Ownership ($0) = $282.
Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Abbott Laboratories ($176).
Total Amount
$282
General + Research + Ownership
Payments
10
Total payment records
General Amount
$282
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $176 |
| Novo Nordisk Inc | $47 |
| Dexcom, Inc. | $22 |
| Corcept Therapeutics | $19 |
| Radius Health, Inc. | $18 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-10-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200610001770 | I | Endocrinology | PA | TBD |
| I20220930000765 | I | Endocrinology | TX | TBD |
| I20251028004493 | I | Internal Medicine | WY | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 124 | 82 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 42 | 42 | $0 |
| 82947 | Blood glucose (sugar) level | 37 | 24 | $0 |
| 83036 | Hemoglobin a1c level | 30 | 21 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 29 | 27 | $0 |
Insurance plans in this area (ZIP 78229)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | CO | |
| General Surgery | MA | |
| Family Practice | WY | |
| P S Y C H I A T R Y | WA | |
| D E R M A T O L O G Y | VT | |
| Registered Dietitian Or Nutrition Professional | WY | |
| N E U R O L O G Y | NE | |
| Internal Medicine | CO | |
| Family Practice, Geriatric Medicine | WY | |
| Emergency Medicine, Family Practice | NC |
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