Medicare Enrolled

Dr. Sanjay Bansal, M.D.

Ophthalmology · Santa Rosa, CA
Practice pattern: Cardiac Surgery — Surgically focused practice
Consulting-driven
3540 MENDOCINO AVENUE, Santa Rosa, CA 95403
7075226200
In practice since 2006 (19 years)
NPI: 1346275484 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Bansal from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
Are you Dr. Bansal? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Bansal

Dr. Sanjay Bansal is an ophthalmology specialist in Santa Rosa, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Bansal performed 784 Medicare services across 644 unique beneficiaries.

Between the years covered by Open Payments, Dr. Bansal received a total of $57,344 from 27 pharmaceutical and/or device companies across 228 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in ophthalmology. The majority of payments are for consulting, which typically reflects recognized clinical expertise sought by manufacturers. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Bansal is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 19 years in practice ▲ 784 Medicare services $57,344 industry payments

Medicare Practice Summary

Medicare Utilization ↗
784
Medicare services
Bottom 30% in CA for ophthalmology
Lower Medicare volume may reflect subspecialty focus, hospital-based work, or a higher share of non-Medicare patients.
644
Unique beneficiaries
$213
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~41 Medicare services per year of practice

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Cataract surgery with lens implant
Surgical removal of the clouded natural lens of the eye and replacement with an artificial prosthetic lens to restore vision.
234 $422 $1,446
Comprehensive eye exam, new patient
A comprehensive examination of the visual system performed for a new patient.
199 $106 $175
Laser removal of recurring cataract
A laser procedure to remove a recurring cataract within the lens capsule.
140 $247 $550
Corneal topography and eye depth measurement
This procedure measures the curvature and depth of the cornea, the clear front surface of the eye.
118 $36 $100
Comprehensive eye exam, established patient
A comprehensive examination of the visual system performed for a patient who has previously been seen by the provider.
93 $89 $175
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
29.8% high complexity
0.0% medium
70.2% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$57,344
Total received (2018-2024)
Avg $8,192/year across 7 years
Top 6% in CA for ophthalmology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
27
Companies
228
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$33,433 (58.3%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$16,115 (28.1%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$7,795 (13.6%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$1,220
2023
$4,470
2022
$2,738
2021
$2,102
2020
$9,123
2019
$10,451
2018
$27,240

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Alcon Vision LLC
$432
RxSight Inc
$168
Medtronic, Inc.
$144
Bausch & Lomb Americas Inc.
$106
Boston Scientific Corporation
$100
Nevro Corp.
$96
Oyster Point Pharma, Inc.
$61
Glaukos Corporation
$37
Carl Zeiss Meditec, Inc.
$36
Tarsus Pharmaceuticals, Inc.
$25
Abbott Laboratories
$15
Top 3 companies account for 61.0% of 2024 payments
All-time payments by company (2018-2024) ›
Carl Zeiss Meditec, Inc.
$34,469
Johnson & Johnson Surgical Vision, Inc.
$9,613
LENSAR, Inc.
$8,377
Alcon Vision LLC
$1,545
RxSight Inc
$546
Boston Scientific Corporation
$380
Medtronic, Inc.
$330
Oyster Point Pharma, Inc.
$236
Alcon Laboratories Inc
$225
Bausch & Lomb Americas Inc.
$218
Endologix, Inc.
$211
Carl Zeiss Meditec USA, Inc.
$159
Bausch & Lomb, a division of Bausch Health US, LLC
$151
Glaukos Corporation
$139
Nevro Corp.
$117
Carl Zeiss Meditec AG
$114
Omeros Corporation
$114
Kala Pharmaceuticals, Inc.
$71
Novartis Pharmaceuticals Corporation
$62
AbbVie Inc.
$53
Beaver-Visitec International, Inc.
$47
Mallinckrodt Hospital Products Inc.
$39
Rayner Intraocular Lenses Limited
$39
Medtronic USA, Inc.
$27
Tarsus Pharmaceuticals, Inc.
$25
Allergan, Inc.
$22
Abbott Laboratories
$15
Top 3 companies account for 91.5% of all-time payments
Associated products mentioned in payments ›
ACCURIAN · ACTHAR · ARGOS · ARTEVO 800 · Accurian · AcrySof · AcrySof IQ PanOptix · AcrySof IQ VIVITY IOL · BESIVANCE · CIRRUS HD-OCT · Centurion · Clareon · Constellation · CyPass · DUREZOL · DURYSTA · EYSUVIS · General - Pain Management · INTELLIS · INTELLIS ADAPTIVESTIM · INVELTYS · LENSAR LASER SYSTEM · LIGHT ADJUSTABLE LENS (LAL) AND LIGHT DELIVERY DEVICE (LDD) · LIPIFLOW SYSTEM ACTIVATOR II (DISPOSABLE · LOTEMAX · LOTEMAX SM · LUMERA · LenSx · MIEBO · MYSTIM · None Specified · Omidria · Ovation · PROCLAIM · PROLENSA · PanOptix · RESTASIS MULTIDOSE · RXSIGHT CONTACT LENS · ReSTOR · Rocklatan · STAR S4 IR · STAR S4 IR Excimer Laser System · SYNCHROMEDII · Senza · Systane Complete · TYRVAYA · TearScience Lipiflow System · Tecnis 1-piece IOL · Tecnis Multifocal Family of 1-piece IOLS · Tecnis Simplicity · Tecnis Symfony IOL · VERITAS Vision System · VICTUS · VYZULTA · VisuMax · WaveWriter Alpha Prime 16 · Wavelight · Wavelight Refractive Suite · Whitestart Phacoemulsficiation System · XDEMVY · XIIDRA · iStent Trabecular Micro-Bypass System Model iS3 · iStent inject W
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

The majority of payments (58%) are consulting fees, which typically reflect recognized clinical expertise sought by manufacturers. Total industry engagement is in the top 6% for ophthalmology in CA.

Looking for an ophthalmology specialist in Santa Rosa?
Compare ophthalmologists in the Santa Rosa area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Ophthalmologists within 10 mi
45
Per 100K population
9.3
County median income
$102,840
Nearest hospital
SUTTER SANTA ROSA REGIONAL HOSPITAL
0.0 mi

Data Sources

Provider Registry NPPES Weekly updates
Medicare Enrollment PECOS Monthly updates
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not public N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Bansal is a cardiac surgery specialist, with moderate Medicare volume, with consulting-driven industry engagement in the top 6% of CA peers, with 19 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Bansal experienced with cataract surgery with lens implant?
Based on Medicare claims data, Dr. Bansal performed 234 cataract surgery with lens implant services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Bansal receive payments from pharmaceutical companies?
Yes. Dr. Bansal received a total of $57,344 from 27 companies across 228 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Bansal's costs compare to other ophthalmologists in Santa Rosa?
Dr. Bansal's average Medicare payment per service is $213. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Bansal) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →