Active NPI 1528065315 Individual Practitioner Male Practitioner

Dr. Sanjiv Bais , MD

Surgery • Toledo, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Sanjiv Bais, MD is a certified Surgery practicing in Toledo, OH. With approximately 38 years of clinical experience since graduating from Perelman School Of Med At The University Of Pennsylvania in 1988, Dr. Bais delivers high-quality medical care to the local community at 4235 SECOR RD.

Dr. Bais maintains professional affiliations with Toledo Clinic Incorporated, Mercy Health Physicians North Specialty Care Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, follow-up hospital inpatient care per day. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4235 Secor Rd

Toledo, OH 436234231

Telephone 4194795713

Associated Practice Facility / Clinic

🏢 Toledo Clinic Incorporated Facility NPI 1144217894

Medicare Profile & Education

Medical School

Perelman School Of Med At The University Of Pennsylvania

Graduation Year

1988

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Toledo, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

38 Yrs +17.5 yrs vs City Avg

City Avg: 20.5 Yrs

State Avg: 24.9 Yrs

Regional Practice Density

44 Specialists

Practicing in Toledo, OH (1313 Statewide)

Telehealth Adoption Rate

6.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

64.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bais (38 Years) 38 Yrs

Toledo Specialty Average (20.5 Years) 20.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	87	87	$203.87	$100.95
99213 Established patient office or other outpatient visit, typically 15 minutes	86	74	$140.44	$85.41
99231 Follow-up hospital inpatient care per day, typically 15 minutes	44	24	$77.55	$47.12
46600 Diagnostic examination of the anus using an endoscope	39	38	$278.85	$107.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$309.43	$153.84
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	30	29	$246.03	$124.07
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	25	25	$991.28	$312.01
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	25	25	$37.20	$17.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	22	$207.22	$120.87
47562 Removal of gallbladder using an endoscope	18	18	$1599.00	$634.57
45378 Diagnostic exam of large bowel using a flexible endoscope	15	15	$934.74	$162.29
49650 Repair of groin hernia using an endoscope	11	11	$1150.45	$471.54
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	11	11	$1156.82	$238.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	114	90	$140.14	$85.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	94	94	$201.51	$107.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$312.40	$153.21
46600 Diagnostic examination of the anus using an endoscope	43	42	$236.23	$111.90
99231 Follow-up hospital inpatient care per day, typically 15 minutes	32	17	$78.00	$48.14
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	26	$82.82	$53.51
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	27	27	$37.67	$17.44
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	26	26	$1006.46	$320.20
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	25	$250.88	$125.90
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	24	24	$1019.38	$233.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	23	$204.25	$121.91
45378 Diagnostic exam of large bowel using a flexible endoscope	21	21	$704.67	$177.26
46221 Removal of external hemorrhoids by rubber banding	18	12	$620.06	$269.00
47562 Removal of gallbladder using an endoscope	16	16	$1599.00	$644.53
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	13	13	$668.46	$176.15
45380 Biopsy of large bowel using an endoscope	12	12	$1026.08	$191.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	133	95	$141.14	$87.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	78	78	$201.10	$107.87
99231 Follow-up hospital inpatient care per day, typically 15 minutes	71	40	$78.00	$37.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	54	54	$307.83	$157.90
46600 Diagnostic examination of the anus using an endoscope	47	41	$199.43	$116.85
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	39	39	$266.36	$129.04
46221 Removal of external hemorrhoids by rubber banding	33	18	$562.39	$278.20
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	21	$81.42	$53.80
45378 Diagnostic exam of large bowel using a flexible endoscope	25	25	$849.85	$172.80
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	24	24	$1985.38	$316.66
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	23	23	$1147.14	$237.51
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	21	21	$605.20	$181.48
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	19	19	$38.00	$18.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	19	$205.16	$123.70
45380 Biopsy of large bowel using an endoscope	16	16	$784.19	$196.61
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$403.00	$215.68
47562 Removal of gallbladder using an endoscope	12	12	$1599.00	$665.92
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$134.75	$70.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	110	110	$204.60	$107.24
99213 Established patient office or other outpatient visit, typically 15 minutes	98	78	$140.21	$88.09
99231 Follow-up hospital inpatient care per day, typically 15 minutes	76	52	$78.00	$37.23
46600 Diagnostic examination of the anus using an endoscope	61	49	$196.97	$110.05
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	56	50	$258.59	$132.82
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	52	43	$82.94	$53.35
99202 New patient office or other outpatient visit, typically 20 minutes	44	44	$139.80	$69.43
46221 Removal of external hemorrhoids by rubber banding	37	17	$601.32	$275.78
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	27	26	$1141.67	$252.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$306.36	$163.30
45378 Diagnostic exam of large bowel using a flexible endoscope	23	22	$834.43	$168.44
47562 Removal of gallbladder using an endoscope	20	20	$1548.70	$653.50
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	15	15	$2712.00	$317.93
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	14	14	$701.43	$184.90
45380 Biopsy of large bowel using an endoscope	12	12	$855.33	$191.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	136	72	$78.00	$39.72
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	84	84	$270.00	$137.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	81	81	$209.00	$105.49
99213 Established patient office or other outpatient visit, typically 15 minutes	63	53	$141.00	$72.84
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	55	44	$83.00	$43.40
46600 Diagnostic examination of the anus using an endoscope	39	38	$205.33	$100.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$320.00	$162.73
45378 Diagnostic exam of large bowel using a flexible endoscope	26	26	$908.00	$182.73
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	23	23	$2712.00	$346.10
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	20	20	$730.00	$191.06
99202 New patient office or other outpatient visit, typically 20 minutes	19	19	$144.00	$69.77
47562 Removal of gallbladder using an endoscope	15	15	$1599.00	$680.70
45380 Biopsy of large bowel using an endoscope	11	11	$1083.00	$206.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	200	84	$77.59	$38.31
99213 Established patient office or other outpatient visit, typically 15 minutes	126	98	$141.00	$72.02
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	111	105	$269.15	$135.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	77	77	$320.00	$158.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	68	68	$207.93	$105.23
46600 Diagnostic examination of the anus using an endoscope	60	56	$205.00	$91.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	60	42	$83.00	$43.42
45378 Diagnostic exam of large bowel using a flexible endoscope	24	24	$908.00	$189.48
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	23	23	$2712.00	$333.83
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$144.00	$69.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$216.00	$105.64
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$403.00	$202.12
45380 Biopsy of large bowel using an endoscope	12	12	$1083.00	$205.57
49505 Repair of groin hernia (5 years or older)	12	12	$1366.08	$526.32
47562 Removal of gallbladder using an endoscope	12	12	$1599.00	$621.39
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	12	12	$1225.00	$261.18
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	11	11	$706.82	$189.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	159	72	$77.83	$37.92
99213 Established patient office or other outpatient visit, typically 15 minutes	111	83	$141.00	$69.58
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	95	90	$269.01	$133.04
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	76	64	$83.00	$41.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	74	74	$209.00	$102.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	63	63	$320.00	$157.20
46600 Diagnostic examination of the anus using an endoscope	57	50	$205.00	$83.37
46221 Removal of external hemorrhoids by rubber banding	29	15	$633.00	$259.03
45378 Diagnostic exam of large bowel using a flexible endoscope	28	28	$908.00	$184.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	21	$208.00	$103.50
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	17	17	$2712.00	$324.24
47562 Removal of gallbladder using an endoscope	16	16	$1599.00	$636.38
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$141.73	$67.37
45380 Biopsy of large bowel using an endoscope	14	14	$1083.00	$192.66
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	14	14	$1237.02	$257.12
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	13	13	$730.00	$186.99
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$403.00	$200.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	148	68	$77.64	$38.16
99213 Established patient office or other outpatient visit, typically 15 minutes	114	92	$141.00	$69.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	74	74	$320.00	$156.26
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	57	56	$270.00	$131.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$209.00	$102.35
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	50	42	$83.00	$40.80
46600 Diagnostic examination of the anus using an endoscope	39	38	$205.00	$83.92
46221 Removal of external hemorrhoids by rubber banding	37	17	$633.00	$254.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	29	$208.00	$103.03
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	23	23	$730.00	$186.39
99202 New patient office or other outpatient visit, typically 20 minutes	21	21	$144.00	$71.89
45378 Diagnostic exam of large bowel using a flexible endoscope	18	18	$908.00	$173.97
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	17	17	$403.00	$199.18
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	11	11	$1225.00	$257.51

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License OH 35067127B

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0976896 (OH)

Hospital & Practice Group Affiliations

Toledo Clinic Incorporated

4235 Secor Rd, Toledo, OH 436234231

Phone: 4194795398

Mercy Health Physicians North Specialty Care Llc

7640 Sylvania Ave, Sylvania, OH 435609263

Phone: 4192514790

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Grace Rutkowski , APRN, FNP-C

Nurse Practitioner - Family

NPI 1275320251

Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Alyssa Ritchie

Surgery

NPI 1891258562

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active June 20, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location June 20, 2011

Registered at 4235 SECOR RD, TOLEDO, OH 436234231 (Tel: 4194795713)

📍

Updated Business Mailing Address June 20, 2011

Registered at 4235 SECOR RD, TOLEDO, OH 436234231 (Tel: 4194795713)

👤

Provider Name / Credentials Updated June 20, 2011

Recorded as SANJIV BAIS, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 20, 2011

Surgery (License #35067127B in OH)

🟢

Initial NPI Registration & Enumeration July 07, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1528065315

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 07, 2005

Last Update: June 20, 2011

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4235 Secor Rd

Toledo, OH 436234231

Phone: 4194795713

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.