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Dr. Anil Kumar Sinha , MD

Surgery • Lake Jackson, TX

Active NPI 1154303949 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

201 Oak Dr S, Suite 203-B
Lake Jackson, TX 775665627

Call 9792852828 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

201 Oak Dr S
Suite 203-B

Lake Jackson, TX 775665627

Telephone 9792852828
Fax 9792859155
Organization at the Same NPPES Address or Phone
Brazosport Ear, Nose & Throat Clinic, Pa Facility NPI 1013998673

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

Texas A & M University System, Hsc, College Of Medicine

Graduation Year

1990

Medicare patients

93 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $29,330 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

Paid by Medicare

About $22,675 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

30-day fills

210 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$17,239 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $31.26 across 2 records.

By nature of payment

  • Food and Beverage: $31.26 across 2 records.

Reporting-company totals

  • Smith+Nephew, Inc.: $31.26 across 2 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

36 years (graduated 1990)

CMS Doctors and Clinicians data list 1990 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2005

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Sinha has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Sinha as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Lake Jackson and Texas

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 80% of clinicians listed under Surgery in Texas (2024, 1,113 clinicians with data). Median for this group: 148. Middle half: 72 to 277.

Too few clinicians listed under Surgery in Lake Jackson have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A higher Medicare-allowed amount than 60% of clinicians listed under Surgery in Texas (2024, 1,113 clinicians with data). Median for this group: $20,825. Middle half: $8,873 to $41,247.

Too few clinicians listed under Surgery in Lake Jackson have Medicare Part B data for 2024 to compare.

Paid by Medicare

A higher Medicare payment amount than 60% of clinicians listed under Surgery in Texas (2024, 1,113 clinicians with data). Median for this group: $15,568. Middle half: $6,700 to $31,964.

Too few clinicians listed under Surgery in Lake Jackson have Medicare Part B data for 2024 to compare.

Medicare Part D prescriptions

More Part D prescriptions than 85% of clinicians listed under Surgery in Texas (2024, 936 clinicians with data). Median for this group: 70. Middle half: 31 to 145.

Too few clinicians listed under Surgery in Lake Jackson have Medicare Part D data for 2024 to compare.

Part D drug cost

A higher Part D drug cost than 90% of clinicians listed under Surgery in Texas (2024, 936 clinicians with data). Median for this group: $502. Middle half: $180 to $1,728.

Too few clinicians listed under Surgery in Lake Jackson have Medicare Part D data for 2024 to compare.

4 active clinicians are listed under Surgery with a practice address in Lake Jackson, TX (2,193 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $31.26.

Manufacturer Payment Nature Product Type Amount ($)
Smith+Nephew, Inc.
Food and Beverage
In-kind items and services
GRAFIX PL General $15.94
Smith+Nephew, Inc.
Food and Beverage
In-kind items and services
GRAFIX PL General $15.32

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
134 23 $215.00 $63.98
11042 Removal of skin and tissue, 20.0 sq cm or less
97 22 $388.00 $58.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
34 34 $295.00 $164.11
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
34 28 $369.00 $168.25
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
23 17 $215.00 $89.51
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
13 13 $295.00 $129.51

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen 45 276 $491.89 43
Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav 42 474 $428.17 26
Fluocinonide Fluocinonide 27 767 $1,362.40 15
Santyl Collagenase Clostridium Hist. 23 685 $14,111.71 17
Cephalexin Cephalexin 16 150 $66.78 16
Ciprofloxacin Hcl Ciprofloxacin Hcl 16 190 $203.27 —
Ssd Silver Sulfadiazine 16 356 $353.00 12
Lidocaine Hcl Viscous Lidocaine Hcl 12 296 $162.29 —
Acetic Acid Acetic Acid 11 133 $59.82 —

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

License # reported to NPPES TX K6784

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - GENERAL SURGERY

Medicare Enrollment ID

I20110803000234

Enrollment State Jurisdiction

TX

PECOS Control ID

9638171101

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

7 listed
Dr. Lyndon Barnwell , MD

Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology

NPI 1205827516

Doctor of Medicine (M.D.)

Dr. William Burns , MD

Family Medicine

NPI 1881680338

Doctor of Medicine (M.D.)

Brielle Byrd

Nurse Practitioner - Family

NPI 1629857164
Stellamaris Irabor , FNP-C

Nurse Practitioner - Family

NPI 1699104661

Family Nurse Practitioner (Certified)

Dr. Philip Koury , DDS

Dentist - General Practice

NPI 1033263108

Doctor of Dental Surgery

NPI 1447248125

Doctor of Medicine (M.D.)

Career & Practice History

NPI enumerated November 17, 2005.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1154303949
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 17, 2005
Last Update: November 17, 2011
Sole Proprietor: Yes

Other Surgery Specialists in Lake Jackson

Healthcare providers in Lake Jackson

Mailing Address

201 Oak Dr S, Suite 203-B

Lake Jackson, TX 775665676

Phone: 9792852828

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.