Ajay Verma, MD
Pulmonary Disease Physician · Decatur, IL
Ajay Verma, MD is a pulmonary disease physician with a practice address in Decatur, Illinois, and NPI 1285609321, issued on Feb 22, 2006. Check the license (Illinois 036111194, as entered in NPPES) on the Illinois Department of Financial and Professional Regulation; the Medicare figures below come from public CMS files.
- Name
- Ajay Verma
- Credential
- MD
- Primary taxonomy
- Pulmonary Disease Physician 207RP1001X
- License number
- 036111194 IL
Self-reported in NPPES; status is on the state search - Practice location
- 2300 N Edward St, Decatur, IL 62526
- Phone
- (217) 876-4200
- Enumerated
- Feb 22, 2006
- Record last updated
- Dec 2, 2020 (not updated in 6 years: call before relying on the address or phone)
- Fax
- (217) 876-4209
- Medicare enrollment
- Enrolled (PECOS I20040805001390); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest pulmonary disease physician records → All 617 in Illinois → Look up another NPI →
Also registered at 2300 N Edward St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Samaj Adhikari, MDInternal Medicine Physician1306459979
- Coley Adloff, RD LD/NRegistered Dietitian1194808618
- Akif Ahmed, DOFamily Medicine Physician1871161430
- Bretton Ahrens, NPFamily Nurse Practitioner1356901227
- Nadal Aker, M.D.Cardiovascular Disease Physician1083671911
- Amber Anderson, M.D.Family Medicine Physician1568752137
Verify Ajay Verma in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersIllinois Department of Financial and Professional Regulation
Search for license 036111194Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
45% fewer Medicare Part D claims than the average pulmonary disease physician in 2024
781 Medicare Part D claims for 150 beneficiaries, against an average of 1,425 among the 11,596 providers of this specialty who prescribed in Part D. Brand-name drugs were 70% of claims.
Most prescribed
- Albuterol Sulfate Hfa124 claims
- Trelegy Ellipta91 claims
- Fluticasone-Salmeterol70 claims
- Incruse Ellipta67 claims
- Breo Ellipta57 claims
- Ventolin Hfa52 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 67.2 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $24.43
5 payments; by number, the most common kind was food and beverage; the largest payer was Electromed, Inc. The 8,806 providers of this specialty with any payment received $5,159.88 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
One hospital affiliation
- Decatur Memorial HospitalDecatur, IL · Acute Care Hospitals3 of 5 stars
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through); hospitals matched to CMS Hospital General Information (Care Compare) (data.cms.gov). Star ratings are CMS hospital ratings, not ratings of this provider.
Ajay Verma among 617 pulmonary disease physician records in Illinois
Ajay Verma, MD is one of 617 pulmonary disease physician records with a practice address in Illinois. 85% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 11% of them.
- NPI issued2006 · 11% of these records are older, 54% newer
- In a Medicare fileYes · 85% of these records are
- In the CMS Doctors and Clinicians fileYes · 72% of these records are
- Graduated1986 · median 2005 among the 444 with a school on file
- Record last updated2020 · 48% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RP1001X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Pulmonary Disease Physician providers in Illinois
There are 617 pulmonary disease physician records in Illinois.
All 617 in Illinois → Every provider in Decatur → Pulmonary Disease Physician nationwide →
The 8 pulmonary disease physician records with the nearest ZIP codes
- Jon Arnold, MDDecatur, IL 625261851366967
- Carol Cohen, MDDecatur, IL 625261295700763
- Zahi Nachef, M.D.Decatur, IL 625261336427863
- Danxuan Long, MDDecatur, IL 625211205098738
- Manjeshwar Prabhu, M.D.Decatur, IL 625211770683450
- Mary Polk, M.D.Springfield, IL 627011427158104
- Mouhamad Bakir, MDSpringfield, IL 627021154319994
- Lanie Eagleton, M.D.Springfield, IL 627021205824059
Common questions
What is Ajay Verma, MD's NPI number?
Ajay Verma, MD's National Provider Identifier (NPI) is 1285609321, issued on Feb 22, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Ajay Verma, MD located?
The NPPES record lists a practice address at 2300 N Edward St, Decatur, IL, 62526. Phone: (217) 876-4200. Providers update this record themselves, so call before visiting.
How can I verify Ajay Verma, MD's license?
NPPES lists Illinois license number 036111194, as entered by the provider. Search the Illinois Department of Financial and Professional Regulation at https://idfpr.illinois.gov/checklicense.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Ajay Verma, MD prescribe under Medicare Part D?
In 2024, Ajay Verma, MD had 781 Medicare Part D claims for 150 beneficiaries; the average among pulmonary disease physician prescribers was 1,425. Part D covers Medicare prescriptions only.
What is Ajay Verma, MD's MIPS final score?
The 2023 MIPS final score is 67.2 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.