2026 NPPES data Pulmonary Disease Physician NPI 1891951083 MD
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CHIRAG PANDYA, MD

Pulmonary Disease Physician in PLEASANTON, California. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
2K
Medicare Part D claims · 476 beneficiaries · Pulmonary Disease Physician avg: 1K
Generic prescribing
48%
generic claims · 52% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$700.65
27 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

CHIRAG PANDYA, MD filed 2,415 Medicare Part D claims in 2023 as a Pulmonary Disease Physician in PLEASANTON, California, prescribing 48% generic.

2K
Part D claims, 2023
48%
generic prescribing
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

CHIRAG PANDYA, MD's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

2,415 Top 14% higher than 86% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). Below this entry. 2,000–2,200: 213,991 prescribers (16%). This entry sits in this band. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Part D Prescriber Public Use File · 2023

Board certification likely (heuristic — not verified)

CHIRAG PANDYA, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about CHIRAG PANDYA, MD?

Quality data not reported

NPI registry status

Active

Issued 08/06/2008

NPI 1891951083

Primary specialty

Pulmonary Disease Physician

Mid-sized

9,271 US NPIs in this specialty

Medicare Part D claims

2,415 66% vs specialty avg

2023 prescription claims

Specialty avg: 1,457

Specialty distribution in California

How Pulmonary Disease Physician compares to other specialties among California providers

California providers

Pulmonary Disease Physician share within California

1. Pulmonary Disease Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pulmonary Disease Physician share within California

Specialty board-certification context

Estimated specialty board-certified rate — Pulmonary Disease Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Pulmonary Disease Physician ABMS/AOA estimate

Est. board-certified rate (Pulmonary Disease Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Pulmonary Disease Physician) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

CHIRAG PANDYA, MD appears in the CMS NPPES registry as a Pulmonary Disease Physician provider holding MD credentials at 5575 W LAS POSITAS BLVD STE 130, PLEASANTON, CA, 94588, with a listed phone of (925) 463-0590. NPI 1891951083 was issued on 08/06/2008. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PANDYA most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 2,415 prescription claims written by this provider, covering 476 Medicare beneficiaries and totaling roughly $2.2 million in drug spend, split 52% brand-name and 48% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Pulmonary Disease Physician is a mid-sized specialty nationwide, with 9,271 enrolled providers across 53 states and an average of 1,457 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

5575 W LAS POSITAS BLVD STE 130
PLEASANTON, CA 94588

Provider Details

NPI 1891951083
Specialty Pulmonary Disease Physician
Credentials MD
Gender Male
NPI Issued 08/06/2008

Hospital and facility affiliations

Facilities where CHIRAG PANDYA, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

INPATIENT SPECIALISTS OF CALIFORNIA PC
CASTRO VALLEY, CA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for CHIRAG PANDYA, MD. Source: openpaymentsdata.cms.gov.

Total received

$701

Largest payer

GlaxoSmithKline, LLC.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context — California MBC 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~150K California medical licensees in 2023 — they are NOT specific to CHIRAG PANDYA, MD. To verify CHIRAG PANDYA, MD's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Brand-heavy

CHIRAG PANDYA, MD — brand share 52.0%
Specialty average (est.)

52% brand-name claims vs 48% generic, on 2,415 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

2,415
Total Claims
$2.2M
Total Drug Cost
476
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,844
Total Day Supply
108,030
Brand vs Generic
52% brand / 48% generic
Brand Drug Cost
$2.1M
Generic Drug Cost
$57K
Antibiotic Claims
54

Patient Demographics

Average Patient Age
75.6 years
Avg HCC Risk Score
1.84
Gender Split
61% female / 39% male
Age Distribution
<65: 30, 65-74: 182, 75-84: 193, 85+: 71

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What CHIRAG PANDYA, MD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Albuterol Sulfate Hfa
Albuterol Sulfate
323
Trelegy Ellipta
Fluticasone/Umeclidin/Vilanter
259
Breo Ellipta
Fluticasone/Vilanterol
201
Montelukast Sodium
185
Prednisone
160
Trazodone Hcl
104
Ventolin Hfa
Albuterol Sulfate
101
Symbicort
Budesonide/Formoterol Fumarate
74
Clonazepam
73
Flovent Hfa
Fluticasone Propionate
72

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Pulmonary Disease Physician Overview

How CHIRAG PANDYA, MD fits within the Pulmonary Disease Physician landscape nationally.

9,271
Pulmonary Disease Physician Providers in US
53
States with Pulmonary Disease Physician
1,457
Avg Claims per Provider

CHIRAG PANDYA, MD's 2,415 claims are above the specialty average of 1,457.

Nearby Pulmonary Disease Physician Providers in California

Other clinicians with the same primary specialty enrolled in California, drawn from the same CMS NPPES roster as PANDYA.

Compare Pulmonary Disease Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is CHIRAG PANDYA, MD's specialty?
CHIRAG PANDYA, MD specializes in Pulmonary Disease Physician and practices in PLEASANTON, California. Credentials: MD.
How much does CHIRAG PANDYA, MD prescribe under Medicare Part D?
In 2023, CHIRAG PANDYA, MD wrote 2,415 Medicare Part D claims totaling $2.2M in drug costs for 476 beneficiaries.
Where is CHIRAG PANDYA, MD located?
CHIRAG PANDYA, MD is located at 5575 W LAS POSITAS BLVD STE 130, PLEASANTON, CA, 94588. Phone: (925) 463-0590.
What is CHIRAG PANDYA, MD's NPI number?
CHIRAG PANDYA, MD's National Provider Identifier (NPI) is 1891951083, issued on 08/06/2008.
Does CHIRAG PANDYA, MD prescribe more brand-name or generic drugs?
CHIRAG PANDYA, MD's prescribing is 52% brand-name and 48% generic drugs by claim count, with $2.1M in brand drug costs.
How many Pulmonary Disease Physician providers are there in the US?
There are 9,271 Pulmonary Disease Physician providers across 53 states in the US. The average Pulmonary Disease Physician provider writes 1,457 Medicare Part D claims per year.
What drugs does CHIRAG PANDYA, MD prescribe most often?
Based on 2023 Medicare Part D data, CHIRAG PANDYA, MD's most frequently prescribed drugs include Albuterol Sulfate Hfa, Trelegy Ellipta, Breo Ellipta. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does CHIRAG PANDYA, MD accept Medicare?
CHIRAG PANDYA, MD appears in CMS Medicare data with 2,415 Part D claims and 476 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify CHIRAG PANDYA, MD's credentials?
CHIRAG PANDYA, MD's NPI is 1891951083 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology