2026 NPPES data Oral and Maxillofacial Pathology Dentistry NPI 1225496565 BDS, MSC, PHD
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JASBIR UPADHYAYA, BDS, MSC, PHD

Oral and Maxillofacial Pathology Dentistry in ALTON, Illinois. 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
13
Medicare Part D claims · Oral and Maxillofacial Pathology Dentistry avg: 303
What the federal data reveals: JASBIR UPADHYAYA, BDS, MSC, PHD is a Oral and Maxillofacial Pathology Dentistry ([object Object]) practicing in ALTON, Illinois with a Medicare Part D prescribing footprint of 13 claims .

What stands out: JASBIR UPADHYAYA, BDS, MSC, PHD filed 13 Medicare Part D claims in 2023 across ALTON, Illinois. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

JASBIR UPADHYAYA, BDS, MSC, PHD at a glance

Quality data not reported

NPI registry status

Active

Issued 02/01/2016

NPI 1225496565

Primary specialty

Oral and Maxillofacial Pathology Dentistry

Niche

690 US NPIs in this specialty

Medicare Part D claims

13 96% vs specialty avg

2023 prescription claims

Specialty avg: 303

Specialty distribution in Illinois

How Oral and Maxillofacial Pathology Dentistry compares to other specialties among Illinois providers

Illinois providers

Oral and Maxillofacial Pathology Dentistry share within Illinois

1. Oral and Maxillofacial Pathology Dentistry42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Oral and Maxillofacial Pathology Dentistry share within Illinois

Specialty board-certification context

Estimated specialty board-certified rate — Oral and Maxillofacial Pathology Dentistry (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Oral and Maxillofacial Pathology Dentistry ABMS/AOA estimate

Est. board-certified rate (Oral and Maxillofacial Pathology Dentistry) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Oral and Maxillofacial Pathology Dentistry) — 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).

JASBIR UPADHYAYA, BDS, MSC, PHD is a Oral and Maxillofacial Pathology Dentistry provider practicing in ALTON, Illinois, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: BDS, MSC, PHD. NPI: 1225496565. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

JASBIR UPADHYAYA, BDS, MSC, PHD appears in the CMS NPPES registry as a Oral and Maxillofacial Pathology Dentistry provider holding BDS, MSC, PHD credentials at 2800 COLLEGE AVE, ALTON, IL, 62002, with a listed phone of (352) 214-5810. NPI 1225496565 was issued on 02/01/2016. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what UPADHYAYA 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 13 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $262 in drug spend. 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.

Oral and Maxillofacial Pathology Dentistry is a narrow specialty nationwide, with 690 enrolled providers across 48 states and an average of 303 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

2800 COLLEGE AVE
ALTON, IL 62002

Provider Details

NPI 1225496565
Specialty Oral and Maxillofacial Pathology Dentistry
Credentials BDS, MSC, PHD
Gender Female
NPI Issued 02/01/2016

License & disciplinary context — Illinois IDFPR 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 ~42K Illinois medical licensees in 2023 — they are NOT specific to JASBIR UPADHYAYA, BDS, MSC, PHD. To verify JASBIR UPADHYAYA, BDS, MSC, PHD's current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases

IDFPR 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 Illinois disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

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

13
Total Claims
$262
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
13
Total Day Supply
142
Brand Drug Cost
$0
Generic Drug Cost
$262

Patient Demographics

Average Patient Age
68.0 years
Avg HCC Risk Score
1.53

Oral and Maxillofacial Pathology Dentistry Overview

How JASBIR UPADHYAYA, BDS, MSC, PHD fits within the Oral and Maxillofacial Pathology Dentistry landscape nationally.

690
Oral and Maxillofacial Pathology Dentistry Providers in US
48
States with Oral and Maxillofacial Pathology Dentistry
303
Avg Claims per Provider

JASBIR UPADHYAYA, BDS, MSC, PHD's 13 claims are below the specialty average of 303.

Nearby Oral and Maxillofacial Pathology Dentistry Providers in Illinois

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

Compare Oral and Maxillofacial Pathology Dentistry nationally: see state-by-state distribution →

Frequently Asked Questions

What is JASBIR UPADHYAYA, BDS, MSC, PHD's specialty?
JASBIR UPADHYAYA, BDS, MSC, PHD specializes in Oral and Maxillofacial Pathology Dentistry and practices in ALTON, Illinois. Credentials: BDS, MSC, PHD.
How much does JASBIR UPADHYAYA, BDS, MSC, PHD prescribe under Medicare Part D?
In 2023, JASBIR UPADHYAYA, BDS, MSC, PHD wrote 13 Medicare Part D claims totaling $262 in drug costs for N/A beneficiaries.
Where is JASBIR UPADHYAYA, BDS, MSC, PHD located?
JASBIR UPADHYAYA, BDS, MSC, PHD is located at 2800 COLLEGE AVE, ALTON, IL, 62002. Phone: (352) 214-5810.
What is JASBIR UPADHYAYA, BDS, MSC, PHD's NPI number?
JASBIR UPADHYAYA, BDS, MSC, PHD's National Provider Identifier (NPI) is 1225496565, issued on 02/01/2016.
How many Oral and Maxillofacial Pathology Dentistry providers are there in the US?
There are 690 Oral and Maxillofacial Pathology Dentistry providers across 48 states in the US. The average Oral and Maxillofacial Pathology Dentistry provider writes 303 Medicare Part D claims per year.
Does JASBIR UPADHYAYA, BDS, MSC, PHD accept Medicare?
JASBIR UPADHYAYA, BDS, MSC, PHD appears in CMS Medicare data with 13 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JASBIR UPADHYAYA, BDS, MSC, PHD's credentials?
JASBIR UPADHYAYA, BDS, MSC, PHD's NPI is 1225496565 with credentials BDS, MSC, PHD. 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