2026 NPPES data Hematology & Oncology Physician NPI 1265463061 MD
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KANCHAN UPADHYAY, MD

Hematology & Oncology Physician in LEESVILLE, Louisiana. 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
537
Medicare Part D claims · 65 beneficiaries · Hematology & Oncology Physician avg: 847
Generic prescribing
78%
generic claims · 22% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
90.4356/100
▲ 7 pts above national avg 83.1 · [object Object]
Industry payments
$128.4
6 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

KANCHAN UPADHYAY, MD reported a CMS MIPS final score of 90.4356/100 — above the 83.1 national average — and filed 537 Medicare Part D claims in 2023.

90.4356/100
MIPS score · +7 vs avg
537
Part D claims, 2023
78%
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.

KANCHAN UPADHYAY, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

90 Top 40% higher than 60% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. 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 Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

KANCHAN UPADHYAY, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — 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 KANCHAN UPADHYAY, MD?

High performer (top quartile)

NPI registry status

Active

Issued 07/06/2006

NPI 1265463061

Primary specialty

Hematology & Oncology Physician

Mid-sized

11,215 US NPIs in this specialty

Medicare Part D claims

537 37% vs specialty avg

2023 prescription claims

Specialty avg: 847

MIPS final score

90.4356/100 7.3355999999999995% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Louisiana

How Hematology & Oncology Physician compares to other specialties among Louisiana providers

Louisiana providers

Hematology & Oncology Physician share within Louisiana

1. Hematology & Oncology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Hematology & Oncology Physician share within Louisiana

Medicare quality performance — MIPS

KANCHAN UPADHYAY, MD's 2023 MIPS final score plotted against the Hematology & Oncology Physician national average

High performer (top quartile)
MIPS Final Score
90.4356/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Hematology & Oncology Physician) — 90.4356/100 vs national avg 83.1

0%100%National avg83%90.4%
MIPS final score (Hematology & Oncology Physician) — 90.4356/100 vs national avg 83.1

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).

KANCHAN UPADHYAY, MD is a Hematology & Oncology Physician provider practicing in LEESVILLE, Louisiana, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1265463061. 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.

KANCHAN UPADHYAY, MD appears in the CMS NPPES registry as a Hematology & Oncology Physician provider holding MD credentials at 931 VERONE TER, LEESVILLE, LA, 71446, with a listed phone of (337) 238-3475. NPI 1265463061 was issued on 07/06/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what UPADHYAY 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 537 prescription claims written by this provider, covering 65 Medicare beneficiaries and totaling roughly $667K in drug spend, split 22% brand-name and 78% generic by claim count, with an opioid prescribing rate of 11.5%. 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 90.4356/100 for the 2023 performance year (Quality 74.4035), compared with the national average of 83.1.

Hematology & Oncology Physician is a mid-sized specialty nationwide, with 11,215 enrolled providers across 54 states and an average of 847 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

931 VERONE TER
LEESVILLE, LA 71446

Provider Details

NPI 1265463061
Specialty Hematology & Oncology Physician
Credentials MD
Gender Male
NPI Issued 07/06/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

90.4356
Final Score
Avg: 83.1
74.4035
Quality
97
Promoting Interoperability

Reporting: Individual

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 KANCHAN UPADHYAY, MD. Source: openpaymentsdata.cms.gov.

Total received

$128

Largest payer

Astellas Pharma US Inc

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.

Brand vs generic prescribing mix · Typical

KANCHAN UPADHYAY, MD — brand share 22.0%
Specialty average (est.)

22% brand-name claims vs 78% generic, on 537 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.

537
Total Claims
$667K
Total Drug Cost
65
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
693
Total Day Supply
16,114
Brand vs Generic
22% brand / 78% generic
Brand Drug Cost
$660K
Generic Drug Cost
$7K
Opioid Claims
62 (11.5% rate)

Patient Demographics

Average Patient Age
68.9 years
Avg HCC Risk Score
2.20
Gender Split
71% female / 29% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Anastrozole
74
Hydroxyurea
61
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
46
Warfarin Sodium
38
Ondansetron Hcl
33
Eliquis
Apixaban
30
Epogen
Epoetin Alfa
22
Xtandi
Enzalutamide
22
Potassium Chloride
20
Prednisone
16

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

Hematology & Oncology Physician Overview

How KANCHAN UPADHYAY, MD fits within the Hematology & Oncology Physician landscape nationally.

11,215
Hematology & Oncology Physician Providers in US
54
States with Hematology & Oncology Physician
847
Avg Claims per Provider

KANCHAN UPADHYAY, MD's 537 claims are below the specialty average of 847.

Nearby Hematology & Oncology Physician Providers in Louisiana

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

Compare Hematology & Oncology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is KANCHAN UPADHYAY, MD's specialty?
KANCHAN UPADHYAY, MD specializes in Hematology & Oncology Physician and practices in LEESVILLE, Louisiana. Credentials: MD.
How much does KANCHAN UPADHYAY, MD prescribe under Medicare Part D?
In 2023, KANCHAN UPADHYAY, MD wrote 537 Medicare Part D claims totaling $667K in drug costs for 65 beneficiaries.
What is KANCHAN UPADHYAY, MD's Medicare quality score?
KANCHAN UPADHYAY, MD has a CMS MIPS Final Score of 90.4356/100 (Quality: 74.4035). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is KANCHAN UPADHYAY, MD located?
KANCHAN UPADHYAY, MD is located at 931 VERONE TER, LEESVILLE, LA, 71446. Phone: (337) 238-3475.
What is KANCHAN UPADHYAY, MD's NPI number?
KANCHAN UPADHYAY, MD's National Provider Identifier (NPI) is 1265463061, issued on 07/06/2006.
Does KANCHAN UPADHYAY, MD prescribe more brand-name or generic drugs?
KANCHAN UPADHYAY, MD's prescribing is 22% brand-name and 78% generic drugs by claim count, with $660K in brand drug costs.
Does KANCHAN UPADHYAY, MD prescribe opioids?
Yes, KANCHAN UPADHYAY, MD had 62 opioid claims in 2023 with an opioid prescribing rate of 11.5%.
How many Hematology & Oncology Physician providers are there in the US?
There are 11,215 Hematology & Oncology Physician providers across 54 states in the US. The average Hematology & Oncology Physician provider writes 847 Medicare Part D claims per year.
What drugs does KANCHAN UPADHYAY, MD prescribe most often?
Based on 2023 Medicare Part D data, KANCHAN UPADHYAY, MD's most frequently prescribed drugs include Anastrozole, Hydroxyurea, Hydrocodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KANCHAN UPADHYAY, MD accept Medicare?
KANCHAN UPADHYAY, MD appears in CMS Medicare data with 537 Part D claims and 65 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KANCHAN UPADHYAY, MD's credentials?
KANCHAN UPADHYAY, MD's NPI is 1265463061 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.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
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