NPI registry status
Active
2026 NPPES data Nephrology Physician NPI 1639380926 MD
Verify on CMS → Pankaj Dhingra, MD
Nephrology Physician in Franklin, Wisconsin.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 10,534 in Nephrology Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
688
Medicare Part D claims · 156 beneficiaries · Nephrology Physician avg: 1K
Generic prescribing
93%
generic claims · 7% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$144.81
2 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Pankaj Dhingra, MD filed 688 Medicare Part D claims in 2023 as a Nephrology Physician in Franklin, Wisconsin, prescribing 93% generic.
- 688
- Part D claims, 2023
- 93%
- 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.
Pankaj Dhingra, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
688 Top 31% higher than 69% of 1,370,886 prescribers
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)
Pankaj Dhingra, 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 Pankaj Dhingra, MD?
Quality data not reportedPrimary specialty
Nephrology Physician
Medicare Part D claims
688 53% vs specialty avg
Specialty distribution in Wisconsin
How Nephrology Physician compares to other specialties among Wisconsin providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Nephrology Physician. Verify directly:
How MIPS and board certification work
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).
Pankaj Dhingra, MD appears in the CMS NPPES registry as a Nephrology Physician provider holding MD credentials at 9969 S 27TH ST, Franklin, WI, 53132, with a listed phone of (262) 664-9940. NPI 1639380926 was issued on 05/25/2007.
Medicare Part D records for calendar year 2023 show 688 prescription claims written by this provider, covering 156 Medicare beneficiaries and totaling roughly $38K in drug spend, split 7% brand-name and 93% generic by claim count.
Nephrology Physician is a mid-sized specialty nationwide, with 10,534 enrolled providers across 55 states and an average of 1,454 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
Provider Details
| NPI | 1639380926 |
|---|---|
| Specialty | Nephrology Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 05/25/2007 |
Hospital and facility affiliations
Facilities where Pankaj Dhingra, 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.
Ascension Medical Group-Southeast Wisconsin Inc
Franklin, WI
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 Pankaj Dhingra, MD. Source: openpaymentsdata.cms.gov.
Total received
$145
Largest payer
AstraZeneca Pharmaceuticals LP
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 · Generic-heavy
Pankaj Dhingra, MD - brand share 7.0%
Nephrology Physician average
7% brand-name claims vs 93% generic, on 688 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.
688
Total Claims
$38K
Total Drug Cost
156
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 1,744
- Total Day Supply
- 51,211
- Brand vs Generic
- 7% brand / 93% generic
- Brand Drug Cost
- $20K
- Generic Drug Cost
- $18K
- Antibiotic Claims
- 18
Patient Demographics
- Average Patient Age
- 74.9 years
- Avg HCC Risk Score
- 2.26
- Gender Split
- 61% female / 39% male
- Age Distribution
- <65: 11, 65-74: 67, 75-84: 50, 85+: 28
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Pankaj Dhingra, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Furosemide
Furosemide
202 claims
- Amlodipine Besylate
Amlodipine Besylate
84 claims
- Losartan Potassium 77
Losartan Potassium
77 claims
- Lisinopril 36
Lisinopril
36 claims
- Potassium Chloride 23
Potassium Chloride
23 claims
- Hydralazine Hcl 22
Hydralazine Hcl
22 claims
- Hydrochlorothiazide 17
Hydrochlorothiazide
17 claims
- Allopurinol 15
Allopurinol
15 claims
| Drug | Claims |
|---|---|
| Furosemide | 202 |
| Amlodipine Besylate | 84 |
| Losartan Potassium | 77 |
| Lisinopril | 36 |
| Potassium Chloride | 23 |
| Hydralazine Hcl | 22 |
| Hydrochlorothiazide | 17 |
| Allopurinol | 15 |
| Metoprolol Succinate | 13 |
| Midodrine Hcl | 12 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Nephrology Physician Overview
How Pankaj Dhingra, MD fits within the Nephrology Physician landscape nationally.
10,534
Nephrology Physician Providers in US
55
States with Nephrology Physician
1,454
Avg Claims per Provider
Pankaj Dhingra, MD's 688 claims are below the specialty average of 1,454.
Nearby Nephrology Physician Providers in Wisconsin
Other clinicians with the same primary specialty enrolled in Wisconsin, drawn from the same CMS NPPES roster as Dhingra.
Dr. Uzoamaka Achufusi
MBBS
Fitchburg, WI
Dr. Venkata Adavikolanu
MD
Green Bay, WI
Dr. Omer Afzal
M.D.
Waukesha, WI
Dr. Osaid Ahmad
MD
Neenah, WI
Dr. Edward Ahrens
M.D.
Madison, WI
Compare Nephrology Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Wisconsin medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Nephrology Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
Healthcare Guides
Learn more about finding, verifying, and understanding healthcare providers.
How to Find a Doctor
Step-by-step guide to choosing a provider
Verify Credentials
Check NPI, board certification & license status
Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore Wisconsin
Frequently Asked Questions
What is Pankaj Dhingra, MD's specialty? ▼
Pankaj Dhingra, MD specializes in Nephrology Physician and practices in Franklin, Wisconsin. Credentials: MD.
How much does Pankaj Dhingra, MD prescribe under Medicare Part D? ▼
In 2023, Pankaj Dhingra, MD wrote 688 Medicare Part D claims totaling $38K in drug costs for 156 beneficiaries.
Where is Pankaj Dhingra, MD located? ▼
Pankaj Dhingra, MD is located at 9969 S 27TH ST, Franklin, WI, 53132. Phone: (262) 664-9940.
What is Pankaj Dhingra, MD's NPI number? ▼
Pankaj Dhingra, MD's National Provider Identifier (NPI) is 1639380926, issued on 05/25/2007.
Does Pankaj Dhingra, MD prescribe more brand-name or generic drugs? ▼
Pankaj Dhingra, MD's prescribing is 7% brand-name and 93% generic drugs by claim count, with $20K in brand drug costs.
How many Nephrology Physician providers are there in the US? ▼
There are 10,534 Nephrology Physician providers across 55 states in the US. The average Nephrology Physician provider writes 1,454 Medicare Part D claims per year.
What drugs does Pankaj Dhingra, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Pankaj Dhingra, MD's most frequently prescribed drugs include Furosemide, Amlodipine Besylate, Losartan Potassium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Pankaj Dhingra, MD accept Medicare? ▼
Pankaj Dhingra, MD appears in CMS Medicare data with 688 Part D claims and 156 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Pankaj Dhingra, MD's credentials? ▼
Pankaj Dhingra, MD's NPI is 1639380926 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
View source datasets and methodology notes
- 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
Compiled from official public sources by the PlainDoctor editorial team.