NPI registry status
Active
2026 NPPES data Gastroenterology Physician NPI 1396700274 MD
Verify on CMS → Vernu Visvalingam, MD
Gastroenterology Physician in Leominster, Massachusetts.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 16,601 in Gastroenterology 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
729
Medicare Part D claims · 304 beneficiaries · Gastroenterology Physician avg: 833
Generic prescribing
75%
generic claims · 25% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$1.7K
84 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
Vernu Visvalingam, MD filed 729 Medicare Part D claims in 2023 as a Gastroenterology Physician in Leominster, Massachusetts, prescribing 75% generic.
- 729
- Part D claims, 2023
- 75%
- 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.
Vernu Visvalingam, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
729 Top 29% higher than 71% 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)
Vernu Visvalingam, 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 Vernu Visvalingam, MD?
Quality data not reportedPrimary specialty
Gastroenterology Physician
Medicare Part D claims
729 12% vs specialty avg
Specialty distribution in Massachusetts
How Gastroenterology Physician compares to other specialties among Massachusetts 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 Gastroenterology 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).
Vernu Visvalingam, MD appears in the CMS NPPES registry as a Gastroenterology Physician provider holding MD credentials at 105 ERDMAN WAY, Leominster, MA, 01453, with a listed phone of (978) 537-7552. NPI 1396700274 was issued on 04/20/2006.
Medicare Part D records for calendar year 2023 show 729 prescription claims written by this provider, covering 304 Medicare beneficiaries and totaling roughly $243K in drug spend, split 25% brand-name and 75% generic by claim count.
Gastroenterology Physician is a mid-sized specialty nationwide, with 16,601 enrolled providers across 54 states and an average of 833 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 | 1396700274 |
|---|---|
| Specialty | Gastroenterology Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 04/20/2006 |
Hospital and facility affiliations
Facilities where Vernu Visvalingam, 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.
Center For Digestive Wellness PC
Leominster, MA
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 Vernu Visvalingam, MD. Source: openpaymentsdata.cms.gov.
Total received
$1.7K
Largest payer
ABBVIE 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.
License & disciplinary context - Massachusetts BORIM 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 ~38K Massachusetts medical licensees in 2023 - they are NOT specific to Vernu Visvalingam, MD. To verify Vernu Visvalingam, MD's current license status, search the BORIM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
80
Total board actions, Massachusetts 2023
Across 78 cases
2.11
Actions per 1,000 licensees
Massachusetts statewide rate
probation
Most common action type
29 cases
BORIM 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 Massachusetts disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Above average
Vernu Visvalingam, MD - brand share 25.0%
Gastroenterology Physician average
25% brand-name claims vs 75% generic, on 729 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.
729
Total Claims
$243K
Total Drug Cost
304
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 1,265
- Total Day Supply
- 32,412
- Brand vs Generic
- 25% brand / 75% generic
- Brand Drug Cost
- $211K
- Generic Drug Cost
- $33K
- Antibiotic Claims
- 11
Patient Demographics
- Average Patient Age
- 69.2 years
- Avg HCC Risk Score
- 1.23
- Gender Split
- 60% female / 40% male
- Age Distribution
- <65: 58, 65-74: 160, 75-84: 75, 85+: 11
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Vernu Visvalingam, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Omeprazole
Omeprazole
150 claims
- Plenvu
Plenvu
78 claims
- Dicyclomine Hcl
Dicyclomine Hcl
76 claims
- Pantoprazole Sodium 52
Pantoprazole Sodium
52 claims
- Colestipol Hcl 50
Colestipol Hcl
50 claims
- Linzess 31
Linzess
31 claims
- Famotidine 22
Famotidine
22 claims
- Sucralfate 22
Sucralfate
22 claims
| Drug | Claims |
|---|---|
| Omeprazole | 150 |
| Plenvu Peg3350/Sod Sul/Nacl/Kcl/Asb/C | 78 |
| Dicyclomine Hcl | 76 |
| Pantoprazole Sodium | 52 |
| Colestipol Hcl | 50 |
| Linzess Linaclotide | 31 |
| Famotidine | 22 |
| Sucralfate | 22 |
| Mesalamine | 17 |
| Sutab Sod Sulf/Pot Chloride/Mag Sulf | 17 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Gastroenterology Physician Overview
How Vernu Visvalingam, MD fits within the Gastroenterology Physician landscape nationally.
16,601
Gastroenterology Physician Providers in US
54
States with Gastroenterology Physician
833
Avg Claims per Provider
Vernu Visvalingam, MD's 729 claims are below the specialty average of 833.
Nearby Gastroenterology Physician Providers in Massachusetts
Other clinicians with the same primary specialty enrolled in Massachusetts, drawn from the same CMS NPPES roster as Visvalingam.
Dr. Robert Aaron
MD
Stoneham, MA
Dr. Michael Aaronson
MD
Beverly, MA
Dr. Diane Abraczinskas
MD
Boston, MA
Dr. Lynne Ahn
MD
Framingham, MA
Dr. Hiroyuki Aihara
M.D.
Boston, MA
Compare Gastroenterology 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 Massachusetts medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Gastroenterology 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.
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Understanding Medicare Claims Data
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How insurance networks affect your costs
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Frequently Asked Questions
What is Vernu Visvalingam, MD's specialty? ▼
Vernu Visvalingam, MD specializes in Gastroenterology Physician and practices in Leominster, Massachusetts. Credentials: MD.
How much does Vernu Visvalingam, MD prescribe under Medicare Part D? ▼
In 2023, Vernu Visvalingam, MD wrote 729 Medicare Part D claims totaling $243K in drug costs for 304 beneficiaries.
Where is Vernu Visvalingam, MD located? ▼
Vernu Visvalingam, MD is located at 105 ERDMAN WAY, Leominster, MA, 01453. Phone: (978) 537-7552.
What is Vernu Visvalingam, MD's NPI number? ▼
Vernu Visvalingam, MD's National Provider Identifier (NPI) is 1396700274, issued on 04/20/2006.
Does Vernu Visvalingam, MD prescribe more brand-name or generic drugs? ▼
Vernu Visvalingam, MD's prescribing is 25% brand-name and 75% generic drugs by claim count, with $211K in brand drug costs.
How many Gastroenterology Physician providers are there in the US? ▼
There are 16,601 Gastroenterology Physician providers across 54 states in the US. The average Gastroenterology Physician provider writes 833 Medicare Part D claims per year.
What drugs does Vernu Visvalingam, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Vernu Visvalingam, MD's most frequently prescribed drugs include Omeprazole, Plenvu, Dicyclomine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Vernu Visvalingam, MD accept Medicare? ▼
Vernu Visvalingam, MD appears in CMS Medicare data with 729 Part D claims and 304 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Vernu Visvalingam, MD's credentials? ▼
Vernu Visvalingam, MD's NPI is 1396700274 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.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.