2026 NPPES data Nephrology Physician NPI 1942676267 MD
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VIPULKUMAR BHALARA, MD

Nephrology Physician in WAYNE, New Jersey. 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
378
Medicare Part D claims · 63 beneficiaries · Nephrology Physician avg: 1K
Generic prescribing
65%
generic claims · 35% brand-name · higher generic rates reduce patient out-of-pocket costs
What the federal data reveals: VIPULKUMAR BHALARA, MD is a Nephrology Physician ([object Object]) practicing in WAYNE, New Jersey with a Medicare Part D prescribing footprint of 378 claims across 63 beneficiaries — 35% brand-name prescribing .

What stands out: VIPULKUMAR BHALARA, MD filed 378 Medicare Part D claims in 2023 across WAYNE, New Jersey. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

VIPULKUMAR BHALARA, 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).

VIPULKUMAR BHALARA, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 08/20/2015

NPI 1942676267

Primary specialty

Nephrology Physician

Mid-sized

10,534 US NPIs in this specialty

Medicare Part D claims

378 74% vs specialty avg

2023 prescription claims

Specialty avg: 1,454

Specialty distribution in New Jersey

How Nephrology Physician compares to other specialties among New Jersey providers

New Jersey providers

Nephrology Physician share within New Jersey

1. Nephrology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Nephrology Physician share within New Jersey

Specialty board-certification context

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

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

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

0%100%78%
Est. board-certified rate (Nephrology 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).

VIPULKUMAR BHALARA, MD is a Nephrology Physician provider practicing in WAYNE, New Jersey, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1942676267. 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.

VIPULKUMAR BHALARA, MD appears in the CMS NPPES registry as a Nephrology Physician provider holding MD credentials at 246 HAMBURG TPKE STE 207, WAYNE, NJ, 07470, with a listed phone of (973) 653-3366. NPI 1942676267 was issued on 08/20/2015. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BHALARA 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 378 prescription claims written by this provider, covering 63 Medicare beneficiaries and totaling roughly $38K in drug spend, split 35% brand-name and 65% 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.

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

246 HAMBURG TPKE STE 207
WAYNE, NJ 07470

Provider Details

NPI 1942676267
Specialty Nephrology Physician
Credentials MD
Gender Male
NPI Issued 08/20/2015

Hospital and facility affiliations

Facilities where VIPULKUMAR BHALARA, 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.

NORTH JERSEY NEPHROLOGY ASSOC. PA
WAYNE, NJ

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

Brand vs generic prescribing mix · Above average

VIPULKUMAR BHALARA, MD — brand share 35.0%
Specialty average (est.)

35% brand-name claims vs 65% generic, on 378 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.

378
Total Claims
$38K
Total Drug Cost
63
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
609
Total Day Supply
15,926
Brand vs Generic
35% brand / 65% generic
Brand Drug Cost
$25K
Generic Drug Cost
$13K

Patient Demographics

Average Patient Age
66.2 years
Avg HCC Risk Score
9.09
Gender Split
46% female / 54% male
Age Distribution
<65: 21, 65-74: 23, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Prosol
Parenteral Amino Acid 20% No.1
86
Sevelamer Carbonate
40
Lisinopril
25
Amlodipine Besylate
21
Calcium Acetate
17
Furosemide
15
Lanthanum Carbonate
15
Labetalol Hcl
12
Nifedipine Er
Nifedipine
12
Hydralazine Hcl
11

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

Nephrology Physician Overview

How VIPULKUMAR BHALARA, 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

VIPULKUMAR BHALARA, MD's 378 claims are below the specialty average of 1,454.

Nearby Nephrology Physician Providers in New Jersey

Other clinicians with the same primary specialty enrolled in New Jersey, drawn from the same CMS NPPES roster as BHALARA.

Compare Nephrology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is VIPULKUMAR BHALARA, MD's specialty?
VIPULKUMAR BHALARA, MD specializes in Nephrology Physician and practices in WAYNE, New Jersey. Credentials: MD.
How much does VIPULKUMAR BHALARA, MD prescribe under Medicare Part D?
In 2023, VIPULKUMAR BHALARA, MD wrote 378 Medicare Part D claims totaling $38K in drug costs for 63 beneficiaries.
Where is VIPULKUMAR BHALARA, MD located?
VIPULKUMAR BHALARA, MD is located at 246 HAMBURG TPKE STE 207, WAYNE, NJ, 07470. Phone: (973) 653-3366.
What is VIPULKUMAR BHALARA, MD's NPI number?
VIPULKUMAR BHALARA, MD's National Provider Identifier (NPI) is 1942676267, issued on 08/20/2015.
Does VIPULKUMAR BHALARA, MD prescribe more brand-name or generic drugs?
VIPULKUMAR BHALARA, MD's prescribing is 35% brand-name and 65% generic drugs by claim count, with $25K 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 VIPULKUMAR BHALARA, MD prescribe most often?
Based on 2023 Medicare Part D data, VIPULKUMAR BHALARA, MD's most frequently prescribed drugs include Prosol, Sevelamer Carbonate, Lisinopril. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does VIPULKUMAR BHALARA, MD accept Medicare?
VIPULKUMAR BHALARA, MD appears in CMS Medicare data with 378 Part D claims and 63 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify VIPULKUMAR BHALARA, MD's credentials?
VIPULKUMAR BHALARA, MD's NPI is 1942676267 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