Doctor profile · Federal record
Dr. Vivek Sambhara, M.D.
Pulmonary Disease Physician (CMS: Pulmonary Disease) · Internal Medicine Physician · Critical Care Medicine (Internal Medicine) Physician · Student in an Organized Health Care Education/Training Program · Gainesville, GA
- NPI 1093005852
- Accepts Medicare
- MIPS 82.8 / 100 · 2023
- 15 yrs in practice
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
1240 Jesse Jewell Pkwy Se Ste 500
Gainesville, GA 305013861
(770) 536-9864
fax (770) 297-5023
Credentials & registration
- NPI registered
- April 2011 — 15 yrs on file
- Profile last updated
- January 6, 2025
- Year of graduation
- 2011 — 15 yrs since
- Specialty taxonomy
- 207RP1001X — NUCC code
- State license (1)
- Alabama #36045
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1093005852. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
3,191
Distinct HCPCS
10
Medicare allowed
$183,191
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 674 | 330 | $119 | |
94664 |
Evaluation of use of breathing device | 483 | 228 | $15 | |
36415 |
Insertion of needle into vein for collection of blood sample | 260 | 198 | $8 | |
85025 |
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 234 | 188 | $8 | |
80053 |
Blood test, comprehensive group of blood chemicals | 220 | 179 | $10 | |
94060 |
Test to measure expiratory airflow and volume changes before and after medication administration | 194 | 175 | $34 | |
94726 |
Test to determine lung volumes using sensors | 194 | 175 | $49 | |
94729 |
Test to examine how well the lungs exchange gases | 192 | 173 | $51 | |
99497 |
Advance care planning, first 30 minutes | 139 | 139 | $79 | |
99205 |
New patient office or other outpatient visit, 60-74 minutes | 133 | 133 | $207 |
In context: peer comparison
Among 6 peers in Gainesville Pulmonary Disease Physician, average services per provider: 81. This provider delivers 39× the peer median.Open Payments
Industry payments received
All-time total
$92,065
Transactions
89
Manufacturers
8
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| GlaxoSmithKline, LLC. | 27 | $38,306.24 | |
| AstraZeneca Pharmaceuticals Lp | 25 | $25,548.50 | |
| Regeneron Healthcare Solutions, INC. | 11 | $15,792.29 | |
| Genzyme Corporation | 17 | $12,106.77 | |
| United Therapeutics Corporation | 1 | $124.99 | |
| Takeda Pharmaceuticals U.S.A., INC. | 1 | $110.42 | |
| Amgen INC. | 5 | $54.49 | |
| Electromed, INC. | 2 | $21.69 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
3,606
Patients
1,037
Total drug cost
$3,205,037
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Trelegy Ellipta (Fluticasone/Umeclidin/Vilanter) | Brand | 1,139 | 254 | $1,152,215 |
| Albuterol Sulfate Hfa (Albuterol Sulfate) | Brand | 648 | 217 | $30,809 |
| Montelukast Sodium | Generic | 620 | 158 | $7,147 |
| Prednisone | Generic | 194 | 112 | $660 |
| Nucala (Mepolizumab) | Brand | 192 | 21 | $791,718 |
| Breo Ellipta (Fluticasone/Vilanterol) | Brand | 159 | 40 | $99,263 |
| Azithromycin | Generic | 101 | 58 | $2,444 |
| Anoro Ellipta (Umeclidinium Brm/Vilanterol Tr) | Brand | 97 | 28 | $63,642 |
| Ventolin Hfa (Albuterol Sulfate) | Brand | 95 | 24 | $8,817 |
| Breztri Aerosphere (Budesonide/Glycopyr/Formoterol) | Brand | 88 | 25 | $82,180 |
Frequently asked questions
What is Dr. Vivek Sambhara's medical specialty?
Dr. Vivek Sambhara practices Pulmonary Disease Physician in Gainesville, GA.
Where does Dr. Vivek Sambhara practice?
Dr. Vivek Sambhara practices at 1240 Jesse Jewell Pkwy Se Ste 500, Gainesville, GA 305013861. Office phone: 7705369864.
What is Dr. Vivek Sambhara's NPI?
Dr. Vivek Sambhara's National Provider Identifier (NPI) is 1093005852, issued by NPPES.
Does Dr. Vivek Sambhara accept Medicare assignment?
Yes. Dr. Vivek Sambhara accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Vivek Sambhara commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Evaluation of use of breathing device (HCPCS 94664); Insertion of needle into vein for collection of blood sample (HCPCS 36415). Source: CMS Medicare Physician & Other Practitioners file.