Doctor profile · Federal record
Dr. Ajay Verma, MD
Pulmonary Disease Physician (CMS: Pulmonary Disease) · Decatur, IL
- NPI 1285609321
- Accepts Medicare
- MIPS 67.2 / 100 · 2023
- 40 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
2300 N Edward St
Decatur, IL 625264163
(217) 876-4200
fax (217) 876-4209
Credentials & registration
- NPI registered
- February 2006 — 20 yrs on file
- Profile last updated
- December 2, 2020
- Year of graduation
- 1986 — 40 yrs since
- Specialty taxonomy
- 207RP1001X — NUCC code
- State license (1)
- Illinois #036111194
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1285609321. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,284
Distinct HCPCS
10
Medicare allowed
$114,437
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 265 | 126 | $118 | |
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 184 | 105 | $77 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 159 | 148 | $96 | |
99291 |
Critical care, first 30-74 minutes | 130 | 70 | $214 | |
94729 |
Test to examine how well the lungs exchange gases | 96 | 95 | $9 | |
94726 |
Test to determine lung volumes using sensors | 95 | 94 | $12 | |
94010 |
Test to measure expiratory airflow and volume | 76 | 76 | $8 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 75 | 74 | $65 | |
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 66 | 63 | $170 | |
94618 |
Test for exercise-induced lung stress | 62 | 60 | $22 |
In context: peer comparison
Among 4 peers in this city , average services per provider: 101. This provider delivers 13× the peer median.Open Payments
Industry payments received
All-time total
$24
Transactions
5
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Electromed, Inc. | 5 | $24.43 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
808
Patients
174
Total drug cost
$284,425
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Albuterol Sulfate Hfa (Albuterol Sulfate) | Brand | 145 | 46 | $5,296 |
| Incruse Ellipta (Umeclidinium Bromide) | Brand | 109 | 22 | $48,694 |
| Symbicort (Budesonide/Formoterol Fumarate) | Brand | 101 | 28 | $46,765 |
| Trelegy Ellipta (Fluticasone/Umeclidin/Vilanter) | Brand | 91 | 21 | $68,577 |
| Ventolin Hfa (Albuterol Sulfate) | Brand | 64 | 18 | $4,361 |
| Breo Ellipta (Fluticasone/Vilanterol) | Brand | 61 | 18 | $33,073 |
| Montelukast Sodium | Generic | 53 | 21 | $840 |
| Advair Diskus (Fluticasone Propion/Salmeterol) | Brand | 34 | 0 | $19,050 |
| Anoro Ellipta (Umeclidinium Brm/Vilanterol Tr) | Brand | 33 | 0 | $17,943 |
| Spiriva Handihaler (Tiotropium Bromide) | Brand | 30 | 0 | $28,219 |
Frequently asked questions
What is Dr. Ajay Verma's medical specialty?
Dr. Ajay Verma practices Pulmonary Disease Physician in Decatur, IL.
Where does Dr. Ajay Verma practice?
Dr. Ajay Verma practices at 2300 N Edward St, Decatur, IL 625264163. Office phone: 2178764200.
What is Dr. Ajay Verma's NPI?
Dr. Ajay Verma's National Provider Identifier (NPI) is 1285609321, issued by NPPES.
Does Dr. Ajay Verma accept Medicare assignment?
Yes. Dr. Ajay Verma accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Ajay Verma commonly perform?
Top Medicare-reported procedures in 2023: Subsequent hospital care with moderate levelof medical decision making (HCPCS 99233); Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232); Established patient office or other outpatient visit (HCPCS 99214). Source: CMS Medicare Physician & Other Practitioners file.