Doctor profile · Federal record

Dr. Prashant Pandya, MD

Internal Medicine Physician (CMS: Internal Medicine) · West Orange, NJ

  • NPI 1497738876
  • Accepts Medicare
  • 34 yrs in practice
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
449 Mount Pleasant Ave, 1St Floor
West Orange, NJ 070522723
(973) 731-7868
Mailing address
Po Box 416457
Boston, MA 022416457

Credentials & registration

NPPES · NUCC
NPI registered
November 2005 — 21 yrs on file
Profile last updated
November 21, 2016
Year of graduation
1992 — 34 yrs since
Specialty taxonomy
207R00000X — NUCC code
State license (1)
New Jersey #25MA06751300

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1497738876. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
2,036
Distinct HCPCS
10
Medicare allowed
$210,712
HCPCS Description Services Patients Avg allowed
99214 Established patient office or other outpatient visit, 30-39 minutes 750 294 $141
99213 Established patient office or other outpatient visit, 20-29 minutes 353 204 $99
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 253 253 $142
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 234 224 $16
G0444 Annual depression screening, 5 to 15 minutes 177 177 $21
G0008 Administration of influenza virus vaccine 78 77 $34
90662 Influenza vaccine split virus, preservative free 54 54 $72
G0009 Administration of pneumococcal vaccine 35 35 $34
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 34 34 $281
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage 17 17 $76

In context: peer comparison

Among 19 peers in West Orange Internal Medicine Physician, average services per provider: 103. This provider delivers 20× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$318
Transactions
18
Manufacturers
7
Payer (manufacturer) Industry Txns Amount
Novo Nordisk INC 6 $101.86
AstraZeneca Pharmaceuticals Lp 6 $89.65
Merck Sharp & Dohme LLC 2 $45.66
Abbvie INC. 1 $31.41
Dynavax Technologies Corporation 1 $17.63
GlaxoSmithKline, LLC. 1 $17.00
Kowa Pharmaceuticals America, INC. 1 $15.00

By nature of payment

Food and Beverage
$318

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
3,303
Patients
1,036
Total drug cost
$57,342
Drug Type Claims Patients Total cost
Atorvastatin Calcium Generic 570 161 $6,622
Amlodipine Besylate Generic 456 130 $3,735
Rosuvastatin Calcium Generic 367 115 $9,888
Levothyroxine Sodium Generic 287 76 $5,004
Metformin Hcl ER (Metformin Hcl) Brand 240 70 $3,704
Alprazolam Generic 219 63 $2,749
Olmesartan Medoxomil Generic 193 57 $5,510
Ezetimibe Generic 173 53 $6,463
Simvastatin Generic 142 47 $1,845
Valsartan Generic 136 34 $5,127

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Prashant Pandya's medical specialty?
Dr. Prashant Pandya practices Internal Medicine Physician in West Orange, NJ.
Where does Dr. Prashant Pandya practice?
Dr. Prashant Pandya practices at 449 Mount Pleasant Ave, West Orange, NJ 070522723. Office phone: 9737317868.
What is Dr. Prashant Pandya's NPI?
Dr. Prashant Pandya's National Provider Identifier (NPI) is 1497738876, issued by NPPES.
Does Dr. Prashant Pandya accept Medicare assignment?
Yes. Dr. Prashant Pandya accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Prashant Pandya commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99213); Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS G0439). Source: CMS Medicare Physician & Other Practitioners file.