Doctor profile · Federal record

Dr. Prakash Upreti, MD

Hospitalist Physician (CMS: Hospitalist) · Internal Medicine Physician · Rochester, NY

  • NPI 1003468620
  • Accepts Medicare
  • MIPS 85.3 / 100 · 2023
  • 10 yrs in practice
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
1425 Portland Ave
Rochester, NY 146213011
(295) 029-8769
Mailing address
235 Greystone Ln Apt 6
Rochester, NY 146185126

Credentials & registration

NPPES · NUCC
NPI registered
July 2019 — 7 yrs on file
Profile last updated
September 28, 2022
Year of graduation
2016 — 10 yrs since
Specialty taxonomy
208M00000X — NUCC code
State license (1)
New York #317858

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1003468620. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
381
Distinct HCPCS
4
Medicare allowed
$38,556
HCPCS Description Services Patients Avg allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 179 96 $76
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 122 72 $114
99239 Hospital discharge day management, more than 30 minutes 41 41 $110
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 39 39 $167

In context: peer comparison

Among 94 peers in this city , average services per provider: 90. This provider delivers 4.2× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$285
Transactions
2
Manufacturers
2
Payer (manufacturer) Industry Txns Amount
Edwards Lifesciences Corporation 1 $181.08
Janssen Scientific Affairs, LLC 1 $103.43

By nature of payment

Food and Beverage
$285

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
63
Patients
12
Total drug cost
$6,842
Drug Type Claims Patients Total cost
Metoprolol Succinate Generic 24 12 $365
Spironolactone Generic 15 0 $87
Atorvastatin Calcium Generic 12 0 $119
Eliquis (Apixaban) Brand 12 0 $6,271

Frequently asked questions

Auto-generated from federal data
What is Dr. Prakash Upreti's medical specialty?
Dr. Prakash Upreti practices Hospitalist Physician in Rochester, NY.
Where does Dr. Prakash Upreti practice?
Dr. Prakash Upreti practices at 1425 Portland Ave, Rochester, NY 146213011. Office phone: 2950298769.
What is Dr. Prakash Upreti's NPI?
Dr. Prakash Upreti's National Provider Identifier (NPI) is 1003468620, issued by NPPES.
Does Dr. Prakash Upreti accept Medicare assignment?
Yes. Dr. Prakash Upreti accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Prakash Upreti commonly perform?
Top Medicare-reported procedures in 2023: Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232); Subsequent hospital care with moderate levelof medical decision making (HCPCS 99233); Hospital discharge day management (HCPCS 99239). Source: CMS Medicare Physician & Other Practitioners file.