Doctor profile · Federal record
Dr. Santosh Vaghela, M.D.
Pulmonary Disease Physician (CMS: Critical Care (Intensivists)) · Internal Medicine Physician · Critical Care Medicine (Internal Medicine) Physician · Pulmonary Disease Physician · Hospitalist Physician · Student in an Organized Health Care Education/Training Program · Saratoga Springs, NY
- NPI 1699186718
- Accepts Medicare
- MIPS 65.4 / 100 · 2023
- 12 yrs in practice
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 3 locations .
- Primary practice
-
19 West Ave Ste 101
Saratoga Springs, NY 128666052
(518) 693-4635
fax (518) 682-3001 - Additional location
-
161 Carey RD Bldg 2
Queensbury, NY 128047821
(518) 932-0242 - Additional location
-
8 Medical Park Dr Ste 202
Malta, NY 120205050 - Mailing address
-
Po Box 412655
Boston, MA 022412655
Credentials & registration
- NPI registered
- May 2014 — 12 yrs on file
- Profile last updated
- July 14, 2021
- Year of graduation
- 2014 — 12 yrs since
- Specialty taxonomy
- 207RP1001X — NUCC code
- State licenses (2)
- New York #308203 · Connecticut #61373
- Medicaid
- NY #05416688
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1699186718. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,111
Distinct HCPCS
10
Medicare allowed
$128,002
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 245 | 170 | $103 | |
99291 |
Critical care, first 30-74 minutes | 186 | 89 | $207 | |
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 159 | 107 | $116 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 105 | 105 | $145 | |
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 64 | 62 | $169 | |
99441 |
Telephone medical discussion with physician, 5-10 minutes | 48 | 39 | $34 | |
94010 |
Test to measure expiratory airflow and volume | 43 | 43 | $15 | |
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 33 | 23 | $159 | |
94727 |
Test to determine lung volumes using gas dilution or washout | 29 | 29 | $12 | |
94729 |
Test to examine how well the lungs exchange gases | 29 | 29 | $9 |
In context: peer comparison
Among 3 peers in this city , average services per provider: 82. This provider delivers 14× the peer median.Open Payments
Industry payments received
All-time total
$608
Transactions
29
Manufacturers
6
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| GlaxoSmithKline, LLC. | 16 | $315.22 | |
| HARMONY BIOSCIENCES LLC | 4 | $131.89 | |
| GENZYME CORPORATION | 3 | $64.73 | |
| AstraZeneca Pharmaceuticals LP | 3 | $59.57 | |
| Novo Nordisk Inc | 1 | $18.46 | |
| Harmony Biosciences Llc | 2 | $17.65 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
1,311
Patients
466
Total drug cost
$1,014,487
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Trelegy Ellipta (Fluticasone/Umeclidin/Vilanter) | Brand | 413 | 126 | $504,371 |
| Breztri Aerosphere (Budesonide/Glycopyr/Formoterol) | Brand | 180 | 51 | $200,561 |
| Albuterol Sulfate Hfa (Albuterol Sulfate) | Brand | 145 | 72 | $7,034 |
| Anoro Ellipta (Umeclidinium Brm/Vilanterol Tr) | Brand | 119 | 45 | $111,943 |
| Prednisone | Generic | 92 | 60 | $655 |
| Montelukast Sodium | Generic | 89 | 30 | $991 |
| Breo Ellipta (Fluticasone/Vilanterol) | Brand | 53 | 21 | $42,292 |
| Azithromycin | Generic | 35 | 23 | $268 |
| Wixela Inhub (Fluticasone Propion/Salmeterol) | Brand | 33 | 0 | $11,366 |
| Symbicort (Budesonide/Formoterol Fumarate) | Brand | 31 | 14 | $28,198 |
Frequently asked questions
What is Dr. Santosh Vaghela's medical specialty?
Dr. Santosh Vaghela practices Pulmonary Disease Physician in Saratoga Springs, NY.
Where does Dr. Santosh Vaghela practice?
Dr. Santosh Vaghela practices at 19 West Ave Ste 101, Saratoga Springs, NY 128666052. Office phone: 5186934635.
What is Dr. Santosh Vaghela's NPI?
Dr. Santosh Vaghela's National Provider Identifier (NPI) is 1699186718, issued by NPPES.
Does Dr. Santosh Vaghela accept Medicare assignment?
Yes. Dr. Santosh Vaghela accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Santosh Vaghela commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Critical care (HCPCS 99291); Subsequent hospital care with moderate levelof medical decision making (HCPCS 99233). Source: CMS Medicare Physician & Other Practitioners file.