Doctor profile · Federal record
Dr. Umang Barvalia, MBBS
Pulmonary Disease Physician (CMS: Pulmonary Disease) · Student in an Organized Health Care Education/Training Program · Madison, WI
- NPI 1578827242
- Accepts Medicare
- MIPS 74.2 / 100 · 2023
- 16 yrs in practice
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
600 Highland Ave
Madison, WI 537920001
(608) 263-8023
Credentials & registration
- NPI registered
- June 2012 — 14 yrs on file
- Profile last updated
- January 6, 2017
- Year of graduation
- 2010 — 16 yrs since
- Specialty taxonomy
- 207RP1001X — NUCC code
- State license (1)
- Wisconsin #61411-20
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1578827242. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
420
Distinct HCPCS
9
Medicare allowed
$62,261
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99291 |
Critical care, first 30-74 minutes | 173 | 67 | $240 | |
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 69 | 55 | $137 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 49 | 46 | $76 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 35 | 32 | $113 | |
94726 |
Test to determine lung volumes using sensors | 22 | 22 | $14 | |
94729 |
Test to examine how well the lungs exchange gases | 22 | 22 | $10 | |
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 18 | 17 | $149 | |
94010 |
Test to measure expiratory airflow and volume | 16 | 16 | $9 | |
94060 |
Test to measure expiratory airflow and volume changes before and after medication administration | 16 | 16 | $12 |
In context: peer comparison
Among 23 peers in this city , average services per provider: 47. This provider delivers 8.9× the peer median.Open Payments
Industry payments received
All-time total
$40
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Actelion Pharmaceuticals US, Inc. | 1 | $23.44 | |
| Insmed, Inc. | 1 | $16.24 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
367
Patients
91
Total drug cost
$252,324
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Advair Diskus (Fluticasone Propion/Salmeterol) | Brand | 73 | 18 | $47,392 |
| Albuterol Sulfate Hfa (Albuterol Sulfate) | Brand | 50 | 18 | $2,336 |
| Symbicort (Budesonide/Formoterol Fumarate) | Brand | 45 | 11 | $21,111 |
| Ventolin Hfa (Albuterol Sulfate) | Brand | 43 | 21 | $3,025 |
| Nucala (Mepolizumab) | Brand | 34 | 0 | $132,755 |
| Spiriva Handihaler (Tiotropium Bromide) | Brand | 28 | 0 | $16,751 |
| Atrovent Hfa (Ipratropium Bromide) | Brand | 24 | 0 | $10,693 |
| Fluticasone Propionate | Generic | 19 | 11 | $296 |
| Incruse Ellipta (Umeclidinium Bromide) | Brand | 18 | 0 | $14,439 |
| Prednisone | Generic | 18 | 12 | $132 |
Frequently asked questions
What is Dr. Umang Barvalia's medical specialty?
Dr. Umang Barvalia practices Pulmonary Disease Physician in Madison, WI.
Where does Dr. Umang Barvalia practice?
Dr. Umang Barvalia practices at 600 Highland Ave, Madison, WI 537920001. Office phone: 6082638023.
What is Dr. Umang Barvalia's NPI?
Dr. Umang Barvalia's National Provider Identifier (NPI) is 1578827242, issued by NPPES.
Does Dr. Umang Barvalia accept Medicare assignment?
Yes. Dr. Umang Barvalia accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Umang Barvalia commonly perform?
Top Medicare-reported procedures in 2023: Critical care (HCPCS 99291); Subsequent hospital care with moderate levelof medical decision making (HCPCS 99233); Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.