VIGHNESH WALAVALKAR M.D.
NPI 1215201983
Pathology - Anatomic Pathology & Clinical Pathology in La Jolla, CA

Active since February 28, 2012PECOS EnrolledAccepts Medicare Assignment
74.46/100
CMS Quality Rating
9500 GILMAN DR, LA JOLLA, CA 92093(858) 534-0455 Get Directions Write a Review

NPPES record last updated: January 15, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Vighnesh Walavalkar M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VIGHNESH WALAVALKAR M.D. (NPI 1215201983) is an individual anatomic pathology & clinical pathology provider in La Jolla, California, licensed in California (A118337) and active in the NPI registry since February 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1215201983
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameVIGHNESH WALAVALKARCredential: M.D.
Location Address9500 GILMAN DRLa Jolla, CA 92093-5004
Mailing Address18503 Linda CirCerritos, CA 90703-6355
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateFebruary 28, 2012
Last NPPES UpdateJanuary 15, 2016
NPI 1215201983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License Licensed in CA · A118337
Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

9500 GILMAN DR, La Jolla, CA 92093

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Vighnesh Walavalkar M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID244522506
PECOS Enrollment IDI20160706001548
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 15

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Antibody evaluation, each additional single antibody stain procedure 88350
An antibody evaluation involves testing a sample of your body fluid (like blood) to identify specific antibodies. Each additional single antibody stain procedure is a separate test for another specific antibody. This helps in diagnosing various health conditions by understanding your body's immune response.
693 services82 patients
Cell examination of specimen, selective cellular enhancement technique 88112
Cell examination of a specimen using selective cellular enhancement technique is a lab process that improves the visibility of certain cells in a sample. It helps in identifying abnormalities or diseases. The process is non-invasive, safe, and aids in accurate diagnosis.
310 services287 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
254 services212 patients
Special stained specimen slides to examine tissue including interpretation and report 88313
Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.
239 services92 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
185 services40 patients
Evaluation of fine needle aspirate with interpretation and report 88173
This procedure involves using a thin needle to collect a small sample from an abnormal area or lump. The sample is then examined under a microscope to identify any potential issues. A report of the findings is provided for further analysis.
127 services91 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92093 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

74.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability76
Improvement Activities40
Cost46.68

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Diagnostic Radiology)
9500 GILMAN DR
LA JOLLA, CA 92093
Nurse Practitioner (Adult Health)
9500 GILMAN DR
LA JOLLA, CA 92093
Radiology (Diagnostic Radiology)
9500 GILMAN DR
LA JOLLA, CA 92093
Internal Medicine
9500 GILMAN DR, MAIL CODE 9111-H
LA JOLLA, CA 92093
Nurse Practitioner (Adult Health)
9500 GILMAN DR, # 0039
LA JOLLA, CA 92093
Specialist/Technologist (Athletic Trainer)
9500 GILMAN DR, MC0529
LA JOLLA, CA 92093
Orthopaedic Surgery
9500 GILMAN DR
LA JOLLA, CA 92093
Student in an Organized Health Care Education/Training Program
9500 GILMAN DR
LA JOLLA, CA 92093

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vighnesh Walavalkar's NPI number?

The NPI number for Vighnesh Walavalkar is 1215201983. It was assigned to this individual provider in the NPPES registry on February 28, 2012.

Where is Vighnesh Walavalkar located?

Vighnesh Walavalkar practices at 9500 Gilman Dr, La Jolla, CA 92093. The listed phone number is (858) 534-0455.

What is Vighnesh Walavalkar's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Vighnesh Walavalkar enrolled in Medicare?

Yes. Vighnesh Walavalkar is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Vighnesh Walavalkar was last updated on January 15, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.