RAJIV D PANDYA MD
NPI 1255441747
Orthopaedic Surgery in Stockbridge, GA

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment
84.45/100
CMS Quality Rating
1035 SOUTHCREST DR, SUITE 100, STOCKBRIDGE, GA 30281(770) 389-9005(770) 389-5251 Get Directions Write a Review

NPPES record last updated: June 30, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rajiv D Pandya Md NPPES

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

RAJIV D PANDYA MD (NPI 1255441747) is an individual orthopaedic surgery provider in Stockbridge, Georgia, licensed in Georgia (033254) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Cherokee, and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (1987).

NPPES Registry Identity

NPI1255441747
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameRAJIV D PANDYACredential: MD
Location Address1035 SOUTHCREST DR, SUITE 100Stockbridge, GA 30281-6118
Mailing Address1035 Southcrest Dr, Suite 100Stockbridge, GA 30281-6118 · (770) 389-9005 · Fax (770) 389-5251
Fax(770) 389-5251
Sole ProprietorYes
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 1987
Enumeration DateAugust 30, 2006
Last NPPES UpdateJune 30, 2015
NPI 1255441747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in GA · 033254
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
1035 SOUTHCREST DR, Stockbridge, GA 30281

Other Identifiers 2

Medicare UPINF34032GA
Medicare PIN20BDBXSGA

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

Rajiv D Pandya Md 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 ID648289983
PECOS Enrollment IDI20101028000375
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 28

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.

Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg J7320
Genvisc 850 is an injection containing hyaluronan, a substance naturally found in your joints. It helps to lubricate and cushion your joints. This treatment is used to relieve knee pain due to osteoarthritis when other treatments have not worked.
5,825 services48 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
3,297 services149 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
1,381 services120 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
423 services209 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
276 services87 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
196 services141 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northside Hospital Cherokee

Acute Care Hospitals · Canton, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110008
Location450 Northside Cherokee BoulevardCanton, GA 30115 · Cherokee County
Emergency services Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30281 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
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.

84.45/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality50.67
Promoting Interoperability97
Improvement Activities40
Cost100

Reported Quality Measures

Breast Cancer Screening
0%495 patients1/55-star benchmark: 93%
Closing the Referral Loop: Receipt of Specialist Report
38%328 patients2/55-star benchmark: 87%
Documentation of Current Medications in the Medical Record
77%3,355 patients3/55-star benchmark: 100%
e-Prescribing
100%157 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
6%1,640 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
1%2,670 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 1,092 patients
0%1,092 patients
Provide Patients Electronic Access to Their Health Information
83%878 patients4/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 613 patients
Patients totalRate: 1% · 613 patients
1%613 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 7

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

Physician Assistant
1035 SOUTHCREST DR
STOCKBRIDGE, GA 30281
Orthopaedic Surgery
1035 SOUTHCREST DR, SUITE 100
STOCKBRIDGE, GA 30281
Radiology (Diagnostic Radiology)
1035 SOUTHCREST DR, SUITE 120
STOCKBRIDGE, GA 30281
Specialist
1035 SOUTHCREST DR, SUITE 100
STOCKBRIDGE, GA 30281
Internal Medicine
1035 SOUTHCREST DR, STE 200
STOCKBRIDGE, GA 30281
Physician Assistant
1035 SOUTHCREST DR, SUITE 100
STOCKBRIDGE, GA 30281
Orthopaedic Surgery (Sports Medicine)
1035 SOUTHCREST DR, SUITE 100
STOCKBRIDGE, GA 30281

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 Rajiv Pandya's NPI number?

The NPI number for Rajiv Pandya is 1255441747. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Rajiv Pandya located?

Rajiv Pandya practices at 1035 Southcrest Dr Suite 100, Stockbridge, GA 30281. The listed phone number is (770) 389-9005.

What is Rajiv Pandya's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Rajiv Pandya enrolled in Medicare?

Yes. Rajiv Pandya 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.

Is Rajiv Pandya affiliated with any hospitals?

According to CMS data, Rajiv Pandya is affiliated with Northside Hospital Cherokee and Northside Hospital.

When was this NPI record last updated?

The NPPES record for Rajiv Pandya was last updated on June 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.