DR. HEMANT K PANDEY MD
NPI 1275535403
Psychiatry & Neurology - Neurology in Chandler, AZ

Active since June 01, 2005PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
4045 W CHANDLER BLVD BLDG F, CHANDLER, AZ 85226(480) 917-3706(480) 353-2066 Get Directions Write a Review

NPPES record last updated: May 5, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 5, 2020, Jan 23, 2020, Jan 31, 2019 and 2 more (5 updates tracked since 2016).

About Dr. Hemant K Pandey Md NPPES

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

DR. HEMANT K PANDEY MD (NPI 1275535403) is an individual neurology provider in Chandler, Arizona, licensed in Arizona (42025) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Presbyterian Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1275535403
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. HEMANT K PANDEYCredential: MD
Location Address4045 W CHANDLER BLVD BLDG FChandler, AZ 85226-3732
Mailing Address4045 W Chandler Blvd Bldg FChandler, AZ 85226-3732 · (480) 917-3706 · Fax (480) 353-2066
Fax(480) 353-2066
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateJune 1, 2005
Last NPPES UpdateMay 5, 20205 updates tracked since enumeration
NPPES CertifiedMay 5, 2020
NPI 1275535403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in AZ · 42025
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedPsychiatry & Neurology · Clinical NeurophysiologyTaxonomy 2084N0600X · License 42025 (AZ)
Also ListedPsychiatry & Neurology · Vascular NeurologyTaxonomy 2084V0102X · License 42025 (AZ)
4045 W CHANDLER BLVD BLDG F, Chandler, AZ 85226

Secondary Practice Locations 2

Location 11760 E Florence Blvd Ste 250Casa Grande, AZ 85122-4769 · Phone (480) 917-3706
Location 23124 Willow Creek RdPrescott, AZ 86301-6610 · Phone (480) 917-3706 · Fax (480) 353-2066

Other Identifiers 1

Medicaid500621AZ

Accepted Insurance

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

Dr. Hemant K Pandey 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 ID8527038090
PECOS Enrollment IDI20100528000213
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 30

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.

Administration of psychological or neuropsychological test by technician, each additional 30 minutes 96139
This service involves a technician administering additional psychological or neuropsychological testing. Each session lasts for an extra 30 minutes. These tests assess cognitive abilities, such as memory, attention, and problem-solving skills, to aid in diagnosing or monitoring mental health conditions.
1,527 services218 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
1,019 services573 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
850 services57 patients
Evaluation of neuropsychological test, each additional hour 96133
This service involves further evaluation of your neuropsychological test results beyond the initial hour. It helps to understand your cognitive functioning better, focusing on areas like memory, attention, and problem-solving skills.
811 services223 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
582 services44 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
468 services468 patients

Hospital Affiliations CMS Care Compare

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

Presbyterian Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320021
Location1100 Central Avenue SEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85226 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
97%1,637 patients4/55-star benchmark: 100%
Dementia: Caregiver Education and Support
Percentage of patients with dementia whose caregiver(s)* were provided with education** on dementia disease management and health behavior changes AND were referred to additional resources*** for support in the last 12 months
33%388 patients2/55-star benchmark: 100%
Dementia: Functional Status Assessment
Percentage of patients with dementia for whom an assessment of functional status* was performed at least once in the last 12 months
54%391 patients3/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%6,498 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
78%1,835 patients3/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
8%105 patients1/55-star benchmark: 98%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
90%189 patients4/55-star benchmark: 100%
Medication Reconciliation Post-Discharge
The percentage of discharges from any inpatient facility (e.g. hospital, skilled nursing facility, or rehabilitation facility) for patients 18 years and older of age seen within 30 days following discharge in the office by the physician, prescribing…
Patients 65+: 98% · 62 patients
99%68 patients
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
23%1,066 patients1/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
32%154 patients2/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
60%1,768 patients3/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
85%1,066 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
24%1,066 patients2/55-star benchmark: 79%
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.

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
5 suppliers25 claims25 services$35.78 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers35 claims35 services$76.41 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
5 suppliers34 claims99 services$28.64 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
6 suppliers26 claims26 services$16.39 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
4 suppliers19 claims19 services$10.07 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
7 suppliers39 claims234 services$1.89 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

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

Psychiatry & Neurology (Neurology)
4045 W CHANDLER BLVD BLDG F
CHANDLER, AZ 85226
Nurse Practitioner (Family)
4045 W CHANDLER BLVD BLDG F
CHANDLER, AZ 85226
Nurse Practitioner (Family)
4045 W CHANDLER BLVD BLDG F
CHANDLER, AZ 85226
Nurse Practitioner (Family)
4045 W CHANDLER BLVD BLDG F
CHANDLER, AZ 85226
Nurse Practitioner (Family)
4045 W CHANDLER BLVD BLDG F
CHANDLER, AZ 85226
Psychiatry & Neurology (Neurology)
4045 W CHANDLER BLVD BLDG F
CHANDLER, AZ 85226
Nurse Practitioner (Family)
4045 W CHANDLER BLVD BLDG F
CHANDLER, AZ 85226
Nurse Practitioner (Family)
4045 W CHANDLER BLVD BLDG F
CHANDLER, AZ 85226

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 Hemant Pandey's NPI number?

The NPI number for Hemant Pandey is 1275535403. It was assigned to this individual provider in the NPPES registry on June 1, 2005.

Where is Hemant Pandey located?

Hemant Pandey practices at 4045 W Chandler Blvd Bldg F, Chandler, AZ 85226. The listed phone number is (480) 917-3706.

What is Hemant Pandey's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Hemant Pandey enrolled in Medicare?

Yes. Hemant Pandey 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.

What insurance does Hemant Pandey accept?

Health plans from Ambetter from Arizona Complete Health and UnitedHealthcare list Hemant Pandey as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Hemant Pandey affiliated with any hospitals?

According to CMS data, Hemant Pandey is affiliated with Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Hemant Pandey was last updated on May 5, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.