DR. PUSHKAR RAJ PANDEY M.D.
NPI 1477522480
Internal Medicine in Fairfield, CA

Active since March 14, 2006PECOS EnrolledAccepts Medicare Assignment
1200 B GALE WILSON BLVD, FAIRFIELD, CA 94533(707) 429-3600 Get Directions Write a Review

NPPES record last updated: November 13, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Pushkar Raj Pandey M.d. NPPES

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

DR. PUSHKAR RAJ PANDEY M.D. (NPI 1477522480) is an individual internal medicine provider in Fairfield, California, licensed in California (C51295) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1989).

NPPES Registry Identity

NPI1477522480
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. PUSHKAR RAJ PANDEYCredential: M.D.
Location Address1200 B GALE WILSON BLVDFairfield, CA 94533-3552
Mailing Address1525 Webster St, Suite AFairfield, CA 94533-4997 · (707) 423-2510 · Fax (707) 425-4236
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateMarch 14, 2006
Last NPPES UpdateNovember 13, 2007
NPI 1477522480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CA · C51295
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1200 B GALE WILSON BLVD, Fairfield, CA 94533

Other Identifiers 3

Medicaid00C512950CA
Medicare PIN00C512951
Medicare UPINH62484

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. Pushkar Raj Pandey 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 ID5991778094
PECOS Enrollment IDI20040817000750
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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
734 services268 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
268 services136 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
228 services218 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94533 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
$145.83 typical visit price
range $65.02 – $191.95
Typical copayment $36.45 (range $16.25 – $47.98)
Most-billed visit code 99204
Established Patient
$113.05 typical visit price
range $21.86 – $157.69
Typical copayment $28.26 (range $5.46 – $39.42)
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.

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%326 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.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers15 claims15 services$16.30 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers64 claims64 services$4.41 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
3 suppliers13 claims13 services$41.75 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers25 claims25 services$81.38 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers22 claims22 services$19.89 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 20

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

Anesthesiology
1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533
Anesthesiology
1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533
Emergency Medicine
1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533
Emergency Medicine
1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533
Registered Nurse
1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533
Registered Nurse
1200 B GALE WILSON BLVD, LINDA PRYOR, CORPORATE COMPLIANCE
FAIRFIELD, CA 94533
Nurse Practitioner (Acute Care)
1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533
Dietitian, Registered
1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533

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 Pushkar Pandey's NPI number?

The NPI number for Pushkar Pandey is 1477522480. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Where is Pushkar Pandey located?

Pushkar Pandey practices at 1200 B Gale Wilson Blvd, Fairfield, CA 94533. The listed phone number is (707) 429-3600.

What is Pushkar Pandey's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Pushkar Pandey enrolled in Medicare?

Yes. Pushkar 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.

When was this NPI record last updated?

The NPPES record for Pushkar Pandey was last updated on November 13, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.