DR. VANDANA DUGGAL M.D.
NPI 1649449604
Family Medicine in Pleasanton, CA

Active since February 25, 2008PECOS EnrolledAccepts Medicare Assignment
85.73/100
CMS Quality Rating
5860 OWENS DR, STE 210, PLEASANTON, CA 94588(925) 224-0740(925) 224-0741 Get Directions Write a Review

NPPES record last updated: November 22, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Vandana Duggal M.d. NPPES

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

DR. VANDANA DUGGAL M.D. (NPI 1649449604) is an individual family medicine provider in Pleasanton, California, licensed in California (A110383) and active in the NPI registry since February 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1649449604
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. VANDANA DUGGALCredential: M.D.
Location Address5860 OWENS DR, STE 210Pleasanton, CA 94588-3900
Mailing Address1450 Treat Blvd, Ste 300Walnut Creek, CA 94597-2168
Fax(925) 224-0741
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateFebruary 25, 2008
Last NPPES UpdateNovember 22, 2016
NPI 1649449604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · A110383
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5860 OWENS DR, Pleasanton, CA 94588

Other Identifiers 2

OtherP01119468CA · Railroad Medicare
Medicare PINDB685ZCA

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. Vandana Duggal 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 ID6406985431
PECOS Enrollment IDI20100528000603
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 13

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.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
840 services11 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.
378 services158 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.
169 services127 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
101 services101 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
42 services41 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
37 services37 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94588 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

85.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.68
Promoting Interoperability99
Improvement Activities40
Cost70.58

Reported Quality Measures

Appropriate Testing for Pharyngitis
94%33 patients4/55-star benchmark: 100%
Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture
Lower rates are better for this measure.
3%132 patients
Breast Cancer Screening
82%369 patients4/55-star benchmark: 93%
Cervical Cancer Screening
59%711 patients3/55-star benchmark: 98%
Chlamydia Screening for Women
21%56 patients
Colorectal Cancer Screening
66%756 patients4/55-star benchmark: 88%
Controlling High Blood Pressure
88%333 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
19%136 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
24%136 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
96%3,041 patients4/55-star benchmark: 100%
e-Prescribing
99%1,774 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
63%332 patients3/55-star benchmark: 100%
HIV Screening
23%1,258 patients2/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
45%1,369 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
59%1,201 patients3/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 79% · 1,068 patients
Patients screened: 81% · 1,068 patients
25%36 patients2/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
100%608 patients5/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
73%303 patients3/55-star benchmark: 91%
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 4

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

Family Medicine
5860 OWENS DR, SUITE 210
PLEASANTON, CA 94588
Internal Medicine
5860 OWENS DR, STE 220
PLEASANTON, CA 94588
Family Medicine
5860 OWENS DR, STE 210
PLEASANTON, CA 94588
Pediatrics
5860 OWENS DR
PLEASANTON, CA 94588

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 Vandana Duggal's NPI number?

The NPI number for Vandana Duggal is 1649449604. It was assigned to this individual provider in the NPPES registry on February 25, 2008.

Where is Vandana Duggal located?

Vandana Duggal practices at 5860 Owens Dr Ste 210, Pleasanton, CA 94588. The listed phone number is (925) 224-0740.

What is Vandana Duggal's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Vandana Duggal enrolled in Medicare?

Yes. Vandana Duggal 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 Vandana Duggal was last updated on November 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.