DR. PRAMIL BABU VAGHASIA MD
NPI 1861798332
Internal Medicine - Pulmonary Disease in Bakersfield, CA

Active since February 01, 2011PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
8333 BRIMHALL RD BLDG 1000, BAKERSFIELD, CA 93312(661) 695-6777(661) 695-6767 Get Directions Write a Review

NPPES record last updated: November 12, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 12, 2024, Mar 17, 2018, Mar 4, 2018 and 4 more (7 updates tracked since 2015).

About Dr. Pramil Babu Vaghasia Md NPPES

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

DR. PRAMIL BABU VAGHASIA MD (NPI 1861798332) is an individual pulmonary disease provider in Bakersfield, California, licensed in California (A137848) and active in the NPI registry since February 2011. He is enrolled in Medicare PECOS, maintains a secondary practice location in Delano, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1861798332
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. PRAMIL BABU VAGHASIACredential: MD
Location Address8333 BRIMHALL RD BLDG 1000Bakersfield, CA 93312-2243
Mailing Address8333 Brimhall Rd Bldg 1000Bakersfield, CA 93312-2243 · (661) 695-6777 · Fax (661) 695-6767
Fax(661) 695-6767
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateFebruary 1, 2011
Last NPPES UpdateNovember 12, 20247 updates tracked since enumeration
NPPES CertifiedNovember 12, 2024
NPI 1861798332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in CA · A137848
Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal MedicineTaxonomy 207R00000X · License A137848 (CA)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License A137848 (CA)
8333 BRIMHALL RD BLDG 1000, Bakersfield, CA 93312

Secondary Practice Location 1

Location 11205 Garces Hwy Ste 203Delano, CA 93215-3658 · Phone (661) 725-6910 · Fax (661) 725-6912

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. Pramil Babu Vaghasia 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 ID8820269566
PECOS Enrollment IDI20160215002731
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 19

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
554 services197 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.
540 services387 patients
Test for exercise-induced spasm of lung airways 94617
This test checks how your lungs respond to exercise. You'll be asked to exercise on a treadmill or stationary bike. Then, you'll breathe into a device that measures your lung function. If your airways narrow during or after exercise, it may indicate exercise-induced bronchoconstriction.
486 services478 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
375 services370 patients
Evaluation of use of breathing device 94664
The evaluation of a breathing device involves checking how effectively you're using it to manage your respiratory condition. It assesses the device's fit, your comfort, and your technique to ensure optimal results.
373 services268 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
373 services368 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93312 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
$135.05 typical visit price
range $59.26 – $178.09
Typical copayment $33.76 (range $14.81 – $44.52)
Most-billed visit code 99204
Established Patient
$104.09 typical visit price
range $19.34 – $145.64
Typical copayment $26.02 (range $4.83 – $36.41)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Promoting Interoperability99
Improvement Activities40

Reported Quality Measures

Provide Patients Electronic Access to Their Health Information
100%1,614 patients5/55-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 22

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

Tracheal suction catheter, closed system, each A4605
DME-Other DME · category DE000N
3 suppliers15 claims166 services$15.84 avg. paid by Medicare
Oropharyngeal suction catheter, each A4628
DME-Other DME · category DE000N
4 suppliers16 claims58 services$3.52 avg. paid by Medicare
Canister, disposable, used with suction pump, each A7000
DME-Other DME · category DE000N
4 suppliers25 claims91 services$6.98 avg. paid by Medicare
Tubing, used with suction pump, each A7002
DME-Other DME · category DE000N
4 suppliers18 claims65 services$3.71 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
3 suppliers14 claims25 services$1.22 avg. paid by Medicare
Tracheostomy tube collar/holder, each A7526
DME-Orthotic Devices · category DF000N
4 suppliers18 claims540 services$3.28 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 4

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

Internal Medicine (Sleep Medicine)
8333 BRIMHALL RD BLDG 1000
BAKERSFIELD, CA 93312
Clinic/Center (Multi-Specialty)
8333 BRIMHALL RD BLDG 1000
BAKERSFIELD, CA 93312
Nurse Practitioner (Family)
8333 BRIMHALL RD BLDG 1000
BAKERSFIELD, CA 93312
Nurse Practitioner (Family)
8333 BRIMHALL RD BLDG 1000
BAKERSFIELD, CA 93312

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 Pramil Vaghasia's NPI number?

The NPI number for Pramil Vaghasia is 1861798332. It was assigned to this individual provider in the NPPES registry on February 1, 2011.

Where is Pramil Vaghasia located?

Pramil Vaghasia practices at 8333 Brimhall Rd Bldg 1000, Bakersfield, CA 93312. The listed phone number is (661) 695-6777.

What is Pramil Vaghasia's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Pramil Vaghasia enrolled in Medicare?

Yes. Pramil Vaghasia 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 Pramil Vaghasia was last updated on November 12, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.