DR. ASHISH UPADHYAY (MD) – Orthopaedic Surgery Physician, NPI 1689873457
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,346 ORTHOPEDIC SURGERY in OH
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Provider Addresses for DR. ASHISH UPADHYAY (MD)
8 BANBURY CRES
UNIONVILLE, CT 060851187
Phone:
Type: Mailing
Box Car Way, Louisville, Jefferson County, Kentucky, 40272, United States
LOUISVILLE, KY 402950202
Phone: (502) 588-9490
Fax: (502) 272-5116
Type: Mailing
4437, Chillicothe Lancaster Road Southwest, Oakland, Fairfield County, Ohio, 43130, United States
SUITE G15
CHILLICOTHE, OH 456017065
Phone: (740) 779-4598
Fax: (740) 779-4599
Type: Location
1389 W MAIN ST STE 123
WATERBURY, CT 067083104
Phone: (475) 337-7463
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 23 Open Payments records for all available years, with a total value of $3,978.
Total Amount is formed as General ($3,978) + Research ($0) + Ownership ($0) = $3,978.
Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Stryker Corporation ($1,233).
Total Amount
$3,978
General + Research + Ownership
Payments
23
Total payment records
General Amount
$3,978
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $1,233 |
| Centinel Spine, LLC | $1,016 |
| Globus Medical, Inc. | $857 |
| SI-BONE, INC. | $523 |
| Medtronic, Inc. | $211 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-07-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20151029002325 | I | Orthopedic Surgery | CT | TBD |
| I20240724002328 | I | Orthopedic Surgery | ME | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 45 | 29 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 31 | 31 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 25 | 23 | $0 |
Insurance plans in this area (ZIP 06085)
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