DR. PRERNA RAJ PANDYA (M.D.) – Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician, NPI 1063754125
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
798 OBSTETRICS/GYNECOLOGY in WI
Provider Addresses for DR. PRERNA RAJ PANDYA (M.D.)
4940 EASTERN AVE
301 BUILDING, SUITE 3100, ROOM 3107
BALTIMORE, MD 212242735
Phone: (410) 550-2787
Fax: (410) 550-2786
Type: Mailing
3200 Pleasant Valley Rd
West Bend, WI 530959274
Phone: (262) 836-7300
Fax: (262) 836-7301
Type: Location
9200 W WISCONSIN AVENUE
UROGYNECOLOGY
MILWAUKEE, WI 532263522
Phone: (414) 805-3666
Fax: (414) 805-6622
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $409.
Total Amount is formed as General ($409) + Research ($0) + Ownership ($0) = $409.
Last reported payment date: 2024-09-18 • Largest payer in this snapshot: Boston Scientific Corporation ($236).
Total Amount
$409
General + Research + Ownership
Payments
9
Total payment records
General Amount
$409
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $236 |
| Medtronic, Inc. | $92 |
| Axonics, Inc. | $33 |
| Applied Medical Resources Corporation | $32 |
| 180 Medical, Inc. | $17 |
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: 2020-07-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20200730003645 | I | Obstetrics/Gynecology | WI | 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 |
|---|---|---|---|---|
| J0585 | Injection, onabotulinumtoxina, 1 unit | 1,850 | 13 | $0 |
| 81002 | Urinalysis, manual test | 142 | 86 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 88 | 70 | $0 |
| 51701 | Insertion of temporary bladder tube | 84 | 74 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 63 | 48 | $0 |
Insurance plans in this area (ZIP 21224)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| - | WI | |
| Diagnostic Radiology | WI | |
| Family Practice, Emergency Medicine | WI | |
| P S Y C H I A T R Y | WI | |
| Internal Medicine | WI | |
| - | WI | |
| - | WI | |
| Rheumatology, Internal Medicine | WI | |
| Physical Therapist In Private Practice | WI |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.