DR. VIJAY P. AGARWAL (M.D.) – Gastroenterology Physician, NPI 1609964154
Gastroenterology Physician
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Profile Insights
NPPES metrics only — not quality of care.
114 GASTROENTEROLOGY in NM
Provider Addresses for DR. VIJAY P. AGARWAL (M.D.)
200 Oak St NE Ste 1
Albuquerque, NM 871065614
Phone: (505) 766-5471
Type: Location
1330 N INDIAN CANYON DR STE F
PALM SPRINGS, CA 922624880
Phone: (505) 766-5471
Fax: (505) 766-6883
Type: Location
18213, Hampton Court, Talbert, Fountain Valley, Orange County, California, 92708, United States
FOUNTAIN VALLEY, CA 927085861
Phone: (505) 766-5471
Fax: (505) 766-6883
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $140.
Total Amount is formed as General ($140) + Research ($0) + Ownership ($0) = $140.
Last reported payment date: 2024-09-04 • Largest payer in this snapshot: Boston Scientific Corporation ($106).
Total Amount
$140
General + Research + Ownership
Payments
3
Total payment records
General Amount
$140
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $106 |
| ABBVIE INC. | $21 |
| Meridian Bioscience Inc. | $14 |
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: 2019-09-03
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 |
|---|---|---|---|---|
| I20130809000425 | I | Gastroenterology | MT | TBD |
| I20190903001672 | I | Gastroenterology | CA | 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 |
|---|---|---|---|---|
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 115 | 111 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 59 | 38 | $0 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 52 | 46 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 46 | 44 | $0 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 33 | 33 | $0 |
Insurance plans in this area (ZIP 87106)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GASTROENTEROLOGY | NM | 43235 | Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope | 60 | 57 |
| GASTROENTEROLOGY | NM | 45378 | Diagnostic examination of large bowel using an endoscope | 20 | 18 |
| GASTROENTEROLOGY | NM | 45385 | Removal of polyps or growths of large bowel using an endoscope | 23 | 23 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| P A T H O L O G Y | MA | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | IL | |
| G A S T R O E N T E R O L O G Y | CA | |
| Nurse Practitioner | CA | |
| Physician Assistant | CA | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | IN | |
| G A S T R O E N T E R O L O G Y | CA |
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