SUNIL J VAIDYA (MD) – Pulmonary Disease Physician, NPI 1144262346
Pulmonary Disease Physician
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Profile Insights
NPPES metrics only — not quality of care.
850 PULMONARY DISEASE in OH
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Provider Addresses for SUNIL J VAIDYA (MD)
744, Courtwright Boulevard, South Boulevards, Mansfield, Richland County, Ohio, 44907, United States
MANSFIELD, OH 449072220
Phone: (419) 520-2813
Fax: (419) 756-9797
Type: Mailing
391, Glessner Avenue, Mansfield, Richland County, Ohio, 44903, United States
MANSFIELD, OH 449032107
Phone: (419) 520-2813
Fax: (419) 756-9797
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 142 Open Payments records for all available years, with a total value of $3,100.
Total Amount is formed as General ($3,100) + Research ($0) + Ownership ($0) = $3,100.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: HARMONY BIOSCIENCES LLC ($741).
Total Amount
$3,100
General + Research + Ownership
Payments
142
Total payment records
General Amount
$3,100
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| HARMONY BIOSCIENCES LLC | $741 |
| GlaxoSmithKline, LLC. | $681 |
| AstraZeneca Pharmaceuticals LP | $331 |
| Axsome Therapeutics, Inc. | $256 |
| Inspire Medical Systems, Inc. | $176 |
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: 2007-08-10
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 |
|---|---|---|---|---|
| I20070810000093 | I | Pulmonary Disease | OH | 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 |
|---|---|---|---|---|
| 99091 | Collection and interpretation of physical parameters stored in computers and/or transmitted by the patient and/or caregiver to qualified health care professional, requiring 30 minutes or more, per 30 days | 421 | 286 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 281 | 203 | $0 |
| G0398 | Home sleep study test (hst) with type ii portable monitor, unattended; minimum of 7 channels: eeg, eog, emg, ecg/heart rate, airflow, respiratory effort and oxygen saturation | 244 | 126 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 126 | 104 | $0 |
| 95810 | Sleep study in sleep lab (6 years or older) | 107 | 106 | $0 |
Insurance plans in this area (ZIP 44907)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PULMONARY DISEASE | OH | 31622 | Diagnostic examination of lung airways using an endoscope | 39 | 34 |
| PULMONARY DISEASE | OH | 94060 | Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration | 28 | 28 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| Internal Medicine | OH |
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