UPALI SANATH WALGAMA (MD) – Internal Medicine Physician, NPI 1265577175
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
13,290 INTERNAL MEDICINE in TX
Provider Addresses for UPALI SANATH WALGAMA (MD)
105 N HIGH ST
HENDERSON, TX 756523133
Phone: (903) 392-8259
Type: Location
321 WILSON ST
HENDERSON, TX 756525957
Phone: (903) 657-7541
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 58 Open Payments records for all available years, with a total value of $1,132.
Total Amount is formed as General ($1,132) + Research ($0) + Ownership ($0) = $1,132.
Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Novo Nordisk Inc ($222).
Total Amount
$1,132
General + Research + Ownership
Payments
58
Total payment records
General Amount
$1,132
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $222 |
| Lilly USA, LLC | $164 |
| AstraZeneca Pharmaceuticals LP | $148 |
| GlaxoSmithKline, LLC. | $111 |
| Kowa Pharmaceuticals America, Inc. | $68 |
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: 2011-10-26
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 |
|---|---|---|---|---|
| I20111026000041 | I | Internal Medicine | TX | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 142 | 55 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 60 | 37 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 49 | 26 | $0 |
Insurance plans in this area (ZIP 75652)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | TX | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 32 | 29 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TX | |
| Physician Assistant | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX |
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