Dr. Pravir R. Vatsa, MD

  • Santa Maria, CA
  • Hospitalist
NPI1003912239PAC ID2567464498
Medicare services, 2024
1,326
Medicare patients, 2024
480
Part D claims, 2024
246
MIPS score, 2024
50
Hospital affiliations
3
Practice address
1400 E Church St, Santa Maria, CA 93454
Practice phone
Call (805) 739-3100
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Dignity Health - Marian Regional Medical Center

Hospital · Santa Maria, California

See all 5 affiliations

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Dr. Pravir R. Vatsa is a hospitalist in Santa Maria, California

Dr. Vatsa practices at Dignity Health - Marian Regional Medical Center in Santa Maria, California, part of CommonSpirit Health.

Dr. Vatsa's NPI, 1003912239, was assigned on September 15, 2006. Dr. Vatsa graduated from Pramukhswami Medical College in 1996. Dr. Vatsa holds California license A95811.

NPI and contact details
Medicare PAC ID
2567464498
NPI enumeration date
September 15, 2006
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(805) 739-3100
Professional email
Get email
Personal email
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Mobile number
Get number
Sex
Male
Estimated age
56
Medical school graduation
1996

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Dr. Pravir R. Vatsa practices at Dignity Health - Marian Regional Medical Center in Santa Maria, California

Dr. Vatsa's primary practice is Dignity Health - Marian Regional Medical Center, at 1400 E Church St, Santa Maria, CA 93454 in Santa Barbara County. The practice phone is (805) 739-3100.

Source: Dmand AI Affiliation Data

Dr. Pravir R. Vatsa is affiliated with 3 sites of care and 2 medical groups

Dr. Vatsa's primary practice is Dignity Health - Marian Regional Medical Center in Santa Maria, California, part of CommonSpirit Health. Dr. Vatsa is also affiliated with Adventist Health Sierra Vista. The medical group on file is Central Coast Inpatient Consultants. Dmand AI also links Dr. Vatsa to 1 more hospital and 1 medical group, each named with a free account.

See all 5 affiliations for Dr. Vatsa

Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Dr. Pravir R. Vatsa's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Vatsa practices, 3 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Dignity Health - Marian Regional Medical CenterAvailable with a free account
+2 more sites and 1 medical groupAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. Pravir R. Vatsa is one of 3,186 hospitalists in California

Hospitalist is Dr. Vatsa's primary specialty in the NPI Registry, under taxonomy code 208M00000X. Dr. Vatsa is board certified in internal medicine by the American Board of Internal Medicine. Dr. Vatsa is licensed in California.

Specialties and state licenses

  • Hospitalist, CaliforniaPrimaryLicense A95811 · 2006 to 2027 · taxonomy 208M00000X

Clinical focus

Dmand AI lists acute diabetes, acute respiratory failure, bile duct problems, bone infection, cardiac arrhythmia, cellulitis, chest pain and chest trauma among the conditions Dr. Vatsa treats.

Hospitalists near Dr. Vatsa

Counts of hospitalists with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. Pravir R. Vatsa billed Medicare for 1,326 services in 2024

CMS data shows 1,326 Medicare services from Dr. Vatsa across 7 procedure codes in 2024, for 480 Medicare patients. Medicare paid $118,029 for them. Every service was in a facility, such as a hospital, rather than an office.

Medicare services, 20241,326
Medicare patients480
Paid by Medicare$118,029
Procedure codes7

Dr. Vatsa's Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Office and hospital visits
2023: 1,3432024: 1,3261%

Dr. Vatsa compared with the California median for hospitalists, 2024

  • Dr. Vatsa
  • California median
Medicare services
1,326vs 4303.1 times
Medicare patients
480vs 2012.4 times
Part D claims
66vs 69Close to median

Medians across 2,991 hospitalists in California with Dmand AI profiles that report each measure.

Dr. Vatsa's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Dr. Vatsa

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Dr. Pravir R. Vatsa treated 480 Medicare patients in 2024, average age 77

CMS counts 480 Medicare patients who saw Dr. Vatsa in 2024. The largest group is 75 to 84, with 173 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 39% are also on Medicaid. Their average risk score is 2.36, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.

Across all payers, Dmand AI patient panel data puts Dr. Vatsa's median patient age at 65, with 47% women.

Medicare patients, 2024480
Average age77
Average risk score2.36
Also on Medicaid39%

Dr. Vatsa's Medicare patients by age, 2024

Dr. Vatsa's Medicare patients by sex, 2024

  • Women25453%
  • Men22647%

Chronic conditions among Dr. Vatsa's Medicare patients, 2024

  1. High blood pressure75%
  2. High cholesterol75%
  3. Arthritis56%
  4. Chronic kidney disease49%
  5. Mood disorders44%
  6. Diabetes43%
  7. Heart failure42%
  8. Depression40%

Share of Medicare patients with each condition. A patient can have several.

Dr. Vatsa's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 65

Patient panel by sex, all payers

  • Women47%
  • Men52%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Dr. Pravir R. Vatsa wrote 246 Medicare Part D claims in 2024

In 2024, Dr. Vatsa wrote 246 Medicare Part D claims for 138 patients. 87% of them were for generic drugs. CMS names the drug for 66 of them, across 4 drugs with 11 or more claims each, at $6,592 in total drug cost. In 2023, CMS named 88 claims across 7 drugs.

Part D claims, 2024246
Drugs named by CMS4
Total drug cost$6,592
Part D patients138

Dr. Vatsa's Part D claims by kind of drug, 2024

  • Generic214 claims87%
  • Brand-name and other32 claims13%

Dr. Vatsa's most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Drug classes CMS tracks in Dr. Vatsa's Part D claims, 2024

  • Opioids6%15 of 246 claims
  • Antibiotics22%54 of 246 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 882024: 6625%

Drugs named by CMS: 4 in 2024, 7 in 2023.

See all prescribing by Dr. Vatsa

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

Dr. Pravir R. Vatsa scored 50 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 50 out of 100 for Dr. Vatsa for performance year 2024, reported as part of a group. Dr. Vatsa accepts Medicare assignment, so Medicare's approved amount is taken as full payment.

Accepts Medicare assignment
Yes

Dr. Vatsa's MIPS scores, performance year 2024

  • 50of 100Final score
  • 29.5of 100Quality
  • 0of 100Improvement Activities
  • 80of 100Cost

Each score is out of 100. The final score weighs the categories CMS scored for this clinician.

Sources: Doctors and Clinicians National Downloadable File (CMS); and Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026

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Dr. Pravir R. Vatsa graduated from Pramukhswami Medical College

Dr. Vatsa graduated from Pramukhswami Medical College in 1996.

  1. Medical schoolPramukhswami Medical College
  2. Board certified in internal medicineAmerican Board of Internal Medicine

Source: Dmand AI Professional Profile Data

Dr. Pravir R. Vatsa accepts plans from 6 insurance carriers

Dr. Vatsa is in network with 6 carriers, including Elevance, Blue Cross Blue Shield of Michigan and Blue Cross Blue Shield of Massachusetts. Medicare plans come from the most carriers, 6. Check the plan with the practice before a visit.

  • Elevance
  • Blue Cross Blue Shield of Michigan
  • Blue Cross Blue Shield of Massachusetts
  • HCSC
  • Regence Health Plans
  • CMS Medicare

Plan types Dr. Vatsa accepts, by number of carriers

  1. Medicare6
  2. PPO5
  3. HMO2
  4. POS2
  5. EPO1

Source: Dmand AI Insurance Network Data

Sources for Dr. Pravir R. Vatsa's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneDmand AI Affiliation Data
Primary practice, affiliations and health systemDmand AI Affiliation DataDmand AI Org Hierarchy Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)
Training, board certification and membershipsDmand AI Professional Profile Data
Insurance carriers and plan typesDmand AI Insurance Network Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. Pravir R. Vatsa

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dr. Pravir R. Vatsa's NPI number?

Dr. Pravir R. Vatsa's NPI number is 1003912239. It was assigned on September 15, 2006, and it is active in the NPI Registry.

What kind of doctor is Dr. Pravir R. Vatsa?

Dr. Pravir R. Vatsa is a hospitalist in Santa Maria, California. The primary specialty in the NPI Registry is Hospitalist Physician (taxonomy code 208M00000X).

Where does Dr. Pravir R. Vatsa practice?

Dr. Vatsa practices at 1400 E Church St, Santa Maria, CA 93454. Dr. Vatsa's primary practice is Dignity Health - Marian Regional Medical Center in Santa Maria, California, part of CommonSpirit Health. Dmand AI also links Dr. Vatsa to 1 hospital and 1 medical group.

What is Dr. Pravir R. Vatsa's office phone number?

The practice phone on file for Dr. Vatsa is (805) 739-3100.

What is Dr. Pravir R. Vatsa's medical license number?

Dr. Vatsa holds California license A95811.

Which hospitals is Dr. Pravir R. Vatsa affiliated with?

Dr. Vatsa practices at Dignity Health - Marian Regional Medical Center in Santa Maria, California. Dr. Vatsa is also affiliated with Adventist Health Sierra Vista. Dmand AI links Dr. Vatsa to 1 more hospital.

What medical group is Dr. Pravir R. Vatsa part of?

Dr. Vatsa is linked to Central Coast Inpatient Consultants. Dmand AI links Dr. Vatsa to 1 more medical group.

Does Dr. Pravir R. Vatsa accept Medicare?

Yes. CMS data shows Dr. Vatsa billed Medicare for 1,326 services in 2024, and Dr. Vatsa accepts Medicare assignment.

What is Dr. Pravir R. Vatsa's MIPS score?

Dr. Vatsa's MIPS final score for performance year 2024 is 50 out of 100, reported as part of a group.

How many Medicare patients does Dr. Pravir R. Vatsa see?

CMS counts 480 Medicare patients who saw Dr. Vatsa in 2024, with an average age of 77.

Show 6 more questionsShow fewer questions

Is Dr. Pravir R. Vatsa board certified?

Yes. Dr. Vatsa is board certified in internal medicine by the American Board of Internal Medicine.

What services does Dr. Pravir R. Vatsa bill to Medicare?

In 2024, Dr. Vatsa's most billed Medicare services were hospital inpatient care (99233), hospital inpatient care (99239) and hospital inpatient care (99232).

Where did Dr. Pravir R. Vatsa go to medical school?

Dr. Vatsa graduated from Pramukhswami Medical College in 1996.

What drugs does Dr. Pravir R. Vatsa prescribe most?

In 2024 Medicare Part D data, Dr. Vatsa's most prescribed drugs by claims were Pantoprazole Sodium, Prednisone and Amoxicillin-Clavulanate Potass.

How long has Dr. Pravir R. Vatsa been practicing?

Dr. Vatsa graduated from medical school in 1996, 30 years ago.

What insurance does Dr. Pravir R. Vatsa accept?

Dr. Vatsa is in network with 6 carriers, including Elevance, Blue Cross Blue Shield of Michigan and Blue Cross Blue Shield of Massachusetts. Medicare plans come from the most carriers, 6. Check the plan with the practice before a visit.

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