Dr. Vaibhav Upadhyay, MD

  • San Francisco, CA
  • Pulmonologist
NPI1699161315PAC ID2769812734
Medicare services, 2024
63
Medicare patients, 2024
38
Part D claims, 2022
11
Publications
47
MIPS score, 2024
99
Practice address
505 Parnassus Ave, Box 0296, San Francisco, CA 94143
Practice phone
Call (415) 353-2733
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

UCSF Helen Diller Medical Center at Parnassus Heights

Hospital · San Francisco, California

See all 5 affiliations

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Dr. Vaibhav Upadhyay is a pulmonologist in San Francisco, California

Dr. Upadhyay practices at UCSF Helen Diller Medical Center at Parnassus Heights in San Francisco, California, part of University of California Health.

Dr. Upadhyay's NPI, 1699161315, was assigned on April 9, 2015. Dr. Upadhyay graduated from Pritzker School of Medicine in 2015. Dr. Upadhyay holds California license A145995.

NPI and contact details
Medicare PAC ID
2769812734
NPI enumeration date
April 9, 2015
NPI status
Active
Accepts Medicare assignment
Yes
Offers telehealth
Yes
Practice phone
(415) 353-2733
Professional email
Get email
Personal email
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Mobile number
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Sex
Male
Estimated age
37
Medical school graduation
2015

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

Dr. Vaibhav Upadhyay practices at UCSF Helen Diller Medical Center at Parnassus Heights in San Francisco, California

Dr. Upadhyay's primary practice is UCSF Helen Diller Medical Center at Parnassus Heights, at 505 Parnassus Ave, Box 0296, San Francisco, CA 94143 in San Francisco County. The practice phone is (415) 353-2733.

Source: Dmand AI Affiliation Data

Dr. Vaibhav Upadhyay is affiliated with 1 site of care and 4 medical groups

Dr. Upadhyay's primary practice is UCSF Helen Diller Medical Center at Parnassus Heights in San Francisco, California, part of University of California Health. The medical group on file is UCSF Pediatrics. Dmand AI also links Dr. Upadhyay to 3 more medical groups, each named with a free account.

See all 5 affiliations for Dr. Upadhyay

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

Dmand AI tracks the EHR system at Dr. Vaibhav Upadhyay's practice

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

EHR by site
SiteEHR vendor and product
UCSF Helen Diller Medical Center at Parnassus HeightsAvailable with a free account
+3 medical groupsAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. Vaibhav Upadhyay is one of 1,339 pulmonologists in California

Pulmonary disease is Dr. Upadhyay's primary specialty in the NPI Registry, under taxonomy code 207RP1001X. Dr. Upadhyay is board certified in critical care medicine by the American Board of Internal Medicine. Dr. Upadhyay is licensed in California.

Specialties and state licenses

  • Pulmonary disease, CaliforniaPrimaryLicense A145995 · 2016 to 2026 · taxonomy 207RP1001X

Clinical focus

Dmand AI lists chronic obstructive pulmonary disease (COPD) among the conditions Dr. Upadhyay treats.

Pulmonologists near Dr. Upadhyay

Counts of pulmonologists 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. Vaibhav Upadhyay billed Medicare for 63 services in 2024

CMS data shows 63 Medicare services from Dr. Upadhyay across 2 procedure codes in 2024, for 38 Medicare patients. Medicare paid $9,643 for them. Every service was in a facility, such as a hospital, rather than an office.

Medicare services, 202463
Medicare patients38
Paid by Medicare$9,643
Procedure codes2

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

  • 2023
  • 2024
Office and hospital visits
2023: 802024: 6321%
Tests and treatments
2023: 242024: 0100%

Dr. Upadhyay compared with the California median for pulmonologists, 2024

  • Dr. Upadhyay
  • California median
Medicare services
63vs 64990% below
Medicare patients
38vs 27286% below
Part D claims
11vs 42197% below

Medians across 1,263 pulmonologists in California with Dmand AI profiles that report each measure.

Dr. Upadhyay'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. Upadhyay

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

Dr. Vaibhav Upadhyay treated 38 Medicare patients in 2024, average age 73

CMS counts 38 Medicare patients who saw Dr. Upadhyay in 2024. The largest group is 75 to 84, with 15 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 50% are also on Medicaid. Their average risk score is 2.00, 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. Upadhyay's median patient age at 66, with 56% women.

Medicare patients, 202438
Average age73
Average risk score2.00
Also on Medicaid50%

Dr. Upadhyay's Medicare patients by age, 2024

CMS leaves out age groups with fewer than 11 patients.

Dr. Upadhyay's Medicare patients by sex, 2024

  • Women2053%
  • Men1847%

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

  1. High blood pressure75%
  2. High cholesterol75%
  3. Stroke or TIA55%
  4. Arthritis50%
  5. Diabetes50%
  6. Ischemic heart disease45%
  7. Heart failure42%
  8. Atrial fibrillation37%

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

Dr. Upadhyay's patients across all payers

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

Patient panel by age, all payers

Median age 66

Patient panel by sex, all payers

  • Women56%
  • Men39%

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

Dr. Vaibhav Upadhyay wrote 11 Medicare Part D claims in 2022

In 2022, Dr. Upadhyay wrote 11 Medicare Part D claims. They cover 1 drug, with $5,716 in total drug cost. In 2021, CMS named 97 claims across 3 drugs.

Part D claims, 202211
Drugs named by CMS1
Total drug cost$5,716

Dr. Upadhyay's most prescribed drugs by claims, 2022

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

Part D claims for drugs CMS names, 2021 to 2022

  • 2021
  • 2022
Claims for drugs CMS names
2021: 972022: 1189%

Drugs named by CMS: 1 in 2022, 3 in 2021.

See all prescribing by Dr. Upadhyay

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

Dr. Vaibhav Upadhyay scored 99 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 99 out of 100 for Dr. Upadhyay for performance year 2024, reported as part of a group. Dr. Upadhyay accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS lists Dr. Upadhyay as offering telehealth.

Accepts Medicare assignment
Yes
Offers telehealth
Yes

Dr. Upadhyay's MIPS scores, performance year 2024

  • 99of 100Final score
  • 95of 100Quality
  • 40of 100Improvement Activities
  • 81of 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. Vaibhav Upadhyay has 47 publications on record

Dmand AI links 47 papers to Dr. Upadhyay, published from 2012 to 2025. 2024 was the busiest year, with 8. The most frequent topics are Gastrointestinal Microbiome, Protein Binding and SARS-CoV-2. Dr. Upadhyay has published most often in bioRxiv. Dr. Upadhyay's most frequent co-authors are Yang-Xin Fu, MD, John C. Newman, MD, PhD and Chloe E. Atreya, MD, PhD.

Papers47
Years published2012 to 2025

Dr. Upadhyay's papers by year, 2016 to 2025

Topics Dr. Upadhyay writes about most

  • Gastrointestinal Microbiome
  • Protein Binding
  • SARS-CoV-2
  • COVID-19
  • Bacteria
  • Lymphotoxin-alpha
  • Microbiota
  • Escherichia coli

Dr. Upadhyay's most frequent co-authors

Recent publications by Dr. Upadhyay

See all 47 publications and co-authors

See who Dr. Upadhyay researches with

Physician Network Discovery turns co-authorship, shared hospitals and shared groups into a map of who Dr. Upadhyay works with, so you can find a warm path to the right pulmonologists.

How network discovery works

Sources: PubMed (National Library of Medicine); and Dmand AI Research Linkage

Dr. Vaibhav Upadhyay graduated from Pritzker School of Medicine

Dr. Upadhyay graduated from Pritzker School of Medicine in 2015.

  1. Medical schoolPritzker School of Medicine
  2. Board certified in critical care medicineAmerican Board of Internal Medicine
  3. Board certified in internal medicineAmerican Board of Internal Medicine
  4. Board certified in pulmonary diseaseAmerican Board of Internal Medicine

Source: Dmand AI Professional Profile Data

Dr. Vaibhav Upadhyay accepts plans from 7 insurance carriers

Dr. Upadhyay is in network with 7 carriers, including Aetna, 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.

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

Plan types Dr. Upadhyay accepts, by number of carriers

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

Source: Dmand AI Insurance Network Data

Sources for Dr. Vaibhav Upadhyay'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)
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)
Publications, topics and co-authorsPubMed (National Library of Medicine) (opens in a new tab)Dmand AI Research Linkage
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. Vaibhav Upadhyay

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. Vaibhav Upadhyay's NPI number?

Dr. Vaibhav Upadhyay's NPI number is 1699161315. It was assigned on April 9, 2015, and it is active in the NPI Registry.

What kind of doctor is Dr. Vaibhav Upadhyay?

Dr. Vaibhav Upadhyay is a pulmonologist in San Francisco, California. The primary specialty in the NPI Registry is Pulmonary Disease Physician (taxonomy code 207RP1001X).

Where does Dr. Vaibhav Upadhyay practice?

Dr. Upadhyay practices at 505 Parnassus Ave, Box 0296, San Francisco, CA 94143. Dr. Upadhyay's primary practice is UCSF Helen Diller Medical Center at Parnassus Heights in San Francisco, California, part of University of California Health. Dmand AI also links Dr. Upadhyay to 3 medical groups.

What is Dr. Vaibhav Upadhyay's office phone number?

The practice phone on file for Dr. Upadhyay is (415) 353-2733.

What is Dr. Vaibhav Upadhyay's medical license number?

Dr. Upadhyay holds California license A145995.

Which hospitals is Dr. Vaibhav Upadhyay affiliated with?

Dr. Upadhyay practices at UCSF Helen Diller Medical Center at Parnassus Heights in San Francisco, California.

What medical group is Dr. Vaibhav Upadhyay part of?

Dr. Upadhyay is linked to UCSF Pediatrics. Dmand AI links Dr. Upadhyay to 3 more medical groups.

Does Dr. Vaibhav Upadhyay accept Medicare?

Yes. CMS data shows Dr. Upadhyay billed Medicare for 63 services in 2024, and Dr. Upadhyay accepts Medicare assignment.

Does Dr. Vaibhav Upadhyay offer telehealth?

Yes. The CMS Doctors and Clinicians file lists Dr. Upadhyay as offering telehealth services.

What is Dr. Vaibhav Upadhyay's MIPS score?

Dr. Upadhyay's MIPS final score for performance year 2024 is 99 out of 100, reported as part of a group.

Show 9 more questionsShow fewer questions

How many Medicare patients does Dr. Vaibhav Upadhyay see?

CMS counts 38 Medicare patients who saw Dr. Upadhyay in 2024, with an average age of 73.

Is Dr. Vaibhav Upadhyay board certified?

Yes. Dr. Upadhyay is board certified in critical care medicine by the American Board of Internal Medicine.

What services does Dr. Vaibhav Upadhyay bill to Medicare?

In 2024, Dr. Upadhyay's most billed Medicare services were critical care (99291) and hospital inpatient care (99232).

Where did Dr. Vaibhav Upadhyay go to medical school?

Dr. Upadhyay graduated from Pritzker School of Medicine in 2015.

What drugs does Dr. Vaibhav Upadhyay prescribe most?

In 2022 Medicare Part D data, Dr. Upadhyay's most prescribed drugs by claims were Spiriva Respimat.

How long has Dr. Vaibhav Upadhyay been practicing?

Dr. Upadhyay graduated from medical school in 2015, 11 years ago.

Does Dr. Vaibhav Upadhyay do research?

Dmand AI links 47 publications to Dr. Upadhyay, published from 2012 to 2025.

Who does Dr. Vaibhav Upadhyay publish with?

Dr. Upadhyay's most frequent co-authors are Yang-Xin Fu, MD (6 shared papers), John C. Newman, MD, PhD (5 shared papers) and Chloe E. Atreya, MD, PhD (3 shared papers).

What insurance does Dr. Vaibhav Upadhyay accept?

Dr. Upadhyay is in network with 7 carriers, including Aetna, 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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