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Dr. Ajay Kumar Upadhyay, MD
- Medicare services, 2024
- 304
- Medicare patients, 2024
- 238
- Part D claims, 2024
- 74
- Publications
- 2
- Hospital affiliations
- 4
- Practice address
- 460 N Wiget Ln, Walnut Creek, CA 94598
- Practice phone
- Call (202) 815-3665
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Bay Area Surgical Specialist Services
Walnut Creek, California
Find Dr. Upadhyay's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Dr. Ajay Kumar Upadhyay is a general surgeon in Walnut Creek, California
Dr. Upadhyay practices at Bay Area Surgical Specialist Services in Walnut Creek, California.
Dr. Upadhyay's NPI, 1104888155, was assigned on April 5, 2006. Dr. Upadhyay graduated from Maulana Azad Medical College in 1978. Dr. Upadhyay's California license number on file is A53488.
- NPI
- 1104888155NPI Registry (opens in a new tab)
- Medicare PAC ID
- 0244364529
- NPI enumeration date
- April 5, 2006
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (202) 815-3665
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 72
- Medical school graduation
- 1978
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)
Dr. Ajay Kumar Upadhyay practices at Bay Area Surgical Specialist Services in Walnut Creek, California
Dr. Upadhyay's primary practice is Bay Area Surgical Specialist Services, at 460 N Wiget Ln, Walnut Creek, CA 94598 in Contra Costa County. The practice phone is (202) 815-3665.
- Bay Area Surgical Specialist Services460 N Wiget Ln, Walnut Creek, CA 94598 · Contra Costa CountyPhone(202) 815-3665
Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data
Dr. Ajay Kumar Upadhyay is affiliated with 7 sites of care and 2 medical groups
Dr. Upadhyay's primary practice is Bay Area Surgical Specialist Services in Walnut Creek, California. Dr. Upadhyay is also affiliated with Alta Bates Summit Medical Center | Alta Bates Campus. The medical group on file is BASS Medical Group. Dmand AI also links Dr. Upadhyay to 3 more hospitals, 2 group practices and clinics and 1 medical group, each named with a free account.
Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; and Dmand AI Affiliation Data
Dmand AI tracks the EHR system at Dr. Ajay Kumar Upadhyay's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Upadhyay practices, 6 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Bay Area Surgical Specialist Services | Available with a free account |
| +6 more sites and 1 medical group | Available with a free account |
Source: Dmand AI Technology Install Data
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Dr. Ajay Kumar Upadhyay is one of 2,926 general surgeons in California
Surgery is Dr. Upadhyay's primary specialty in the NPI Registry, under taxonomy code 208600000X. Dr. Upadhyay is board certified in surgery by the American Board of Surgery. Dmand AI has Dr. Upadhyay's licenses on file in 2 states: California and Missouri.
Specialties and state licenses
- Surgery, CaliforniaPrimary
- Missouri license
Clinical focus
Dmand AI lists abdominal hernia repair surgery, acute gallbladder or bile duct inflammation, bariatric surgery, colon removal, esophagus, stomach, or upper small intestine surgery, gallbladder removal, groin hernia surgery and hemorrhoids among the conditions Dr. Upadhyay treats.
General surgeons near Dr. Upadhyay
Counts of general surgeons 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. Ajay Kumar Upadhyay billed Medicare for 304 services in 2024
CMS data shows 304 Medicare services from Dr. Upadhyay across 8 procedure codes in 2024, for 238 Medicare patients. Medicare paid $35,365 for them.
Dr. Upadhyay's Medicare services by type, 2023 to 2024
- 2023
- 2024
- Office and hospital visits
- 2023: 4022024: 26335%
- Surgery
- 2023: 512024: 4120%
Where Dr. Upadhyay's Medicare services took place, 2024
- In an office17357%
- In a facility13143%
Dr. Upadhyay compared with the California median for general surgeons, 2024
- Dr. Upadhyay
- California median
- Medicare services
- 304vs 16683% above
- Medicare patients
- 238vs 12197% above
- Part D claims
- 40vs 3418% above
Medians across 2,606 general surgeons 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.
Need commercial claims for Dr. Upadhyay?
Medicare shows one payer. Book a meeting to get commercial claims data for Dr. Upadhyay and other general surgeons in California.
Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks
Dr. Ajay Kumar Upadhyay treated 238 Medicare patients in 2024, average age 68
CMS counts 238 Medicare patients who saw Dr. Upadhyay in 2024. The largest group is 65 to 74, with 97 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 66% are also on Medicaid. Their average risk score is 1.80, 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 51, with 71% women.
Dr. Upadhyay's Medicare patients by age, 2024
Dr. Upadhyay's Medicare patients by sex, 2024
- Women13456%
- Men10444%
Chronic conditions among Dr. Upadhyay's Medicare patients, 2024
- High blood pressure75%
- High cholesterol75%
- Diabetes53%
- Arthritis45%
- Chronic kidney disease31%
- Mood disorders28%
- Anxiety23%
- Depression23%
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 51
Patient panel by sex, all payers
- Women71%
- Men24%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Dr. Ajay Kumar Upadhyay wrote 74 Medicare Part D claims in 2024
In 2024, Dr. Upadhyay wrote 74 Medicare Part D claims for 28 patients. 99% of them were for generic drugs. CMS names the drug for 40 of them, across 1 drug with 11 or more claims each, at $310 in total drug cost. In 2023, CMS named 22 claims across 1 drug.
Dr. Upadhyay's Part D claims by kind of drug, 2024
- Generic73 claims99%
- Brand-name and other1 claims1%
Dr. Upadhyay'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.
Part D claims for drugs CMS names, 2023 to 2024
- 2023
- 2024
- Claims for drugs CMS names
- 2023: 222024: 4082%
Drugs named by CMS: 1 in 2024, 1 in 2023.
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. Ajay Kumar Upadhyay ranks in the 94th percentile for hernia repair (minimally invasive) in Medicare
Dr. Upadhyay accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS counts 27 procedures of hernia repair (minimally invasive) by Dr. Upadhyay, more than 94% of the clinicians it reports for that procedure.
- Accepts Medicare assignment
- Yes
Where Dr. Upadhyay ranks in Medicare procedure volume
- Hernia repair (minimally invasive)
- 94th percentile27 procedures
- Upper gastrointestinal (GI) endoscopy for acid reflux
- 48th percentile18 procedures
CMS ranks each clinician against every clinician it reports for the same procedure category.
Colonoscopy: 1 to 10 procedures (CMS shows small counts as a range)
Hernia repair - groin (open): 1 to 10 procedures (CMS shows small counts as a range)
Sources: Doctors and Clinicians National Downloadable File (CMS); and Doctors and Clinicians Utilization Data (CMS)
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Dr. Ajay Kumar Upadhyay has 2 publications on record
Dmand AI links 2 papers to Dr. Upadhyay in 2018. 2018 was the busiest year, with 2.
Recent publications by Dr. Upadhyay
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 general surgeons.
Sources: PubMed (National Library of Medicine); and Dmand AI Research Linkage
Dr. Ajay Kumar Upadhyay received $9,716 in industry payments from 2016 to 2025
CMS Open Payments shows 124 general payments to Dr. Upadhyay from 25 drug and device companies from 2016 to 2025. Food and beverage make up the largest share, 74% of the total. Intuitive Surgical, Inc. paid the most, $2,712.
General payments to Dr. Upadhyay by program year, 2016 to 2025
General payments to Dr. Upadhyay by kind, 2016 to 2025
- Food and beverage$7,16374%
- Travel and lodging$2,43825%
- Gifts$1141%
Companies that paid Dr. Upadhyay the most, 2016 to 2025
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Dr. Ajay Kumar Upadhyay has 2 awards and honors on record
Dmand AI lists 2 awards for Dr. Upadhyay, most recently CMS Stage 1 EHR in 2011.
Awards and honors for Dr. Upadhyay
- 2011
- CMS Stage 1 EHR
- Undated
- ACS Fellow
Source: Dmand AI Professional Profile Data
Dr. Ajay Kumar Upadhyay graduated from Maulana Azad Medical College
Dr. Upadhyay graduated from Maulana Azad Medical College in 1978.
- Medical school
- Board certified in surgery
Source: Dmand AI Professional Profile Data
Dr. Ajay Kumar Upadhyay accepts plans from 8 insurance carriers
Dr. Upadhyay is in network with 8 carriers, including Aetna, Blue Cross Blue Shield of Michigan and Blue Cross Blue Shield of Massachusetts. Medicare plans come from the most carriers, 8. Check the plan with the practice before a visit.
- Aetna
- Blue Cross Blue Shield of Michigan
- Blue Cross Blue Shield of Massachusetts
- HCSC
- Humana
- Regence Health Plans
- CMS Medicare
- Molina
Plan types Dr. Upadhyay accepts, by number of carriers
- Medicare8
- PPO6
- HMO2
- POS2
- EPO1
Source: Dmand AI Insurance Network Data
Sources for Dr. Ajay Kumar Upadhyay's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data |
| Primary practice, affiliations and health system | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation Data |
| Medicare services and procedure codes | Medicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab) |
| State medians for the same specialty | Dmand AI Peer Benchmarks |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| Part D prescribing | Medicare 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 percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Doctors and Clinicians Utilization Data (CMS) (opens in a new tab) |
| Publications, topics and co-authors | PubMed (National Library of Medicine) (opens in a new tab)Dmand AI Research Linkage |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| Awards and committee roles | Dmand AI Professional Profile Data |
| Training, board certification and memberships | Dmand AI Professional Profile Data |
| Insurance carriers and plan types | Dmand AI Insurance Network Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Dr. Ajay Kumar 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. Ajay Kumar Upadhyay's NPI number?
Dr. Ajay Kumar Upadhyay's NPI number is 1104888155. It was assigned on April 5, 2006, and it is active in the NPI Registry.
What kind of doctor is Dr. Ajay Kumar Upadhyay?
Dr. Ajay Kumar Upadhyay is a general surgeon in Walnut Creek, California. The primary specialty in the NPI Registry is Surgery Physician (taxonomy code 208600000X).
Where does Dr. Ajay Kumar Upadhyay practice?
Dr. Upadhyay practices at 460 N Wiget Ln, Walnut Creek, CA 94598. Dr. Upadhyay's primary practice is Bay Area Surgical Specialist Services in Walnut Creek, California. Dmand AI also links Dr. Upadhyay to 3 hospitals, 2 group practices and clinics and 1 medical group.
What is Dr. Ajay Kumar Upadhyay's office phone number?
The practice phone on file for Dr. Upadhyay is (202) 815-3665.
What is Dr. Ajay Kumar Upadhyay's medical license number?
Dr. Upadhyay's California license number on file is A53488, one of the licenses on file in 2 states.
Which states has Dr. Ajay Kumar Upadhyay been licensed in?
Dmand AI has state licenses on file for Dr. Upadhyay in California (1994 to 2025) and Missouri (1996 to 2026).
Which hospitals is Dr. Ajay Kumar Upadhyay affiliated with?
Dr. Upadhyay is affiliated with Alta Bates Summit Medical Center | Alta Bates Campus. Dmand AI links Dr. Upadhyay to 3 more hospitals.
What medical group is Dr. Ajay Kumar Upadhyay part of?
Dr. Upadhyay is linked to BASS Medical Group. Dmand AI links Dr. Upadhyay to 1 more medical group.
Does Dr. Ajay Kumar Upadhyay accept Medicare?
Yes. CMS data shows Dr. Upadhyay billed Medicare for 304 services in 2024, and Dr. Upadhyay accepts Medicare assignment.
How many Medicare patients does Dr. Ajay Kumar Upadhyay see?
CMS counts 238 Medicare patients who saw Dr. Upadhyay in 2024, with an average age of 68.
Show 8 more questionsShow fewer questions
Is Dr. Ajay Kumar Upadhyay board certified?
Yes. Dr. Upadhyay is board certified in surgery by the American Board of Surgery.
What services does Dr. Ajay Kumar Upadhyay bill to Medicare?
In 2024, Dr. Upadhyay's most billed Medicare services were office visit, established patient (99213), hospital inpatient care (99232) and office visit, new patient (99204).
Where did Dr. Ajay Kumar Upadhyay go to medical school?
Dr. Upadhyay graduated from Maulana Azad Medical College in 1978.
What drugs does Dr. Ajay Kumar Upadhyay prescribe most?
In 2024 Medicare Part D data, Dr. Upadhyay's most prescribed drugs by claims were Pantoprazole Sodium.
Has Dr. Ajay Kumar Upadhyay received payments from drug or device companies?
CMS Open Payments shows $9,716 in general payments to Dr. Upadhyay from 25 companies from 2016 to 2025. The largest total came from Intuitive Surgical, Inc.
How long has Dr. Ajay Kumar Upadhyay been practicing?
Dr. Upadhyay graduated from medical school in 1978, 48 years ago.
Does Dr. Ajay Kumar Upadhyay do research?
Dmand AI links 2 publications to Dr. Upadhyay.
What insurance does Dr. Ajay Kumar Upadhyay accept?
Dr. Upadhyay is in network with 8 carriers, including Aetna, Blue Cross Blue Shield of Michigan and Blue Cross Blue Shield of Massachusetts. Medicare plans come from the most carriers, 8. Check the plan with the practice before a visit.
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