Dr. Ajay Kumar Upadhyay, MD

  • Walnut Creek, CA
  • General surgeon
NPI1104888155PAC ID0244364529
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
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Personal email
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Mobile number
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Social profiles

Primary practice

Bay Area Surgical Specialist Services

Walnut Creek, California

See all 9 affiliations

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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 and contact details
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
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Mobile number
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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 Services
    460 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.

See all 9 affiliations for Dr. Upadhyay

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.

EHR by site
SiteEHR vendor and product
Bay Area Surgical Specialist ServicesAvailable with a free account
+6 more sites and 1 medical groupAvailable 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, CaliforniaPrimaryLicense A53488 · 1994 to 2025 · taxonomy 208600000X
  • Missouri license1996 to 2026

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.

Medicare services, 2024304
Medicare patients238
Paid by Medicare$35,365
Procedure codes8

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.

See all procedures by Dr. Upadhyay

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Medicare shows one payer. Book a meeting to get commercial claims data for Dr. Upadhyay and other general surgeons in California.

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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.

Medicare patients, 2024238
Average age68
Average risk score1.80
Also on Medicaid66%

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

  1. High blood pressure75%
  2. High cholesterol75%
  3. Diabetes53%
  4. Arthritis45%
  5. Chronic kidney disease31%
  6. Mood disorders28%
  7. Anxiety23%
  8. 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.

Part D claims, 202474
Drugs named by CMS1
Total drug cost$310
Part D patients28

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.

See all prescribing by Dr. Upadhyay

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.

Papers2

Recent publications by Dr. Upadhyay

See all 2 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 general surgeons.

How network discovery works

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

$9.7Kin total
  • 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.

See all payments to Dr. Upadhyay

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

  1. 2011
    • CMS Stage 1 EHR
  2. 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.

  1. Medical schoolMaulana Azad Medical College
  2. Board certified in surgeryAmerican Board of 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

  1. Medicare8
  2. PPO6
  3. HMO2
  4. POS2
  5. EPO1

Source: Dmand AI Insurance Network Data

Sources for Dr. Ajay Kumar 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 phoneNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data
Primary practice, affiliations and health systemNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation 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)Doctors and Clinicians Utilization Data (CMS) (opens in a new tab)
Publications, topics and co-authorsPubMed (National Library of Medicine) (opens in a new tab)Dmand AI Research Linkage
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Awards and committee rolesDmand AI Professional Profile Data
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. 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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