Dr. Upali Sanath Walgama, MD
- Medicare services, 2024
- 252
- Medicare patients, 2024
- 58
- Part D claims, 2024
- 1,639
- Hospital affiliations
- 1
- Industry payments
- $2,776
- Practice address
- 105 N High St Henderson Family Medicine, Henderson, TX 75652-3133
- Practice phone
- Call (903) 392-8259
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Henderson Family Medicine
Primary care practice · Henderson, Texas
Find Dr. Walgama's professional email, personal email and mobile number
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Dr. Upali Sanath Walgama is an internist in Henderson, Texas
Dr. Walgama practices at Henderson Family Medicine in Henderson, Texas.
Dr. Walgama's NPI, 1265577175, was assigned on February 20, 2007. Dr. Walgama graduated from University of Colombo Faculty of Medicine in 1966. Dr. Walgama holds Texas license F0066.
- NPI
- 1265577175NPI Registry (opens in a new tab)
- Medicare PAC ID
- 9436322187
- NPI enumeration date
- February 20, 2007
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (903) 392-8259
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 86
- Medical school graduation
- 1966
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Dr. Upali Sanath Walgama practices at Henderson Family Medicine in Henderson, Texas
Dr. Walgama's primary practice is Henderson Family Medicine, at 105 N High St Henderson Family Medicine, Henderson, TX 75652-3133. The practice phone is (903) 392-8259.
- Henderson Family Medicine105 N High St Henderson Family Medicine, Henderson, TX 75652-3133Phone(903) 392-8259
Source: Dmand AI Affiliation Data
Dr. Upali Sanath Walgama is affiliated with 2 sites of care and 3 medical groups
Dr. Walgama's primary practice is Henderson Family Medicine in Henderson, Texas. Dr. Walgama is also affiliated with UT Health Henderson. The medical group on file is Henderson Family Medicine. Dmand AI also links Dr. Walgama to 2 more medical groups, each named with a free account.
Source: Dmand AI Affiliation Data
Dmand AI tracks the EHR system at Dr. Upali Sanath Walgama's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Walgama practices, 2 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Henderson Family Medicine | Available with a free account |
| +1 more site and 2 medical groups | Available with a free account |
Source: Dmand AI Technology Install Data
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Dr. Upali Sanath Walgama is one of 8,437 internists in Texas
Internal medicine is Dr. Walgama's primary specialty in the NPI Registry, under taxonomy code 207R00000X. Dr. Walgama is board certified in internal medicine by the American Board of Internal Medicine. Dmand AI has Dr. Walgama's licenses on file in 2 states: Texas and Pennsylvania.
Specialties and state licenses
- Internal medicine, TexasPrimary
- Pennsylvania license
Clinical focus
Dmand AI lists acute skin infection, anxiety, asthma, atrial fibrillation and flutter, cerebrovascular disease, chronic diabetes, chronic hypertension and chronic obstructive pulmonary disease (COPD) among the conditions Dr. Walgama treats.
Internists near Dr. Walgama
Counts of internists 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. Upali Sanath Walgama billed Medicare for 252 services in 2024
CMS data shows 252 Medicare services from Dr. Walgama across 4 procedure codes in 2024, for 58 Medicare patients. Medicare paid $13,001 for them. Every service was in an office.
Dr. Walgama's Medicare services by type, 2023 to 2024
- 2023
- 2024
- Office and hospital visits
- 2023: 1912024: 15519%
- Other services
- 2023: 02024: 56
- Surgery
- 2023: 602024: 4132%
Dr. Walgama compared with the Texas median for internists, 2024
- Dr. Walgama
- Texas median
- Medicare services
- 252vs 53953% below
- Medicare patients
- 58vs 19069% below
- Part D claims
- 1,274vs 2894.4 times
Medians across 7,794 internists in Texas with Dmand AI profiles that report each measure.
Dr. Walgama'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. Walgama?
Medicare shows one payer. Book a meeting to get commercial claims data for Dr. Walgama and other internists in Texas.
Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks
Dr. Upali Sanath Walgama treated 58 Medicare patients in 2024, average age 76
CMS counts 58 Medicare patients who saw Dr. Walgama in 2024. The largest group is 65 to 74, with 24 patients. 75% of them have high blood pressure, and 69% have high cholesterol. Their average risk score is 1.06, where 1.00 is the Medicare average.
Across all payers, Dmand AI patient panel data puts Dr. Walgama's median patient age at 59, with 53% women.
Dr. Walgama's Medicare patients by age, 2024
CMS leaves out age groups with fewer than 11 patients.
Dr. Walgama's Medicare patients by sex, 2024
- Women2848%
- Men3052%
Chronic conditions among Dr. Walgama's Medicare patients, 2024
- High blood pressure75%
- High cholesterol69%
- Arthritis38%
- Diabetes38%
- Ischemic heart disease38%
- Anxiety26%
- Atrial fibrillation26%
- Heart failure21%
Share of Medicare patients with each condition. A patient can have several.
Dr. Walgama's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 59
Patient panel by sex, all payers
- Women53%
- Men46%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Dr. Upali Sanath Walgama wrote 1,639 Medicare Part D claims in 2024
In 2024, Dr. Walgama wrote 1,639 Medicare Part D claims for 168 patients. 91% of them were for generic drugs. CMS names the drug for 1,274 of them, across 50 drugs with 11 or more claims each, at $51,405 in total drug cost. In 2023, CMS named 1,607 claims across 57 drugs.
Dr. Walgama's Part D claims by kind of drug, 2024
- Generic1,485 claims91%
- Brand-name and other154 claims9%
Dr. Walgama'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. Walgama's Part D claims, 2024
- Opioids14%228 of 1,639 claims
- Antibiotics2%37 of 1,639 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: 1,6072024: 1,27421%
Drugs named by CMS: 50 in 2024, 57 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
How Dr. Upali Sanath Walgama takes part in Medicare
Dr. Walgama accepts Medicare assignment, so Medicare's approved amount is taken as full payment.
- Accepts Medicare assignment
- Yes
Source: Doctors and Clinicians National Downloadable File (CMS)
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Dr. Upali Sanath Walgama received $2,776 in industry payments from 2016 to 2025
CMS Open Payments shows 124 general payments to Dr. Walgama from 24 drug and device companies from 2016 to 2025. Food and beverage make up the largest share, 99% of the total. Janssen Pharmaceuticals, Inc paid the most, $509.
General payments to Dr. Walgama by program year, 2016 to 2025
General payments to Dr. Walgama by kind, 2016 to 2025
- Food and beverage$2,76299%
- Education$141%
Companies that paid Dr. Walgama 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. Upali Sanath Walgama graduated from University of Colombo Faculty of Medicine
Dr. Walgama graduated from University of Colombo Faculty of Medicine in 1966.
- Medical school
- Board certified in internal medicine
Source: Dmand AI Professional Profile Data
Dr. Upali Sanath Walgama accepts plans from 19 insurance carriers
Dr. Walgama is in network with 19 carriers, including Elevance, Blue Cross Blue Shield of Michigan and United Healthcare. PPO plans come from the most carriers, 11. Check the plan with the practice before a visit.
- Elevance
- Blue Cross Blue Shield of Michigan
- United Healthcare
- Cigna
- HCSC
- Aetna
- Alliant Health Plans
- Blue Cross Blue Shield of Massachusetts
- +11 more carriersWith a free account
Plan types Dr. Walgama accepts, by number of carriers
- PPO11
- HMO10
- Medicare8
- EPO4
- POS4
Source: Dmand AI Insurance Network Data
Sources for Dr. Upali Sanath Walgama'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 | Dmand AI Affiliation Data |
| Primary practice, affiliations and health system | Dmand 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) |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| 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. Upali Sanath Walgama
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. Upali Sanath Walgama's NPI number?
Dr. Upali Sanath Walgama's NPI number is 1265577175. It was assigned on February 20, 2007, and it is active in the NPI Registry.
What kind of doctor is Dr. Upali Sanath Walgama?
Dr. Upali Sanath Walgama is an internist in Henderson, Texas. The primary specialty in the NPI Registry is Internal Medicine Physician (taxonomy code 207R00000X).
Where does Dr. Upali Sanath Walgama practice?
Dr. Walgama practices at 105 N High St Henderson Family Medicine, Henderson, TX 75652-3133. Dr. Walgama's primary practice is Henderson Family Medicine in Henderson, Texas. Dmand AI also links Dr. Walgama to 2 medical groups.
What is Dr. Upali Sanath Walgama's office phone number?
The practice phone on file for Dr. Walgama is (903) 392-8259.
What is Dr. Upali Sanath Walgama's medical license number?
Dr. Walgama holds Texas license F0066, one of the licenses on file in 2 states.
Which states has Dr. Upali Sanath Walgama been licensed in?
Dmand AI has state licenses on file for Dr. Walgama in Texas (1977 to 2026) and Pennsylvania (1974 to 1978).
Which hospitals is Dr. Upali Sanath Walgama affiliated with?
Dr. Walgama is affiliated with UT Health Henderson.
What medical group is Dr. Upali Sanath Walgama part of?
Dr. Walgama is linked to Henderson Family Medicine. Dmand AI links Dr. Walgama to 2 more medical groups.
Does Dr. Upali Sanath Walgama accept Medicare?
Yes. CMS data shows Dr. Walgama billed Medicare for 252 services in 2024, and Dr. Walgama accepts Medicare assignment.
How many Medicare patients does Dr. Upali Sanath Walgama see?
CMS counts 58 Medicare patients who saw Dr. Walgama in 2024, with an average age of 76.
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Is Dr. Upali Sanath Walgama board certified?
Yes. Dr. Walgama is board certified in internal medicine by the American Board of Internal Medicine.
What services does Dr. Upali Sanath Walgama bill to Medicare?
In 2024, Dr. Walgama's most billed Medicare services were office visit, established patient (99214), medicare service (G2211) and surgery: heart and blood vessels (36415).
Where did Dr. Upali Sanath Walgama go to medical school?
Dr. Walgama graduated from University of Colombo Faculty of Medicine in 1966.
What drugs does Dr. Upali Sanath Walgama prescribe most?
In 2024 Medicare Part D data, Dr. Walgama's most prescribed drugs by claims were Hydrocodone-Acetaminophen, Atorvastatin Calcium and Alprazolam.
Has Dr. Upali Sanath Walgama received payments from drug or device companies?
CMS Open Payments shows $2,776 in general payments to Dr. Walgama from 24 companies from 2016 to 2025. The largest total came from Janssen Pharmaceuticals, Inc.
How long has Dr. Upali Sanath Walgama been practicing?
Dr. Walgama graduated from medical school in 1966, 60 years ago.
What insurance does Dr. Upali Sanath Walgama accept?
Dr. Walgama is in network with 19 carriers, including Elevance, Blue Cross Blue Shield of Michigan and United Healthcare. PPO plans come from the most carriers, 11. Check the plan with the practice before a visit.
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