Nishanth Vallumsetla
NPI 1134589799ActiveIndividual· Internal Medicine, Pulmonary Disease· Scranton, PA
Internal Medicine, Pulmonary Disease with Lehigh Valley Physician Group, practicing in Scranton, Pennsylvania. Their prescriptions cost Medicare Part D more than their services did: $227,654 for 551 claims, against $32,657 paid for services in 2024. Intuitive Surgical, Inc. was the largest of 2 companies reporting payments in 2024, $526.95 in all, mostly food and beverage. Lists Geisinger Wyoming Valley Medical Center and 1 other hospital as hospital affiliations.
Overview
| NPI | 1134589799 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Feb 25, 2016 |
| Last updated in NPPES | Nov 10, 2025 |
| Certified by provider | Nov 10, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Pulmonary Disease Primary | 207RP1001X | MD490850 | PA |
| Internal Medicine, Pulmonary Disease | 207RP1001X | 0.36159074 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Pulmonary Disease (IL); Practitioner - Pulmonary Disease (PA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 146 |
|---|---|
| Services billed | 461 across 40 procedure codes |
| Paid by Medicare | $32,657 |
Part D prescriptions in 2024
| Prescriptions (claims) | 551 · 686 30-day fills |
|---|---|
| Patients | 95 |
| Total drug cost | $227,654 |
| Generic share | 39% of claims |
Education and affiliations
| Graduation year | 2011 |
|---|---|
| Medicare specialty | Pulmonary Disease |
Medical group
- Lehigh Valley Physician GroupAllentown, PA · 2,542 clinicians
Hospital affiliations
- Geisinger Wyoming Valley Medical CenterWilkes Barre, PA
- Lehigh Valley Hospital - PoconoEast Stroudsburg, PA
Industry payments (Open Payments)
- 2024$526.95 · 5 payments from 2 companies
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Intuitive Surgical, Inc. | $379.13 | 4 |
| United Therapeutics Corporation | $147.82 | 1 |
What the 2024 payments were for
- Food and Beverage$294.23 · 3 payments
- Travel and Lodging$232.72 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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