Prashant N. Pandya, MD
NPI 1497738876ActiveIndividual· Internal Medicine· West Orange, NJ
Internal Medicine (MD) in West Orange, New Jersey, trained at University of Michigan Medical School (class of 1992). Their prescriptions cost Medicare Part D more than their services did: $571,500 for 6,960 claims, against $152,168 paid for services in 2024. Exact Sciences Corporation was the largest of 11 companies reporting payments in 2025, $522.42 in all, mostly food and beverage.
Overview
| NPI | 1497738876 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Nov 21, 2005 |
| Last updated in NPPES | Nov 21, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 25MA06751300 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Internal Medicine (NJ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 354 |
|---|---|
| Services billed | 2,466 across 34 procedure codes |
| Paid by Medicare | $152,168 |
Part D prescriptions in 2024
| Prescriptions (claims) | 6,960 · 17,266 30-day fills |
|---|---|
| Patients | 692 |
| Total drug cost | $571,500 |
| Generic share | 89% of claims |
Education and affiliations
| Medical school | University of Michigan Medical School |
|---|---|
| Graduation year | 1992 |
| Medicare specialty | Internal Medicine |
| Telehealth | Offers telehealth |
Medical group
- Optum Medical Care of New Jersey PCBayonne, NJ · 163 clinicians
Hospital affiliations
- Chilton Medical CenterPompton Plains, NJ
- Cooperman Barnabas Medical CenterLivingston, NJ
- Hackensack Meridian Mountainside MedicalMontclair, NJ
- Morristown Medical CenterMorristown, NJ
- Overlook Medical CenterSummit, NJ
Other facilities
- Atlantic Visiting NurseHome health agency · Morristown, NJ
- Barnabas Health Home Care and HospiceHome health agency · West Orange, NJ
- Kessler Rehab CenterInpatient rehabilitation facility · West Orange, NJ
Industry payments (Open Payments)
- 2025$522.42 · 33 payments from 11 companies
- 2024$318.21 · 18 payments from 7 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Exact Sciences Corporation | $139.30 | 10 |
| Novo Nordisk Inc | $133.39 | 8 |
| Astrazeneca Pharmaceuticals LP | $72.89 | 5 |
| Dexcom, Inc. | $41.08 | 2 |
| Merck Sharp & Dohme LLC | $35.08 | 2 |
What the 2025 payments were for
- Food and Beverage$522.42 · 33 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 61 internal medicine physicians in West Orange · All internal medicine physicians in New Jersey