Shivam Upadhyaya, MD
NPI 1114374725 · Orthopaedic Surgery Physician · Port Saint Lucie, FL
Enrolled with Medicare as Practitioner - Orthopedic Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shivam Upadhyaya, MD is a Orthopaedic Surgery Physician provider in Port Saint Lucie, FL (NPI 1114374725).
Provider details
- NPI number
- 1114374725
- Entity type
- Individual
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 267141 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
10 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
2,869 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 1,190 | $131 |
| X-Ray of Lower and Sacral Spine, Minimum of 4 Views72110 | 240 | $52 |
| X-Ray of Lower and Sacral Spine, 2-3 Views72100 | 191 | $39 |
| Injection of Substance Into Lower Spine Canal Using Imaging Guidance62323 | 189 | $262 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 156 | $183 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 14 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Cyclobenzaprine Hcl | 742 | 574 |
| Meloxicam | 724 | 501 |
| Methylprednisolone | 504 | 481 |
| Gabapentin | 191 | 125 |
| Oxycodone Hcl/Acetaminophenbrand: Oxycodone-Acetaminophen | 102 | 73 |
| Ondansetronbrand: Ondansetron Odt | 97 | 81 |
| Diazepam | 83 | 69 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$28,187 across 34 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- Massachusetts General Hospital55 Fruit St.Boston, MA 02114Phone: (617) 726-2942
Registry dates
- Enumerated
- 2016-05-24
- Last updated
- 2022-07-21
- Certified
- 2022-07-21
Frequently asked questions
- What is Shivam Upadhyaya's NPI number?
- Shivam Upadhyaya's National Provider Identifier (NPI) is 1114374725, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shivam Upadhyaya's specialty?
- Shivam Upadhyaya is listed in the NPPES registry with a primary specialty of Orthopaedic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Shivam Upadhyaya located?
- Shivam Upadhyaya's practice location on file with NPPES is 9401 Sw Discovery Way Ste 201, Port Saint Lucie, FL 34987-2381.
- What is Shivam Upadhyaya's phone number?
- The practice phone number listed in the NPPES registry for Shivam Upadhyaya is (772) 288-2400.
- Does Shivam Upadhyaya accept Medicare?
- Shivam Upadhyaya is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shivam Upadhyaya's NPI active?
- Yes — Shivam Upadhyaya's NPI (1114374725) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.