Raghu Upender, MD
NPI 1154303592 · Sleep Medicine (Psychiatry & Neurology) Physician · Nashville, TN
Enrolled with Medicare as Practitioner - Sleep Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Raghu Upender, MD is a Sleep Medicine (Psychiatry & Neurology) Physician provider in Nashville, TN (NPI 1154303592).
Provider details
- NPI number
- 1154303592
- Entity type
- Individual
- Primary specialty
- Sleep Medicine (Psychiatry & Neurology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 39248 (TN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
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
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
381 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) |
|---|---|---|
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 89 | $142 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 73 | $102 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 48 | $92 |
| Home Sleep Test (hst) With Type III Portable Monitor, Unattended; Minimum of 4 Channels: 2 Respiratory Movement/Airflow, 1 Ecg/Heart Rate and 1 Oxygen SaturationG0399 | 40 | $32 |
| Sleep Study in Sleep Lab With Continuous Airway Pressure (6 Years Or Older)95811 | 35 | $115 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 5 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Gabapentin | 53 | 15 |
| Modafinil | 19 | — |
| Rotigotinebrand: Neupro | 12 | — |
| Ropinirole Hcl | 12 | — |
| Pramipexole Di-Hclbrand: Pramipexole Dihydrochloride | 11 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$82 across 1 record (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
Registry dates
- Enumerated
- 2005-11-18
- Last updated
- 2025-12-16
- Certified
- 2025-12-16
Frequently asked questions
- What is Raghu Upender's NPI number?
- Raghu Upender's National Provider Identifier (NPI) is 1154303592, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Raghu Upender's specialty?
- Raghu Upender is listed in the NPPES registry with a primary specialty of Sleep Medicine (Psychiatry & Neurology) Physician (Allopathic & Osteopathic Physicians).
- Where is Raghu Upender located?
- Raghu Upender's practice location on file with NPPES is 3601 the Vanderbilt Clinic, Nashville, TN 37232-0001.
- What is Raghu Upender's phone number?
- The practice phone number listed in the NPPES registry for Raghu Upender is (615) 322-3000.
- Does Raghu Upender accept Medicare?
- Raghu Upender is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Raghu Upender's NPI active?
- Yes — Raghu Upender's NPI (1154303592) is active in the NPPES registry as of the last update on 2025-12-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.