Upasana Tiwari, MD
NPI 1215385224 · Family Medicine Physician · Binghamton, NY
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Upasana Tiwari, MD is a Family Medicine Physician provider in Binghamton, NY (NPI 1215385224).
Provider details
- NPI number
- 1215385224
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
10 yrs in NPPES registry
- Profile completeness28% of score
83% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
315 Medicare services, 2024 (ranked within specialty)
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 methodology.
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) |
|---|---|---|
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 117 | $126 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 81 | $93 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 71 | $16 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 33 | $63 |
| Annual Wellness Visit; Includes a Personalized Prevention Plan of Service (pps), Initial VisitG0438 | 13 | $160 |
Typical Medicare-allowed amounts for these services range $16–$160 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 90 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 394 | 136 |
| Levothyroxine Sodium | 262 | 82 |
| Amlodipine Besylate | 233 | 82 |
| Omeprazole | 169 | 54 |
| Metoprolol Succinate | 157 | 47 |
| Losartan Potassium | 151 | 50 |
| Lisinopril |
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-05-31
- Last updated
- 2019-06-27
Frequently asked questions
- What is Upasana Tiwari's NPI number?
- Upasana Tiwari's National Provider Identifier (NPI) is 1215385224, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Upasana Tiwari's specialty?
- Upasana Tiwari is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Upasana Tiwari located?
- Upasana Tiwari's practice location on file with NPPES is 160 Robinson St, Binghamton, NY 13904-1842.
- What is Upasana Tiwari's phone number?
- The practice phone number listed in the NPPES registry for Upasana Tiwari is (607) 296-2300.
- Does Upasana Tiwari accept Medicare?
- Upasana Tiwari is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Upasana Tiwari's NPI active?
- Yes — Upasana Tiwari's NPI (1215385224) is active in the NPPES registry as of the last update on 2019-06-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.