Santosh Vaghela, M.D.
NPI 1699186718 · Pulmonary Disease Physician · Saratoga Springs, NY
Enrolled with Medicare as Practitioner - Critical Care (intensivists) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Santosh Vaghela, M.D. is a Pulmonary Disease Physician provider in Saratoga Springs, NY (NPI 1699186718).
Provider details
- NPI number
- 1699186718
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 61373 (CT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
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
12 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
891 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 | 159 | $95 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 153 | $110 |
| 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 | 126 | $15 |
| Critical Care, First 30-74 Minutes99291 | 112 | $198 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 63 | $160 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 23 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Fluticasone/Umeclidin/Vilanterbrand: Trelegy Ellipta | 500 | 166 |
| Budesonide/Glycopyr/Formoterolbrand: Breztri Aerosphere | 257 | 81 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 143 | 67 |
| Montelukast Sodium | 90 | 30 |
| Prednisone | 72 | 54 |
| Umeclidinium Brm/Vilanterol Trbrand: Anoro Ellipta | 66 | 25 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$608 across 29 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 (2)
- 8 Medical Park Dr Ste 202Malta, NY 12020-5050Phone: (518) 693-4635
- 161 Carey Rd Bldg 2Queensbury, NY 12804-7821Phone: (518) 932-0242
Registry dates
- Enumerated
- 2014-05-12
- Last updated
- 2021-07-14
- Certified
- 2021-07-14
Frequently asked questions
- What is Santosh Vaghela's NPI number?
- Santosh Vaghela's National Provider Identifier (NPI) is 1699186718, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Santosh Vaghela's specialty?
- Santosh Vaghela is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Santosh Vaghela located?
- Santosh Vaghela's practice location on file with NPPES is 19 West Ave Ste 101, Saratoga Springs, NY 12866-6052.
- What is Santosh Vaghela's phone number?
- The practice phone number listed in the NPPES registry for Santosh Vaghela is (518) 693-4635.
- Does Santosh Vaghela accept Medicare?
- Santosh Vaghela is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Santosh Vaghela's NPI active?
- Yes — Santosh Vaghela's NPI (1699186718) is active in the NPPES registry as of the last update on 2021-07-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.