Medicare Enrolled

Dr. Sima Pandya, DPM

Podiatrist · Pleasanton, CA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
4456 BLACK AVE STE 100, Pleasanton, CA 94566
9254160990
In practice since 2007 (18 years)
NPI: 1588854723 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Pandya from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Pandya

Dr. Sima Pandya is a podiatrist in Pleasanton, CA, with 18 years of NPI registration. Based on federal Medicare data, Dr. Pandya performed 961 Medicare services across 504 unique beneficiaries.

Between the years covered by Open Payments, Dr. Pandya received a total of $1,761 from 23 pharmaceutical and/or device companies across 80 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in podiatrist. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Pandya is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 18 years in practice ▲ 961 Medicare services $1,761 industry payments

Medicare Practice Summary

Medicare Utilization ↗
961
Medicare services
Bottom 41% in CA for podiatrist
504
Unique beneficiaries
$58
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~53 Medicare services per year of practice

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Toenail/fingernail removal, 6+ nails
Surgical removal of six or more fingernails or toenails. This procedure involves the excision of multiple nails during a single session.
 500 $40 $85
Office visit, established patient (20-29 min)
An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition.
 257 $79 $135
Removal of noncancer thickened skin growth, 1 growth
This procedure involves the removal of a single benign, thickened skin growth. It is a minor surgical intervention to eliminate the lesion.
 80 $71 $100
New patient office visit (30-44 min)
An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range.
 73 $93 $200
X-ray of foot, 2 views
An X-ray imaging test of the foot using two different angles to create pictures of the bones and joints.
 22 $27 $75
Office visit, established patient (10-19 min)
An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition.
 15 $54 $95
Simple separation of fingernail or toenail from nail bed, first nail
A procedure to separate the first fingernail or toenail from the underlying nail bed.
 14 $109 $165
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.

Industry Payment Transparency

Open Payments through 2024 ↗
$1,761
Total received (2018-2024)
Avg $252/year across 7 years
Top 33% in CA for podiatrist
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
23
Companies
80
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$1,746 (99.1%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$15 (0.9%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$250
2023
$209
2022
$212
2021
$303
2020
$215
2019
$227
2018
$345

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Smith+Nephew, Inc.
$88
Amgen Inc.
$60
MIMEDX Group, Inc.
$49
Orthofix Medical, Inc.
$34
Stryker Corporation
$20
Top 3 companies account for 78.5% of 2024 payments
All-time payments by company (2018-2024) ›
Smith+Nephew, Inc.
$566
Smith & Nephew, Inc.
$147
Horizon Therapeutics plc
$130
Zimmer Biomet Holdings, Inc.
$124
Horizon Pharma plc
$117
Orthofix Medical, Inc.
$99
Ortho Dermatologics, a division of Bausch Health US, LLC
$88
Amgen Inc.
$60
Alfasigma USA, Inc.
$52
MIMEDX Group, Inc.
$49
MAYNE PHARMA INC.
$49
Musculoskeletal Transplant Foundation Inc.
$38
Organogenesis Inc.
$34
PFIZER INC.
$28
Integra LifeSciences Corporation
$25
Osiris Therapeutics Inc.
$24
AbbVie Inc.
$23
TREACE MEDICAL CONCEPTS, INC.
$23
Egalet US Inc
$20
Stryker Corporation
$20
Abbott Laboratories
$18
United Therapeutics Corporation
$15
Sandoz Inc.
$12
Top 3 companies account for 47.9% of all-time payments
Associated products mentioned in payments ›
AUGMENT INJECTABLE · Amnio Repair · BILAYER WOUND MATRIX (BWM) · Biomet Orthopak · COLLAGENASE SANTYL · DALVANCE · GRAFIX/GRAFIXPL/STRAVIX · JUBLIA · KERYDIN · KRYSTEXXA · LAPIPLASTY SYSTEM · LYRICA · Nextremity ArcusTM · ORENITRAM · Physio-Stim · Proclaim IPG · Puraply · RAYOS · SALTO TALARIS TOTAL ANKLE PROSTHESIS · SPRIX · Santyl
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

Most payments (99%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Looking for a podiatrist in Pleasanton?
Compare podiatrists in the Pleasanton area by procedure volume, costs, and industry payment transparency.
Browse podiatrists nearby

Geographic Context

Podiatrists within 10 mi
107
Per 100K population
6.5
County median income
$126,240
Nearest hospital
STANFORD HEALTH CARE TRI-VALLEY
10.0 mi

Data Sources

Provider Registry ✓ NPPES Weekly updates
Medicare Enrollment ✓ PECOS Monthly updates
Practice Data ✓ Medicare Util. Annual (CY lag)
Industry Payments ✓ Open Payments CY 2024
Disciplinary History — Not public N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Pandya is a clinical cardiology specialist, with moderate Medicare volume, with low-engagement industry engagement, with 18 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Pandya experienced with toenail/fingernail removal, 6+ nails?
Based on Medicare claims data, Dr. Pandya performed 500 toenail/fingernail removal, 6+ nails services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Pandya receive payments from pharmaceutical companies?
Yes. Dr. Pandya received a total of $1,761 from 23 companies across 80 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Pandya's costs compare to other podiatrists in Pleasanton?
Dr. Pandya's average Medicare payment per service is $58. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Pandya) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →

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About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →