DR. GHANSHYAM PRADYUMNA DWIVEDI MD
NPI 1033112602
Internal Medicine in Fayetteville, NC
Active since May 27, 2005PECOS Enrolled
1778 METROMEDICAL DR, FAYETTEVILLE, NC 28304(910) 483-4680(910) 484-2704 Get Directions Write a Review
About Dr. Ghanshyam Pradyumna Dwivedi Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. GHANSHYAM PRADYUMNA DWIVEDI MD (NPI 1033112602) is an individual internal medicine provider in Fayetteville, North Carolina, licensed in North Carolina (33230) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS.
NPPES Registry Identity
NPI1033112602
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. GHANSHYAM PRADYUMNA DWIVEDICredential: MD
Location Address1778 METROMEDICAL DRFayetteville, NC 28304-3861
Mailing Address1778 Metromedical DrFayetteville, NC 28304-3861 · (910) 483-4680 · Fax (910) 484-2704
Phone(910) 483-4680
Fax(910) 484-2704
Sole ProprietorYes
Enumeration DateMay 27, 2005
Last NPPES UpdateApril 9, 2019
✔ NPI 1033112602 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NC · 33230
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1778 METROMEDICAL DR, Fayetteville, NC 28304
Other Identifiers 2
Other1033112602NC · Npi
Medicaid8929604NC
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
✔
Enrolled in Medicare (PECOS)
Dr. Ghanshyam Pradyumna Dwivedi Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28304 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
New Patient
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
3%324 patients
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
54%449 patients3/55-star benchmark: 85%
Depression Utilization of the PHQ-9 Tool
The percentage of patients age 18 and older with the diagnosis of major depression or dysthymia who have a completed PHQ-9 during each applicable 4 month period in which there was a qualifying visit
Patients 4MonthsOfEnd: 13% · 148 patients
Patients 4MonthsOfStart: 77% · 152 patients
7%153 patients
Diabetes: Foot Exam
The percentage of patients 18-75 years of age with diabetes (type 1 and type 2) who received a foot exam (visual inspection and sensory exam with mono filament and a pulse exam) during the measurement year
13%171 patients1/55-star benchmark: 98%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
77%171 patients4/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
96%3,724 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
97%2,862 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
99%323 patients5/55-star benchmark: 99%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from certified EHR technology to identify patient-specific educational resources and provide electronic access to those materials to at least one unique patient seen by the MIPS eligible…
100%644 patients5/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
46%323 patients3/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
39%865 patients2/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
37%680 patients2/55-star benchmark: 88%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
95%685 patients4/55-star benchmark: 96%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 89% · 732 patients
Patients tobacco: 79% · 732 patients
42%122 patients2/55-star benchmark: 98%
Provide Patient Access
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…
68%636 patients3/55-star benchmark: 100%
Request/Accept Summary of Care
For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician receives or retrieves and incorporates into the patient's record an…
94%1,023 patients4/55-star benchmark: 100%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 7% · 323 patients
11%323 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.
Referred Medical Equipment & Supplies CMS DME claims 4
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers25 claims57 services$5.89 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier11 claims11 services$50.88 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier18 claims18 services$15.73 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
4 suppliers20 claims20 services$24.83 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Ghanshyam Dwivedi's NPI number?
The NPI number for Ghanshyam Dwivedi is 1033112602. It was assigned to this individual provider in the NPPES registry on May 27, 2005.
Where is Ghanshyam Dwivedi located?
Ghanshyam Dwivedi practices at 1778 Metromedical Dr, Fayetteville, NC 28304. The listed phone number is (910) 483-4680.
What is Ghanshyam Dwivedi's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Ghanshyam Dwivedi enrolled in Medicare?
Yes. Ghanshyam Dwivedi is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Ghanshyam Dwivedi was last updated on April 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Ghanshyam Pradyumna Dwivedi, MD · NPI 1033112602
Internal Medicine physician in Fayetteville, North Carolina. Individual provider, active in the CMS NPPES registry since May 27, 2005.
## Identity
- **NPI:** 1033112602 (Entity type: Individual)
- **Enumerated:** May 27, 2005
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 33230 (North Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1778 METROMEDICAL DR, Fayetteville, NC 28304-3861
- **Phone:** (910) 483-4680 · **Fax:** (910) 484-2704
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** April 9, 2019
- **Other identifiers:** Other 1033112602 (NC); Medicaid 8929604 (NC)
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Source: [NPI Profile](https://npiprofile.com/npi/1033112602) · Data from the CMS NPPES public registry.