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ANUP SHRESTHA PA-C
NPI 1053732370
Physician Assistant in Mount Hope, WV

Active since January 05, 2014PECOS EnrolledAccepts Medicare Assignment
86.64/100
CMS Quality Rating
753 CRANBERRY DR, MOUNT HOPE, WV 25880(304) 877-8482 Get Directions Write a Review

NPPES record last updated: January 5, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Anup Shrestha Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANUP SHRESTHA PA-C (NPI 1053732370) is an individual physician assistant in Mount Hope, West Virginia, licensed in West Virginia (01775) and active in the NPI registry since January 2014. He is enrolled in Medicare PECOS, is affiliated with O'connor Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1053732370
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameANUP SHRESTHACredential: PA-C
Location Address753 CRANBERRY DRMount Hope, WV 25880-9168
Mailing Address753 Cranberry DrMount Hope, WV 25880-9168 · (304) 877-8482
Phone(304) 877-8482
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateJanuary 5, 2014
✔ NPI 1053732370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in WV · 01775
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
753 CRANBERRY DR, Mount Hope, WV 25880
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Anup Shrestha Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID42435919
PECOS Enrollment IDI20140709000871
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
93 services64 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
58 services56 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
27 services27 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
23 services23 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

O'connor Hospital

Critical Access Hospitals · Delhi, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331305
Location460 Andes RoadDelhi, NY 13753 · Delaware County
Emergency services

Cobleskill Regional Hospital

Critical Access Hospitals · Cobleskill, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number331320
Location178 Grandview DriveCobleskill, NY 12043 · Schoharie County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25880 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
Most-billed visit code 99213
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.

86.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.13
Promoting Interoperability74
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers61 claims63 services$14.34 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers78 claims80 services$64.23 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Anup Shrestha's NPI number?

The NPI number for Anup Shrestha is 1053732370. It was assigned to this individual provider in the NPPES registry on January 5, 2014.

Where is Anup Shrestha located?

Anup Shrestha practices at 753 Cranberry Dr, Mount Hope, WV 25880. The listed phone number is (304) 877-8482.

What is Anup Shrestha's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Anup Shrestha enrolled in Medicare?

Yes. Anup Shrestha is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Anup Shrestha affiliated with any hospitals?

According to CMS data, Anup Shrestha is affiliated with O'connor Hospital and Cobleskill Regional Hospital.

When was this NPI record last updated?

The NPPES record for Anup Shrestha was last updated on January 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.