PRIYA GOPALAN
NPI 1073712956
Psychiatry & Neurology - Psychiatry in Pittsburgh, PA

Active since July 12, 2007PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
3811 OHARA ST, PITTSBURGH, PA 15213(412) 624-2000 Get Directions Write a Review

NPPES record last updated: June 15, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 15, 2021, May 26, 2021 (2 updates tracked since 2021).

About Priya Gopalan NPPES

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

PRIYA GOPALAN (NPI 1073712956) is an individual psychiatry provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (190937) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS, is affiliated with Upmc Williamsport, and is a graduate of University Of Virginia School Of Medicine (2007).

NPPES Registry Identity

NPI1073712956
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NamePRIYA GOPALAN
Location Address3811 OHARA STPittsburgh, PA 15213-2561
Mailing Address640 College Ave Apt 6Pittsburgh, PA 15232-1958
Sole ProprietorNo
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 2007
Enumeration DateJuly 12, 2007
Last NPPES UpdateJune 15, 20212 updates tracked since enumeration
NPI 1073712956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in PA · 190937
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
3811 OHARA ST, Pittsburgh, PA 15213

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

Priya Gopalan 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 ID3375720196
PECOS Enrollment IDI20110603000452
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 2

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.
40 services25 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.
15 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Upmc Williamsport

Acute Care Hospitals · Williamsport, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390045
Location700 High StreetWilliamsport, PA 17701 · Lycoming County
Emergency services Birthing friendly

Magee Womens Hospital Of Upmc Health System

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390114
Location300 Halket StreetPittsburgh, PA 15213 · Allegheny County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15213 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
$166.87 typical visit price
range $54.64 – $166.87
Typical copayment $41.71 (range $13.66 – $41.71)
Most-billed visit code 99205
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
3811 OHARA ST
PITTSBURGH, PA 15213
Social Worker (Clinical)
3811 OHARA ST
PITTSBURGH, PA 15213
Psychiatry & Neurology (Psychiatry)
3811 OHARA ST
PITTSBURGH, PA 15213
Specialist
3811 OHARA ST, SUITE 1135-E
PITTSBURGH, PA 15213
Psychiatry & Neurology (Psychiatry)
3811 OHARA ST
PITTSBURGH, PA 15213
Counselor (Mental Health)
3811 OHARA ST
PITTSBURGH, PA 15213
Counselor (Mental Health)
3811 OHARA ST
PITTSBURGH, PA 15213
Counselor (Addiction (Substance Use Disorder))
3811 OHARA ST
PITTSBURGH, PA 15213

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 Priya Gopalan's NPI number?

The NPI number for Priya Gopalan is 1073712956. It was assigned to this individual provider in the NPPES registry on July 12, 2007.

Where is Priya Gopalan located?

Priya Gopalan practices at 3811 Ohara St, Pittsburgh, PA 15213. The listed phone number is (412) 624-2000.

What is Priya Gopalan's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Priya Gopalan enrolled in Medicare?

Yes. Priya Gopalan 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 Priya Gopalan affiliated with any hospitals?

According to CMS data, Priya Gopalan is affiliated with Upmc Williamsport and Magee Womens Hospital Of Upmc Health System.

When was this NPI record last updated?

The NPPES record for Priya Gopalan was last updated on June 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.