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DR. PUNIT GOEL M.D., M.H.A.
NPI 1073761565
Family Medicine in Richmond, VA

Active since September 09, 2008PECOS EnrolledAccepts Medicare Assignment
56.06/100
CMS Quality Rating
5801 BREMO RD, RICHMOND, VA 23226(804) 287-7270(804) 285-0726 Get Directions Write a Review

NPPES record last updated: April 25, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Punit Goel M.d., M.h.a. NPPES

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

DR. PUNIT GOEL M.D., M.H.A. (NPI 1073761565) is an individual family medicine provider in Richmond, Virginia, licensed in Virginia (0101250083) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS, is affiliated with Bon Secours St Marys Hospital, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1073761565
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. PUNIT GOELCredential: M.D., M.H.A.
Location Address5801 BREMO RDRichmond, VA 23226-1907
Mailing Address62 Sebastian RdFredericksburg, VA 22405-5733 · (203) 675-6090 · Fax (832) 476-3990
Phone(804) 287-7270
Fax(804) 285-0726
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateSeptember 9, 2008
Last NPPES UpdateApril 25, 2023
NPPES CertifiedApril 25, 2023
✔ NPI 1073761565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in VA · 0101250083
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedHospitalistTaxonomy 208M00000X · License 0101250083 (VA)
5801 BREMO RD, Richmond, VA 23226
Open in Google Maps ↗

Other Identifiers 1

OtherC06778VA · Group Ptan

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

Dr. Punit Goel M.d., M.h.a. 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 ID8426228966
PECOS Enrollment IDI20110819000217
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 5

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 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
574 services342 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.
330 services323 patients
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.
141 services108 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
141 services87 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.
28 services28 patients

Hospital Affiliations CMS Care Compare

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

Bon Secours St Marys Hospital

Acute Care Hospitals · Richmond, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number490059
Location5801 Bremo RdRichmond, VA 23226 · Richmond City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23226 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

56.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality26.71
Improvement Activities40
Cost76.15

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
65%93 patients3/55-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 3

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
5 suppliers39 claims39 services$14.51 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers16 claims17 services$5.68 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
5 suppliers40 claims40 services$66.25 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 20

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

DR. ENJANA BYLYKBASHI MD
Emergency Medicine
5801 BREMO RD
RICHMOND, VA 23226
Richmond City (804) 285-2011
LAUREN BROOKE CHOI RN
Registered Nurse
5801 BREMO RD
RICHMOND, VA 23226
Richmond City (804) 285-2011
KRISTEN KENNEDY YOUNG RN
Registered Nurse
5801 BREMO RD
RICHMOND, VA 23226
Richmond City (804) 281-8208
DR. BETH BARTON HEWITT MD
Pathology (Anatomic Pathology & Clinical Pathology)
5801 BREMO RD
RICHMOND, VA 23226
Richmond City (804) 281-8100
JAMES R SHEFFERLY M.D.
Emergency Medicine
5801 BREMO RD, VIRGINIA EMERGENCY ASSOCIATES INC
RICHMOND, VA 23226
Richmond City (804) 287-7066
JEFFRY A ZIMMERMAN P.A.
Physician Assistant
5801 BREMO RD, ST FRANCIS EMERGENCY DEPARTMENT
RICHMOND, VA 23226
Richmond City (804) 287-7066
LISA BROADDUS ZIEGLER CRNA
Nurse Anesthetist, Certified Registered
5801 BREMO RD
RICHMOND, VA 23226
Richmond City (804) 285-2011
JONATHAN BOWERS SURGICAL ASSISTANT
Specialist/Technologist, Other (Surgical Assistant)
5801 BREMO RD
RICHMOND, VA 23226
Richmond City (804) 281-8503

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 Punit Goel's NPI number?

The NPI number for Punit Goel is 1073761565. It was assigned to this individual provider in the NPPES registry on September 9, 2008.

Where is Punit Goel located?

Punit Goel practices at 5801 Bremo Rd, Richmond, VA 23226. The listed phone number is (804) 287-7270.

What is Punit Goel's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Punit Goel enrolled in Medicare?

Yes. Punit Goel 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 Punit Goel affiliated with any hospitals?

According to CMS data, Punit Goel is affiliated with Bon Secours St Marys Hospital.

When was this NPI record last updated?

The NPPES record for Punit Goel was last updated on April 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.