DR. KAMLESH RAJ ACHARYA MD
NPI 1093936437
Family Medicine in Lancaster, PA

Active since May 02, 2007PECOS EnrolledAccepts Medicare Assignment
82.54/100
CMS Quality Rating
2145 NOLL DR, LANCASTER, PA 17603(717) 397-4921(717) 397-7170 Get Directions Write a Review

NPPES record last updated: January 9, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 9, 2021, Jun 8, 2020, Dec 11, 2017 and 1 more (4 updates tracked since 2017).

About Dr. Kamlesh Raj Acharya Md NPPES

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

DR. KAMLESH RAJ ACHARYA MD (NPI 1093936437) is an individual family medicine provider in Lancaster, Pennsylvania, licensed in Pennsylvania (MD346566) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Upmc Pinnacle Hospitals, and maintains a secondary practice location in Lancaster.

NPPES Registry Identity

NPI1093936437
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KAMLESH RAJ ACHARYACredential: MD
Location Address2145 NOLL DRLancaster, PA 17603-7600
Mailing Address2145 Noll DrLancaster, PA 17603-7600 · (717) 397-4921
Fax(717) 397-7170
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateMay 2, 2007
Last NPPES UpdateJanuary 9, 20214 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2021
NPI 1093936437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in PA · MD346566 Licensed in MI · 4301089172
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.

2145 NOLL DR, Lancaster, PA 17603

Secondary Practice Location 1

Location 12145 Noll DrLancaster, PA 17603-7600 · Phone (717) 397-4921 · Fax (717) 397-7170

Other Identifiers 5

Medicaid102298368PA
Other700G210140MI · Bcbs
Other08OG21014MI · Bcbs
Medicaid5200837MI
Medicaid5201431MI

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. Kamlesh Raj Acharya Md 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 ID5193817492
PECOS Enrollment IDI20090709000067
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 7

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
723 services188 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
292 services130 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
116 services116 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
100 services52 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
46 services46 patients
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402
An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.
12 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Upmc Pinnacle Hospitals

Acute Care Hospitals · Harrisburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390067
Location409 South Second StreetHarrisburg, PA 17104 · Dauphin County
Emergency services Birthing friendly

Upmc Lititz

Acute Care Hospitals · Lititz, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390068
Location1500 Highlands DriveLititz, PA 17543 · Lancaster County
Emergency services Birthing friendly

Lancaster General Hospital

Acute Care Hospitals · Lancaster, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390100
Location555 North Duke StreetLancaster, PA 17602 · Lancaster County
Emergency services Birthing friendly

Upmc Memorial

Acute Care Hospitals · York, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390101
Location1701 Innovation DriveYork, PA 17408 · York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17603 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

82.54/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.62
Promoting Interoperability100
Improvement Activities40
Cost65.18

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
13 suppliers40 claims111 services$6.05 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers15 claims23 services$1.10 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers12 claims12 services$4.51 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers17 claims17 services$216.20 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 9

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

Family Medicine
2145 NOLL DR
LANCASTER, PA 17603
Nurse Practitioner (Family)
2145 NOLL DR
LANCASTER, PA 17603
Family Medicine
2145 NOLL DR
LANCASTER, PA 17603
Physician Assistant
2145 NOLL DR
LANCASTER, PA 17603
Family Medicine
2145 NOLL DR
LANCASTER, PA 17603
Nurse Practitioner
2145 NOLL DR
LANCASTER, PA 17603
Family Medicine
2145 NOLL DR
LANCASTER, PA 17603
Family Medicine
2145 NOLL DR
LANCASTER, PA 17603

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093936437, enumerated as an "individual" on May 02, 2007.

The provider is located at 2145 NOLL DR LANCASTER, PA 17603 and the phone number is (717) 397-4921.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.

Kamlesh Acharya is affiliated with: UPMC PINNACLE HOSPITALS, UPMC LITITZ, LANCASTER GENERAL HOSPITAL and UPMC MEMORIAL.