AMIT SHRIKRISHNA AGARWAL MD
NPI 1194054700
Internal Medicine - Pulmonary Disease in Chambersburg, PA

Active since December 09, 2009PECOS EnrolledAccepts Medicare Assignment
82.54/100
CMS Quality Rating
601 NORLAND AVE, CHAMBERSBURG, PA 17201(717) 264-1600 Get Directions Write a Review

NPPES record last updated: March 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 20, 2023, Dec 20, 2022, Jun 23, 2021 and 4 more (7 updates tracked since 2016).

About Amit Shrikrishna Agarwal Md NPPES

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

AMIT SHRIKRISHNA AGARWAL MD (NPI 1194054700) is an individual pulmonary disease provider in Chambersburg, Pennsylvania, licensed in Pennsylvania (MD458927) and active in the NPI registry since December 2009. He is enrolled in Medicare PECOS, is affiliated with Upmc Carlisle, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1194054700
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameAMIT SHRIKRISHNA AGARWALCredential: MD
Location Address601 NORLAND AVEChambersburg, PA 17201-4235
Mailing Address785 5th Ave Ste 3Chambersburg, PA 17201-4232 · (717) 263-9555 · Fax (717) 709-6529
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateDecember 9, 2009
Last NPPES UpdateMarch 20, 20237 updates tracked since enumeration
NPPES CertifiedMarch 20, 2023
NPI 1194054700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in PA · MD458927
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License MD458927 (PA)
601 NORLAND AVE, Chambersburg, PA 17201

Secondary Practice Locations 5

Location 197 Progress BlvdShippensburg, PA 17257-9053 · Phone (717) 264-1600
Location 2354 Alexander Spring RdCarlisle, PA 17015-7451 · Phone (717) 264-1600
Location 3601 E Main StWaynesboro, PA 17268-2332 · Phone (717) 264-1600
Location 411 Sprint Dr Ste ACarlisle, PA 17015-7789 · Phone (717) 218-1811
Location 52005 Technology Pkwy Ste 300Mechanicsburg, PA 17050-9423 · Phone (717) 988-5864

Other Identifiers 2

Other13901056Caqh
Other1194054700Npi

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

Amit Shrikrishna Agarwal 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 ID2264710102
PECOS Enrollment IDI20161028000564
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 13

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.
134 services92 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.
39 services15 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
36 services36 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
34 services34 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.
29 services28 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.
28 services18 patients

Hospital Affiliations CMS Care Compare 3

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

Upmc Carlisle

Acute Care Hospitals · Carlisle, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390058
Location361 Alexander Spring RoadCarlisle, PA 17015 · Cumberland County
Emergency services Birthing friendly

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 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 17201 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
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 5

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

Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers12 claims72 services$2.08 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers24 claims24 services$17.18 avg. paid by Medicare
Humidifier, heated, used with positive airway pressure device E0562
DME-Other DME · category DE001N
2 suppliers16 claims16 services$14.50 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers19 claims19 services$36.53 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
6 suppliers83 claims83 services$88.43 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 7

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

Nurse Practitioner (Acute Care)
601 NORLAND AVE
CHAMBERSBURG, PA 17201
Nurse Practitioner (Acute Care)
601 NORLAND AVE
CHAMBERSBURG, PA 17201
Internal Medicine (Pulmonary Disease)
601 NORLAND AVE
CHAMBERSBURG, PA 17201
Nurse Practitioner
601 NORLAND AVE
CHAMBERSBURG, PA 17201
Internal Medicine (Pulmonary Disease)
601 NORLAND AVE
CHAMBERSBURG, PA 17201
Internal Medicine (Critical Care Medicine)
601 NORLAND AVE
CHAMBERSBURG, PA 17201
Nurse Practitioner (Acute Care)
601 NORLAND AVE
CHAMBERSBURG, PA 17201

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 Amit Agarwal's NPI number?

The NPI number for Amit Agarwal is 1194054700. It was assigned to this individual provider in the NPPES registry on December 9, 2009.

Where is Amit Agarwal located?

Amit Agarwal practices at 601 Norland Ave, Chambersburg, PA 17201. The listed phone number is (717) 264-1600.

What is Amit Agarwal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Amit Agarwal enrolled in Medicare?

Yes. Amit Agarwal 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 Amit Agarwal affiliated with any hospitals?

According to CMS data, Amit Agarwal is affiliated with Upmc Carlisle, Upmc Pinnacle Hospitals and Upmc Memorial.

When was this NPI record last updated?

The NPPES record for Amit Agarwal was last updated on March 20, 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.