PRAMOD K TRIPATHI MD
NPI 1215386891
Internal Medicine - Endocrinology, Diabetes & Metabolism in Mechanicsburg, PA

Q: What is Pramod Tripathi's NPI number?

The NPI number for Pramod Tripathi is 1215386891. It was assigned to this individual provider in the NPPES registry on June 6, 2016.

Q: What is Pramod Tripathi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Q: When was this NPI record last updated?

The NPPES record for Pramod Tripathi was last updated on August 29, 2022. 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.

Active since June 06, 2016PECOS EnrolledAccepts Medicare Assignment

82.54/100

CMS Quality Rating

2005 TECHNOLOGY PKWY STE 440, MECHANICSBURG, PA 17050(717) 791-2540(717) 791-2549 Get Directions Write a Review

NPPES record last updated: August 29, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 29, 2022, Oct 18, 2021, Jul 23, 2021 and 1 more (4 updates tracked since 2021).

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About Pramod K Tripathi Md NPPES

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

PRAMOD K TRIPATHI MD (NPI 1215386891) is an individual endocrinology, diabetes & metabolism provider in Mechanicsburg, Pennsylvania, licensed in Pennsylvania (MD474568) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Upmc Carlisle, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1215386891

Entity TypeIndividualMale

Primary Taxonomy207RE0101X

Provider Legal NamePRAMOD K TRIPATHICredential: MD

Location Address2005 TECHNOLOGY PKWY STE 440Mechanicsburg, PA 17050-9413

Mailing Address2005 Technology Pkwy Ste 440Mechanicsburg, PA 17050-9413 · (717) 791-2540 · Fax (717) 791-2549

Phone(717) 791-2540

Fax(717) 791-2549

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJune 6, 2016

Last NPPES UpdateAugust 29, 20224 updates tracked since enumeration

NPPES CertifiedAugust 29, 2022

✔ NPI 1215386891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians

Taxonomy Code207RE0101X

License✔ Licensed in PA · MD474568

Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Also ListedInternal MedicineTaxonomy 207R00000X · License MD474568 (PA)

2005 TECHNOLOGY PKWY STE 440, Mechanicsburg, PA 17050

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Secondary Practice Locations 4

Location 11001 S George St, York HospitalYork, PA 17403-3676 · Phone (717) 741-8003 · Fax (717) 741-8016

Location 2810 Sir Thomas Ct Ste 101Harrisburg, PA 17109-4839 · Phone (717) 614-4420 · Fax (717) 614-4421

Location 3510 Greenbriar RdYork, PA 17404-1335 · Phone (717) 791-2540 · Fax (717) 791-2549

Location 41251 E Main St Ste 3Annville, PA 17003-1643 · Phone (717) 867-4671 · Fax (717) 867-4981

Other Identifiers 2

Medicaid103283539PA

Other1Q7958PA · Medicare

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

Pramod K Tripathi 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 ID6901173111

PECOS Enrollment IDI20210628001495

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.

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.

533 services315 patients

Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251

This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.

120 services55 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.

65 services65 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

35 services27 patients

Hospital Affiliations CMS Care Compare 4

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

Wellspan Chambersburg Hospital

Acute Care Hospitals · Chambersburg, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390151

Location112 North Seventh StreetChambersburg, PA 17201 · Franklin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17050 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

Quality

76.62

Promoting Interoperability

100

Improvement Activities

Cost

65.18

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

10 suppliers18 claims64 services$6.06 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

11 suppliers86 claims86 services$187.95 avg. paid by Medicare

Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system K0554

DME-Other DME · category DE017N

8 suppliers15 claims15 services$183.04 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.

DR. PARUL J KAKARIA MD

Internal Medicine (Endocrinology, Diabetes & Metabolism)