BINOD KUMAR POKHAREL
NPI 1215556246
Hospitalist in Towson, MD

Active since April 09, 2020PECOS EnrolledAccepts Medicare Assignment
85.65/100
CMS Quality Rating
6565 N CHARLES ST STE 203, TOWSON, MD 21204(443) 849-3760(443) 849-8138 Get Directions Write a Review

NPPES record last updated: July 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 7, 2023, Apr 9, 2020 (2 updates tracked since 2020).

About Binod Kumar Pokharel NPPES

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

BINOD KUMAR POKHAREL (NPI 1215556246) is an individual hospitalist provider in Towson, Maryland, licensed in Maryland (D0097812) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Medstar Union Memorial Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1215556246
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameBINOD KUMAR POKHAREL
Location Address6565 N CHARLES ST STE 203Towson, MD 21204-5805
Mailing Address6565 N Charles St Ste 203Towson, MD 21204-5805 · (443) 849-3760 · Fax (443) 849-8138
Fax(443) 849-8138
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 9, 2020
Last NPPES UpdateJuly 7, 20232 updates tracked since enumeration
NPPES CertifiedJuly 7, 2023
NPI 1215556246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in MD · D0097812
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
6565 N CHARLES ST STE 203, Towson, MD 21204

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

Binod Kumar Pokharel 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 ID3173953189
PECOS Enrollment IDI20231002001357
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.

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.
831 services349 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.
191 services189 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.
169 services90 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.
64 services64 patients

Hospital Affiliations CMS Care Compare 3

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

Medstar Union Memorial Hospital

Acute Care Hospitals · Baltimore, MD
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number210024
Location201 East University ParkwayBaltimore, MD 21218 · Baltimore City County
Emergency services

Umd Upper Chesapeake Medical Center

Acute Care Hospitals · Bel Air, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number210049
Location500 Upper Chesapeake DriveBel Air, MD 21014 · Harford County
Emergency services Birthing friendly

Levindale Hebrew Geriatric Center And Hospital

Acute Care Hospitals · Baltimore, MD
OwnershipVoluntary non-profit - Private
CMS Certification Number210064
Location2434 West Belvedere AvenueBaltimore, MD 21209 · Baltimore City County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21204 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

85.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.5
Improvement Activities40
Cost73.97

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.

Student in an Organized Health Care Education/Training Program
6565 N CHARLES ST STE 203
TOWSON, MD 21204
Student in an Organized Health Care Education/Training Program
6565 N CHARLES ST STE 203
BALTIMORE, MD 21204
Student in an Organized Health Care Education/Training Program
6565 N CHARLES ST STE 203
TOWSON, MD 21204
Internal Medicine
6565 N CHARLES ST STE 203
TOWSON, MD 21204
Student in an Organized Health Care Education/Training Program
6565 N CHARLES ST STE 203
TOWSON, MD 21204
Internal Medicine
6565 N CHARLES ST STE 203
BALTIMORE, MD 21204
Psychiatry & Neurology (Psychiatry)
6565 N CHARLES ST STE 203
TOWSON, MD 21204
Student in an Organized Health Care Education/Training Program
6565 N CHARLES ST STE 203
TOWSON, MD 21204

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 Binod Pokharel's NPI number?

The NPI number for Binod Pokharel is 1215556246. It was assigned to this individual provider in the NPPES registry on April 9, 2020.

Where is Binod Pokharel located?

Binod Pokharel practices at 6565 N Charles St Ste 203, Towson, MD 21204. The listed phone number is (443) 849-3760.

What is Binod Pokharel's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Binod Pokharel enrolled in Medicare?

Yes. Binod Pokharel 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 Binod Pokharel affiliated with any hospitals?

According to CMS data, Binod Pokharel is affiliated with Medstar Union Memorial Hospital, Umd Upper Chesapeake Medical Center and Levindale Hebrew Geriatric Center And Hospital.

When was this NPI record last updated?

The NPPES record for Binod Pokharel was last updated on July 7, 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.