DR. SUNITA PAUDYAL MD
NPI 1225230949
Internal Medicine - Rheumatology in Columbia, SC

Active since June 04, 2007PECOS EnrolledAccepts Medicare Assignment
99.32/100
CMS Quality Rating
2 MEDICAL PARK ROAD, SUITE 501, COLUMBIA, SC 29203(803) 540-1000(803) 540-1075 Get Directions Write a Review

NPPES record last updated: April 5, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Sunita Paudyal Md NPPES

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

DR. SUNITA PAUDYAL MD (NPI 1225230949) is an individual rheumatology provider in Columbia, South Carolina, licensed in South Carolina (39206) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, is affiliated with Prisma Health Richland Hospital, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1225230949
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameDR. SUNITA PAUDYALCredential: MD
Location Address2 MEDICAL PARK ROAD, SUITE 501Columbia, SC 29203-6839
Mailing AddressPo Box 743904Atlanta, GA 30374-3904 · (803) 296-7320 · Fax (803) 296-7330
Fax(803) 540-1075
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJune 4, 2007
Last NPPES UpdateApril 5, 2018
NPI 1225230949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in SC · 39206
Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

Also ListedInternal MedicineTaxonomy 207R00000X · License 39206 (SC), MD126236 (OR)
2 MEDICAL PARK ROAD, Columbia, SC 29203

Other Identifiers 3

Medicaid392060SC
OtherMD126236OR · Or Medical Board
Other39206SC · License

Accepted Insurance

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. Sunita Paudyal 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 ID941355606
PECOS Enrollment IDI20160728001019
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 2024 & 2026 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, 30-39 minutes 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.
263 services107 patients
New patient office or other outpatient visit, 60-74 minutes 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
53 services53 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
21 services16 patients
Limited ultrasound scan of joint or other extremity structure lacking blood vessels 76882
A limited ultrasound scan of a joint or other extremity structure lacking blood vessels is a non-invasive procedure that uses sound waves to create images of the inside of your body. This helps in diagnosing and monitoring conditions related to your joints or other similar structures.
16 services15 patients

Hospital Affiliations CMS Care Compare

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

Prisma Health Richland Hospital

Acute Care Hospitals · Columbia, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420018
Location5 Medical ParkColumbia, SC 29203 · Richland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29203 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
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

99.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality90.59
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

Internal Medicine (Cardiovascular Disease)
2 MEDICAL PARK ROAD, SUITE 506
COLUMBIA, SC 29203
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2 MEDICAL PARK ROAD, SUITE 506
COLUMBIA, SC 29203

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225230949, enumerated as an "individual" on June 04, 2007.

The provider is located at 2 MEDICAL PARK ROAD SUITE 501 COLUMBIA, SC 29203 and the phone number is (803) 540-1000.

Internal Medicine with taxonomy code 207RR0500X and a focus in Rheumatology.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter of. Please consult your insurance carrier or call the provider to verify.

Sunita Paudyal is affiliated with: PRISMA HEALTH RICHLAND HOSPITAL.