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DR. GORAL PANCHAL M.D.
NPI 1245528884
Internal Medicine - Endocrinology, Diabetes & Metabolism in Mt Pleasant, MI

Active since July 18, 2011PECOS EnrolledAccepts Medicare Assignment
4851 E PICKARD ST STE 2400, MT PLEASANT, MI 48858(989) 956-9128(989) 956-9157 Get Directions Write a Review

NPPES record last updated: November 27, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 5, 2023, May 14, 2019, Feb 24, 2017 (3 updates tracked since 2017).

About Dr. Goral Panchal M.d. NPPES

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

DR. GORAL PANCHAL M.D. (NPI 1245528884) is an individual endocrinology, diabetes & metabolism provider in Mt Pleasant, Michigan, licensed in Michigan (4301111314) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS, is affiliated with Clarinda Regional Health Center, and maintains a secondary practice location in East Norriton.

NPPES Registry Identity

NPI1245528884
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameDR. GORAL PANCHALCredential: M.D.
Location Address4851 E PICKARD ST STE 2400Mt Pleasant, MI 48858-2042
Mailing Address4000 Wellness DrMidland, MI 48670-2000 · (989) 839-3000
Phone(989) 956-9128
Fax(989) 956-9157
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJuly 18, 2011
Last NPPES UpdateNovember 27, 20243 updates tracked since enumeration
NPPES CertifiedNovember 27, 2024
✔ NPI 1245528884 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
Licenses✔ Licensed in MI · 4301111314✔ Licensed in PA · MD483391
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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4851 E PICKARD ST STE 2400, Mt Pleasant, MI 48858
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Secondary Practice Location 1

Location 1559 W Germantown PikeEast Norriton, PA 19403-4250 · Phone (484) 622-1000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware and more.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. Goral Panchal M.d. 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 ID1254615883
PECOS Enrollment IDI20170228000460, I20251216003958
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 6

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 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.
175 services84 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.
65 services29 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
27 services27 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.
24 services24 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 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.
14 services14 patients
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.
14 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Clarinda Regional Health Center

Critical Access Hospitals · Clarinda, IA
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number161352
Location220 Essie Davison DriveClarinda, IA 51632 · Page County
Emergency services

Mymichigan Medical Center Alma

Acute Care Hospitals · Alma, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230030
Location300 E Warwick DrAlma, MI 48801 · Gratiot County
Emergency services Birthing friendly

Mymichigan Medical Center Alpena

Acute Care Hospitals · Alpena, MI
5/5 CMS rating
OwnershipProprietary
CMS Certification Number230036
Location1501 W Chisholm StAlpena, MI 49707 · Alpena County
Emergency services Birthing friendly

Mymichigan Medical Center Clare

Acute Care Hospitals · Clare, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230180
Location703 N Mcewan StClare, MI 48617 · Clare County

Mymichigan Medical Center Midland

Acute Care Hospitals · Midland, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230222
Location4000 Wellness DriveMidland, MI 48670 · Midland County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48858 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 7

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
4 suppliers20 claims237 services$17.66 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
4 suppliers19 claims655 services$2.37 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers38 claims119 services$6.25 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers12 claims21 services$1.16 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
2 suppliers11 claims11 services$310.64 avg. paid by Medicare
Insulin for administration through dme (i.e., insulin pump) per 50 units J1817
Treatment-Injections and Infusions (nononcologic) · category RI000N
4 suppliers12 claims860 services$7.48 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Goral Panchal's NPI number?

The NPI number for Goral Panchal is 1245528884. It was assigned to this individual provider in the NPPES registry on July 18, 2011.

Where is Goral Panchal located?

Goral Panchal practices at 4851 E Pickard St Ste 2400, Mt Pleasant, MI 48858. The listed phone number is (989) 956-9128.

What is Goral Panchal's specialty?

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

Is Goral Panchal enrolled in Medicare?

Yes. Goral Panchal 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.

What insurance does Goral Panchal accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Goral Panchal as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Goral Panchal affiliated with any hospitals?

According to CMS data, Goral Panchal is affiliated with Clarinda Regional Health Center, Mymichigan Medical Center Alma, Mymichigan Medical Center Alpena, Mymichigan Medical Center Clare and Mymichigan Medical Center Midland.

When was this NPI record last updated?

The NPPES record for Goral Panchal was last updated on November 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.