DR. BISHNU SUBEDI MD
NPI 1255594636
Psychiatry & Neurology - Psychiatry in Winchester, VA

Active since July 07, 2008PECOS EnrolledAccepts Medicare Assignment
77.78/100
CMS Quality Rating
1840 AMHERST ST, WINCHESTER, VA 22601(540) 536-8140(540) 536-8139 Get Directions Write a Review

NPPES record last updated: March 17, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2021, Apr 16, 2020, Mar 31, 2020 (3 updates tracked since 2020).

About Dr. Bishnu Subedi Md NPPES

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

DR. BISHNU SUBEDI MD (NPI 1255594636) is an individual psychiatry provider in Winchester, Virginia, licensed in Virginia (0101268926) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Winchester Medical Center, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1255594636
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. BISHNU SUBEDICredential: MD
Location Address1840 AMHERST STWinchester, VA 22601-2808
Mailing Address220 Campus Blvd Ste 100Winchester, VA 22601-2888 · (540) 536-5100 · Fax (540) 536-0235
Fax(540) 536-8139
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJuly 7, 2008
Last NPPES UpdateMarch 17, 20213 updates tracked since enumeration
NPPES CertifiedMarch 17, 2021
NPI 1255594636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in VA · 0101268926
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1840 AMHERST ST, Winchester, VA 22601

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. Bishnu Subedi 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 ID7113151317
PECOS Enrollment IDI20200420001128
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 straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
55 services20 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.
26 services12 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.
22 services17 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
18 services16 patients

Hospital Affiliations CMS Care Compare

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

Winchester Medical Center

Acute Care Hospitals · Winchester, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490005
Location1840 Amherst StWinchester, VA 22601 · Winchester City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22601 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
$170.30 typical visit price
range $56.19 – $170.30
Typical copayment $42.57 (range $14.04 – $42.57)
Most-billed visit code 99205
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
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.

77.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.47
Promoting Interoperability84
Improvement Activities40
Cost65.8

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.

Surgery (Surgical Critical Care)
1840 AMHERST ST
WINCHESTER, VA 22601
Emergency Medicine
1840 AMHERST ST
WINCHESTER, VA 22601
Emergency Medicine
1840 AMHERST ST
WINCHESTER, VA 22601
Specialist/Technologist, Other (Surgical Assistant)
1840 AMHERST ST
WINCHESTER, VA 22601
Nurse Anesthetist, Certified Registered
1840 AMHERST ST
WINCHESTER, VA 22601
Social Worker (Clinical)
1840 AMHERST ST
WINCHESTER, VA 22601
Internal Medicine (Critical Care Medicine)
1840 AMHERST ST
WINCHESTER, VA 22601
Physician Assistant
1840 AMHERST ST
WINCHESTER, VA 22601

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 Bishnu Subedi's NPI number?

The NPI number for Bishnu Subedi is 1255594636. It was assigned to this individual provider in the NPPES registry on July 7, 2008.

Where is Bishnu Subedi located?

Bishnu Subedi practices at 1840 Amherst St, Winchester, VA 22601. The listed phone number is (540) 536-8140.

What is Bishnu Subedi's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Bishnu Subedi enrolled in Medicare?

Yes. Bishnu Subedi 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 Bishnu Subedi accept?

Health plans from CareSource list Bishnu Subedi 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 Bishnu Subedi affiliated with any hospitals?

According to CMS data, Bishnu Subedi is affiliated with Winchester Medical Center.

When was this NPI record last updated?

The NPPES record for Bishnu Subedi was last updated on March 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.