PUSHPA PANGENI PA
NPI 1285013409
Hospitalist in Concord, NC

Active since May 20, 2015PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
920 CHURCH ST N, SUITE 255, CONCORD, NC 28025(704) 403-1331 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 25 more (28 updates tracked since 2019).

About Pushpa Pangeni Pa NPPES

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

PUSHPA PANGENI PA (NPI 1285013409) is an individual hospitalist provider in Concord, North Carolina, licensed in North Carolina (0010-08874) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center-northeast, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1285013409
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NamePUSHPA PANGENICredential: PA
Location Address920 CHURCH ST N, SUITE 255Concord, NC 28025-2927
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMay 20, 2015
Last NPPES UpdateJuly 15, 202428 updates tracked since enumeration
NPI 1285013409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in NC · 0010-08874
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.

Also ListedPhysician AssistantTaxonomy 363A00000X · License 0010-08874 (NC)
920 CHURCH ST N, Concord, NC 28025

Secondary Practice Locations 4

Location 11000 Blythe BlvdCharlotte, NC 28203-5812 · Phone (704) 355-0720
Location 22001 Vail AveCharlotte, NC 28207-1248 · Phone (704) 304-6070
Location 310628 Park RdCharlotte, NC 28210-8407 · Phone (704) 667-7070
Location 48800 N Tryon StCharlotte, NC 28262-3300 · Phone (704) 863-6241

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

Pushpa Pangeni Pa 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 ID7911238738
PECOS Enrollment IDI20191009001908
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.

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.
109 services109 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.
76 services23 patients
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.
50 services46 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.
41 services41 patients

Hospital Affiliations CMS Care Compare 2

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

Carolinas Medical Center-Northeast

Acute Care Hospitals · Concord, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340001
Location920 Church St NConcord, NC 28025 · Cabarrus County
Emergency services Birthing friendly

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28025 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

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.

Emergency Medicine
920 CHURCH ST N
CONCORD, NC 28025
Internal Medicine
920 CHURCH ST N, SUITE 255
CONCORD, NC 28025
Physician Assistant
920 CHURCH ST N
CONCORD, NC 28025
Internal Medicine
920 CHURCH ST N, SUITE 255
CONCORD, NC 28025
Internal Medicine (Critical Care Medicine)
920 CHURCH ST N
CONCORD, NC 28025
Nurse Anesthetist, Certified Registered
920 CHURCH ST N
CONCORD, NC 28025
Physician Assistant
920 CHURCH ST N
CONCORD, NC 28025
Home Health
920 CHURCH ST N
CONCORD, NC 28025

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 Pushpa Pangeni's NPI number?

The NPI number for Pushpa Pangeni is 1285013409. It was assigned to this individual provider in the NPPES registry on May 20, 2015.

Where is Pushpa Pangeni located?

Pushpa Pangeni practices at 920 Church St N Suite 255, Concord, NC 28025. The listed phone number is (704) 403-1331.

What is Pushpa Pangeni's specialty?

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

Is Pushpa Pangeni enrolled in Medicare?

Yes. Pushpa Pangeni 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 Pushpa Pangeni accept?

Health plans from UnitedHealthcare list Pushpa Pangeni 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 Pushpa Pangeni affiliated with any hospitals?

According to CMS data, Pushpa Pangeni is affiliated with Carolinas Medical Center-Northeast and Carolinas Medical Center/Behav Health.

When was this NPI record last updated?

The NPPES record for Pushpa Pangeni was last updated on July 15, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.