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DIGANTKUMAR PAGHDAL M.D.
NPI 1306133921
Hospitalist in Harrisburg, PA

Active since July 03, 2011PECOS EnrolledAccepts Medicare Assignment
86.18/100
CMS Quality Rating
4300 LONDONDERRY RD, HARRISBURG, PA 17109(717) 231-8772(717) 231-8435 Get Directions Write a Review

NPPES record last updated: December 30, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 30, 2020, Nov 16, 2020 (2 updates tracked since 2020).

About Digantkumar Paghdal M.d. NPPES

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

DIGANTKUMAR PAGHDAL M.D. (NPI 1306133921) is an individual hospitalist provider in Harrisburg, Pennsylvania, licensed in Pennsylvania (MD469697) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS, is affiliated with Upmc Carlisle, and maintains a secondary practice location in Branson.

NPPES Registry Identity

NPI1306133921
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDIGANTKUMAR PAGHDALCredential: M.D.
Location Address4300 LONDONDERRY RDHarrisburg, PA 17109-5317
Mailing Address299 Forest LnBranson, MO 65616-8680
Phone(717) 231-8772
Fax(717) 231-8435
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateJuly 3, 2011
Last NPPES UpdateDecember 30, 20202 updates tracked since enumeration
NPPES CertifiedDecember 30, 2020
✔ NPI 1306133921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in PA · MD469697
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 ListedInternal MedicineTaxonomy 207R00000X · License 15690 (FL)
Also ListedGeneral Acute Care Hospital · Critical AccessTaxonomy 282NC0060X · License 2014022150 (MO)
4300 LONDONDERRY RD, Harrisburg, PA 17109
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Secondary Practice Location 1

Location 1251 Skaggs RdBranson, MO 65616-2031 · Phone (954) 495-9235

Other Identifiers 1

Medicaid103754875PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.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

Digantkumar Paghdal 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 ID9931322997
PECOS Enrollment IDI20200406000774
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 5

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 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.
218 services109 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.
165 services104 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.
113 services111 patients
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.
65 services38 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.
22 services22 patients

Hospital Affiliations CMS Care Compare 2

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

Upmc Carlisle

Acute Care Hospitals · Carlisle, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390058
Location361 Alexander Spring RoadCarlisle, PA 17015 · Cumberland County
Emergency services Birthing friendly

Upmc Pinnacle Hospitals

Acute Care Hospitals · Harrisburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390067
Location409 South Second StreetHarrisburg, PA 17104 · Dauphin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17109 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

86.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.53
Improvement Activities40
Cost65.62

Referred Medical Equipment & Supplies CMS DME claims 4

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

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier16 claims16 services$5.53 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers34 claims34 services$82.02 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier17 claims17 services$32.75 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
2 suppliers15 claims15 services$34.95 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

JOANNA RAE PHILLIPPY
Occupational Therapist
4300 LONDONDERRY RD
HARRISBURG, PA 17109
Dauphin County (717) 920-4300
DANIEL EUGENE KOLB
Occupational Therapy Assistant
4300 LONDONDERRY RD
HARRISBURG, PA 17109
Dauphin County (717) 920-4300
MIEKE KARIN SWANSON PT
Physical Therapist
4300 LONDONDERRY RD, 2ND FLOOR
HARRISBURG, PA 17109
Dauphin County (717) 657-7520
PINNACLE HEALTH HOSPITALIST SERVICES LLC
Hospitalist
4300 LONDONDERRY RD
HARRISBURG, PA 17109
Dauphin County (717) 231-8772
N'SHEBA K THOMPSON
Registered Nurse (Rehabilitation)
4300 LONDONDERRY RD
HARRISBURG, PA 17109
Dauphin County (717) 920-4300
DANYA ABEDEEN
Internal Medicine
4300 LONDONDERRY RD
HARRISBURG, PA 17109
Dauphin County (347) 545-8043
DR. ALIA ALSAIDY DO
Internal Medicine
4300 LONDONDERRY RD
HARRISBURG, PA 17109
Dauphin County (717) 231-8772
GRACE BARTON PT, DPT
Physical Therapist
4300 LONDONDERRY RD
HARRISBURG, PA 17109
Dauphin County (717) 216-2700

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 Digantkumar Paghdal's NPI number?

The NPI number for Digantkumar Paghdal is 1306133921. It was assigned to this individual provider in the NPPES registry on July 3, 2011.

Where is Digantkumar Paghdal located?

Digantkumar Paghdal practices at 4300 Londonderry Rd, Harrisburg, PA 17109. The listed phone number is (717) 231-8772.

What is Digantkumar Paghdal's specialty?

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

Is Digantkumar Paghdal enrolled in Medicare?

Yes. Digantkumar Paghdal 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 Digantkumar Paghdal accept?

Health plans from Molina Healthcare list Digantkumar Paghdal 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 Digantkumar Paghdal affiliated with any hospitals?

According to CMS data, Digantkumar Paghdal is affiliated with Upmc Carlisle and Upmc Pinnacle Hospitals.

When was this NPI record last updated?

The NPPES record for Digantkumar Paghdal was last updated on December 30, 2020. 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.