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SHIVRAJ GOYAL MD
NPI 1376066282
Internal Medicine in Emporium, PA

Active since July 23, 2017PECOS EnrolledAccepts Medicare Assignment
85.99/100
CMS Quality Rating
288 SIZERVILLE RD, EMPORIUM, PA 15834(814) 486-0810 Get Directions Write a Review

NPPES record last updated: March 29, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 29, 2021, Sep 30, 2020, Sep 23, 2020 and 1 more (4 updates tracked since 2017).

About Shivraj Goyal Md NPPES

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

SHIVRAJ GOYAL MD (NPI 1376066282) is an individual internal medicine provider in Emporium, Pennsylvania, licensed in Pennsylvania (MD472078) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS, is affiliated with Upmc Cole, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1376066282
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSHIVRAJ GOYALCredential: MD
Location Address288 SIZERVILLE RDEmporium, PA 15834-3944
Mailing Address1001 E 2nd StCoudersport, PA 16915-8161 · (814) 274-9300
Phone(814) 486-0810
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJuly 23, 2017
Last NPPES UpdateMarch 29, 20214 updates tracked since enumeration
NPPES CertifiedNovember 24, 2020
✔ NPI 1376066282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MD472078
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
288 SIZERVILLE RD, Emporium, PA 15834
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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

Shivraj Goyal 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 ID345660502
PECOS Enrollment IDI20201009001089
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

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.
16 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Upmc Cole

Critical Access Hospitals · Coudersport, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number391313
Location1001 East Second StreetCoudersport, PA 16915 · Potter County
Emergency services Birthing friendly

Penn Highlands Elk

Critical Access Hospitals · Saint Marys, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number391315
Location763 Johnsonburg RoadSaint Marys, PA 15857 · Elk County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15834 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.

85.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.18
Promoting Interoperability100
Improvement Activities40
Cost70.12

Referred Medical Equipment & Supplies CMS DME claims 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
1 supplier13 claims31 services$5.36 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers13 claims54 services$2.55 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers16 claims16 services$188.37 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 2

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

CHARLES COLE MEMORIAL HOSPITAL
Clinic/Center (Rural Health)
288 SIZERVILLE RD
EMPORIUM, PA 15834
Cameron County (814) 486-0810
KATHY FRAGALE PA-C
Physician Assistant
288 SIZERVILLE RD
EMPORIUM, PA 15834
Cameron County (814) 486-0810

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 Shivraj Goyal's NPI number?

The NPI number for Shivraj Goyal is 1376066282. It was assigned to this individual provider in the NPPES registry on July 23, 2017.

Where is Shivraj Goyal located?

Shivraj Goyal practices at 288 Sizerville Rd, Emporium, PA 15834. The listed phone number is (814) 486-0810.

What is Shivraj Goyal's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Shivraj Goyal enrolled in Medicare?

Yes. Shivraj Goyal 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.

Is Shivraj Goyal affiliated with any hospitals?

According to CMS data, Shivraj Goyal is affiliated with Upmc Cole and Penn Highlands Elk.

When was this NPI record last updated?

The NPPES record for Shivraj Goyal was last updated on March 29, 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.