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FNU PIRYA MD
NPI 1376195560
Internal Medicine in Johnstown, PA

Active since July 09, 2019PECOS EnrolledAccepts Medicare Assignment
78.21/100
CMS Quality Rating
1086 FRANKLIN ST, JOHNSTOWN, PA 15905(814) 534-9104(814) 534-3559 Get Directions Write a Review

NPPES record last updated: July 9, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fnu Pirya Md NPPES

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

FNU PIRYA MD (NPI 1376195560) is an individual internal medicine provider in Johnstown, Pennsylvania, licensed in Pennsylvania (MT217888) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, is affiliated with Conemaugh Memorial Medical Center, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1376195560
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameFNU PIRYACredential: MD
Location Address1086 FRANKLIN STJohnstown, PA 15905-4305
Mailing Address1086 Franklin StJohnstown, PA 15905-4305 · (814) 534-9104 · Fax (814) 534-3559
Phone(814) 534-9104
Fax(814) 534-3559
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 9, 2019
✔ NPI 1376195560 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 · MT217888
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.
1086 FRANKLIN ST, Johnstown, PA 15905
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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

Fnu Pirya 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 ID9436486800
PECOS Enrollment IDI20230718000724
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.
325 services120 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
83 services80 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.
26 services26 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.
21 services21 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.
18 services17 patients

Hospital Affiliations CMS Care Compare

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

Conemaugh Memorial Medical Center

Acute Care Hospitals · Johnstown, PA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number390110
Location1086 Franklin StreetJohnstown, PA 15905 · Cambria County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15905 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.

78.21/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.17
Improvement Activities40
Cost56.29

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.

MEMORIAL MEDICAL CENTER
General Acute Care Hospital (Children)
1086 FRANKLIN ST
JOHNSTOWN, PA 15905
Cambria County (814) 534-9503
JOSEPH W HENSLEY DO
Emergency Medicine
1086 FRANKLIN ST
JOHNSTOWN, PA 15905
Cambria County (814) 534-3745
NICOLE DOLHI DO
Emergency Medicine
1086 FRANKLIN ST
JOHNSTOWN, PA 15905
Cambria County (814) 534-3745
BRADLEY STEPHEN WINEGARDNER
Surgery
1086 FRANKLIN ST
JOHNSTOWN, PA 15905
Cambria County (814) 534-1660
SAI HARSHA BOBBA MD
Family Medicine
1086 FRANKLIN ST
JOHNSTOWN, PA 15905
Cambria County (814) 534-9364
AYESHA HAQ MD
Internal Medicine
1086 FRANKLIN ST
JOHNSTOWN, PA 15905
Cambria County (814) 534-9408
CHRISTINA DAVIS PA-C
Physician Assistant (Medical)
1086 FRANKLIN ST, E3
JOHNSTOWN, PA 15905
Cambria County (814) 534-5592
MRS. JAMIE ELIZABETH OKOPAL RN, CRNA
Nurse Anesthetist, Certified Registered
1086 FRANKLIN ST
JOHNSTOWN, PA 15905
Cambria County (814) 534-9321

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 Fnu Pirya's NPI number?

The NPI number for Fnu Pirya is 1376195560. It was assigned to this individual provider in the NPPES registry on July 9, 2019.

Where is Fnu Pirya located?

Fnu Pirya practices at 1086 Franklin St, Johnstown, PA 15905. The listed phone number is (814) 534-9104.

What is Fnu Pirya's specialty?

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

Is Fnu Pirya enrolled in Medicare?

Yes. Fnu Pirya 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 Fnu Pirya affiliated with any hospitals?

According to CMS data, Fnu Pirya is affiliated with Conemaugh Memorial Medical Center.

When was this NPI record last updated?

The NPPES record for Fnu Pirya was last updated on July 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.