ACHALA SHIVANTHI GUNASENA PA-C
NPI 1497282610
Physician Assistant in Frederick, MD

Q: What is Achala Gunasena's NPI number?

The NPI number for Achala Gunasena is 1497282610. It was assigned to this individual provider in the NPPES registry on May 18, 2017.

Q: What is Achala Gunasena's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Achala Gunasena was last updated on August 27, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 18, 2017PECOS EnrolledAccepts Medicare Assignment

76.26/100

CMS Quality Rating

7211 BANK CT, FREDERICK, MD 21703(240) 215-6310(240) 566-7754 Get Directions Write a Review

NPPES record last updated: August 27, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Achala Shivanthi Gunasena Pa-c NPPES

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

ACHALA SHIVANTHI GUNASENA PA-C (NPI 1497282610) is an individual physician assistant in Frederick, Maryland, licensed in Maryland (C0006440) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, is affiliated with Frederick Health Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1497282610

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameACHALA SHIVANTHI GUNASENACredential: PA-C

Location Address7211 BANK CTFrederick, MD 21703-8483

Mailing Address400 W 7th StFrederick, MD 21701-4506 · (240) 215-6310

Phone(240) 215-6310

Fax(240) 566-7754

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateMay 18, 2017

Last NPPES UpdateAugust 27, 2024

NPPES CertifiedAugust 27, 2024

✔ NPI 1497282610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in MD · C0006440

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

7211 BANK CT, Frederick, MD 21703

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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

Achala Shivanthi Gunasena Pa-c 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 ID4385916683

PECOS Enrollment IDI20170822001272, I20171218000342

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 15

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

125 services121 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

119 services115 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

53 services53 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

39 services37 patients

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

36 services18 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

22 services22 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426

An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.

21 services21 patients

Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880

A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.

18 services18 patients

Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique 87651

This test detects Group A Streptococcus bacteria in your body. It uses an amplified probe technique, which amplifies the bacteria's nucleic acid, making it easier to identify. This test helps diagnose conditions like strep throat or scarlet fever.

17 services17 patients

Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19) and influenza virus types a and b 87636

This test detects the presence of SARS-CoV-2 (COVID-19) and Influenza types A and B in your body. It uses a method called the multiplex amplified probe technique to amplify and identify specific virus genes. It helps in early diagnosis and appropriate treatment.

15 services15 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

15 services15 patients

Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus 87637

This test identifies if you have COVID-19, influenza A or B, or respiratory syncytial virus. It uses a multiplex amplified probe technique, which amplifies and detects specific genetic material of the viruses, helping in accurate diagnosis.

14 services14 patients

Assessment of emotional or behavioral problems 96127

Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.

14 services11 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

12 services12 patients

Blood glucose (sugar) test performed by hand-held instrument 82962

A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Frederick Health Hospital

Acute Care Hospitals · Frederick, MD

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210005

Location400 West Seventh StFrederick, MD 21701 · Frederick County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21703 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

$89.75 typical visit price

range $57.99 – $175.57

Typical copayment $22.43 (range $14.49 – $43.89)

Most-billed visit code 99203

Established Patient

$72.23 typical visit price

range $18.66 – $143.02

Typical copayment $18.05 (range $4.66 – $35.75)

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.

76.26/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

71.91

Promoting Interoperability

100

Improvement Activities

Cost

48.97

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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.

DR. KRISTIN A CONLEY DO

Internal Medicine

7211 BANK CT
FREDERICK, MD 21703

Frederick County (240) 566-7830

KATHERINE N FIELDS RD, CDE

Dietitian, Registered

7211 BANK CT, SUITE 240
FREDERICK, MD 21703

Frederick County (240) 215-1454

MR. DANIEL CHRISTOPHER ROSKO PA-C

Physician Assistant (Medical)

7211 BANK CT
FREDERICK, MD 21703

Frederick County (240) 215-1420

MARCIA WOLFINGER

Counselor (Mental Health)

7211 BANK CT
FREDERICK, MD 21703

Frederick County (240) 566-7830

MRS. MICHELLE RAE SHAFFER MPA-C

Physician Assistant (Medical)

7211 BANK CT
FREDERICK, MD 21703

Frederick County (240) 215-6370

MRS. JOANNA EATON MSPH, RDN, LDN

Dietitian, Registered

7211 BANK CT, SUITE 240
FREDERICK, MD 21703

Frederick County (240) 215-1474

DR. LEV AGARUNOV M.D.

Internal Medicine (Pulmonary Disease)

7211 BANK CT
FREDERICK, MD 21703

Frederick County (240) 575-2526

MRS. EMILY SUE SPEAR R.D.

Dietitian, Registered

7211 BANK CT
FREDERICK, MD 21703

Frederick County (240) 566-7830

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 Achala Gunasena's NPI number?

The NPI number for Achala Gunasena is 1497282610. It was assigned to this individual provider in the NPPES registry on May 18, 2017.

Where is Achala Gunasena located?

Achala Gunasena practices at 7211 Bank Ct, Frederick, MD 21703. The listed phone number is (240) 215-6310.

What is Achala Gunasena's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Achala Gunasena enrolled in Medicare?

Yes. Achala Gunasena 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 Achala Gunasena affiliated with any hospitals?

According to CMS data, Achala Gunasena is affiliated with Frederick Health Hospital.

When was this NPI record last updated?

The NPPES record for Achala Gunasena was last updated on August 27, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.