MADAN UPRETY M.D.
NPI 1528109758
Psychiatry & Neurology - Psychiatry in Reston, VA
About Madan Uprety M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MADAN UPRETY M.D. (NPI 1528109758) is an individual psychiatry provider in Reston, Virginia, licensed in Virginia (0101246930) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS Enrollment Status
Madan Uprety is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Established patient office or other outpatient visit, 20-29 minutes
Treatment using magnetic field to stimulate nerve cells in brain, initial delivery and management
Treatment using magnetic field to stimulate nerve cells in brain, subsequent delivery and management
Treatment using magnetic field to stimulate nerve cells in brain, subsequent motor threshold redetermination with delivery and management
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.
This service was performed 23 times for 17 patientsThis treatment involves using a magnetic field to stimulate nerve cells in the brain. It's a non-invasive procedure, meaning no surgery is required. The aim is to improve symptoms of certain mental health conditions. Initial delivery and management refers to the start of your treatment plan.
This service was performed 13 times for 12 patientsThis treatment involves using a magnetic field to activate nerve cells in the brain. It's a non-invasive procedure designed to manage conditions like depression. The magnetic field is precisely targeted to stimulate specific areas of the brain to improve symptoms.
This service was performed 210 times for 12 patientsThis treatment involves using a magnetic field to activate nerve cells in your brain. It's followed by re-evaluating your motor threshold, which determines the strength of the magnetic field used. This process aids in managing various neurological conditions.
This service was performed 13 times for 12 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 20191 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99205
- Average New Patient Price $194.86
- Minimum New Patient Price $65.18
- Maximum New Patient Price $194.86
- Average New Patient Copayment $48.71
- Minimum New Patient Copayment $16.29
- Maximum New Patient Copayment $48.71
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $80.66
- Minimum Established Patient Price $21.4
- Maximum Established Patient Price $158.88
- Average Established Patient Copayment $20.16
- Minimum Established Patient Copayment $5.35
- Maximum Established Patient Copayment $39.72
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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Other Providers at the Same Location
The following 13 providers are registered at the same or a nearby location.
RESTON, VA 20191
RESTON, VA 20191
RESTON, VA 20191
RESTON, VA 20191
RESTON, VA 20191
RESTON, VA 20191
RESTON, VA 20191
RESTON, VA 20191
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1528109758, enumerated as an "individual" on February 09, 2007.
The provider is located at 12359 SUNRISE VALLEY DR STE 320 RESTON, VA 20191 and the phone number is (703) 596-4796.
Psychiatry & Neurology with taxonomy code 2084P0800X and a focus in Psychiatry.
The provider might be accepting Accepts: Providence Health Plan, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
