PALISTHA AMATYA MD
NPI 1528649837
Family Medicine in Saint Cloud, MN

Active since April 19, 2021PECOS EnrolledAccepts Medicare Assignment
1406 6TH AVE N, SAINT CLOUD, MN 56303(320) 251-2700 Get Directions Write a Review

NPPES record last updated: November 1, 2024. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Palistha Amatya Md NPPES

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

PALISTHA AMATYA MD (NPI 1528649837) is an individual family medicine provider in Saint Cloud, Minnesota, licensed in Minnesota (72804) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with St Cloud Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1528649837
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NamePALISTHA AMATYACredential: MD
Location Address1406 6TH AVE NSaint Cloud, MN 56303-1900
Mailing Address1555 Northway Dr Ste 200Saint Cloud, MN 56303-4913 · (320) 240-3112
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateApril 19, 2021
Last NPPES UpdateNovember 1, 2024
NPPES CertifiedNovember 1, 2024
✔ NPI 1528649837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MN · 72804
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1406 6TH AVE N, Saint Cloud, MN 56303

Accepted 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

Palistha Amatya 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 ID941602742
PECOS Enrollment IDI20230804001319
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 2

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 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.
17 services17 patients
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.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

St Cloud Hospital

Acute Care Hospitals · Saint Cloud, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240036
Location1406 6th Ave NorthSaint Cloud, MN 56303 · Stearns County
Emergency services Birthing friendly

Centracare Health - Monticello

Critical Access Hospitals · Monticello, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241362
Location1013 Hart BoulevardMonticello, MN 55362 · Wright County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56303 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

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.

Pediatrics
1406 6TH AVE N
SAINT CLOUD, MN 56303
Clinical Exercise Physiologist
1406 6TH AVE N
SAINT CLOUD, MN 56303
Nurse Practitioner (Family)
1406 6TH AVE N
SAINT CLOUD, MN 56303
Pathology (Anatomic Pathology & Clinical Pathology)
1406 6TH AVE N
SAINT CLOUD, MN 56303
Nurse Practitioner (Family)
1406 6TH AVE N
SAINT CLOUD, MN 56303
Physician Assistant
1406 6TH AVE N
SAINT CLOUD, MN 56303
Pharmacist
1406 6TH AVE N
SAINT CLOUD, MN 56303
Physician Assistant
1406 6TH AVE N
SAINT CLOUD, MN 56303

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 Palistha Amatya's NPI number?

The NPI number for Palistha Amatya is 1528649837. It was assigned to this individual provider in the NPPES registry on April 19, 2021.

Where is Palistha Amatya located?

Palistha Amatya practices at 1406 6th Ave N, Saint Cloud, MN 56303. The listed phone number is (320) 251-2700.

What is Palistha Amatya's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Palistha Amatya enrolled in Medicare?

Yes. Palistha Amatya 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 Palistha Amatya accept?

Health plans from HealthPartners, Medica and Sanford Health Plan list Palistha Amatya 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 Palistha Amatya affiliated with any hospitals?

According to CMS data, Palistha Amatya is affiliated with St Cloud Hospital and Centracare Health - Monticello.

When was this NPI record last updated?

The NPPES record for Palistha Amatya was last updated on November 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.