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ROJI GURUNG
NPI 1558746594
Nurse Practitioner - Family in Binghamton, NY

Active since July 20, 2015PECOS EnrolledAccepts Medicare Assignment
81.31/100
CMS Quality Rating
169 RIVERSIDE DR, BINGHAMTON, NY 13905(607) 798-5017(607) 798-5093 Get Directions Write a Review

NPPES record last updated: April 15, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Roji Gurung NPPES

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

ROJI GURUNG (NPI 1558746594) is an individual family provider in Binghamton, New York, licensed in New York (F339756-1) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS, is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1558746594
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameROJI GURUNG
Location Address169 RIVERSIDE DRBinghamton, NY 13905-4246
Mailing Address169 Riverside DrBinghamton, NY 13905-4246 · (607) 798-5111
Phone(607) 798-5017
Fax(607) 798-5093
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 20, 2015
Last NPPES UpdateApril 15, 2021
NPPES CertifiedApril 15, 2021
✔ NPI 1558746594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · F339756-1
169 RIVERSIDE DR, Binghamton, NY 13905
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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

Roji Gurung 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 ID4587973466
PECOS Enrollment IDI20151015000507
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 3

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.
249 services240 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.
88 services87 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Our Lady Of Lourdes Memorial Hospital, Inc

Acute Care Hospitals · Binghamton, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330011
Location169 Riverside DriveBinghamton, NY 13905 · Broome County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13905 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

81.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.57
Promoting Interoperability95
Improvement Activities40
Cost64.87

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.

JOANN MARIE ERNST FNP
Nurse Practitioner (Family)
169 RIVERSIDE DR
BINGHAMTON, NY 13905
Broome County (607) 798-6701
ALISON BROOKHART MS, FNP-C
Nurse Practitioner
169 RIVERSIDE DR
BINGHAMTON, NY 13905
Broome County (607) 798-5111
MISS JENNIFER LYNN HOPKINS NP
Nurse Practitioner (Adult Health)
169 RIVERSIDE DR
BINGHAMTON, NY 13905
Broome County (607) 798-5111
AYESHA MUNIR MD
Student in an Organized Health Care Education/Training Program
169 RIVERSIDE DR
BINGHAMTON, NY 13905
Broome County (607) 798-5725
FAIZA CHOUDHRY
Student in an Organized Health Care Education/Training Program
169 RIVERSIDE DR
BINGHAMTON, NY 13905
Broome County (607) 789-5725
CARLEE PETERSON FNP
Nurse Practitioner (Family)
169 RIVERSIDE DR
BINGHAMTON, NY 13905
Broome County (607) 798-6166
SYDNEY MARIE LAURIA
Licensed Practical Nurse
169 RIVERSIDE DR
BINGHAMTON, NY 13905
Broome County (607) 798-5231
JAMES R STEINMETZ M.D.
Urology
169 RIVERSIDE DR, DEPAUL PAVILION
BINGHAMTON, NY 13905
Broome County (607) 729-7666

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 Roji Gurung's NPI number?

The NPI number for Roji Gurung is 1558746594. It was assigned to this individual provider in the NPPES registry on July 20, 2015.

Where is Roji Gurung located?

Roji Gurung practices at 169 Riverside Dr, Binghamton, NY 13905. The listed phone number is (607) 798-5017.

What is Roji Gurung's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Roji Gurung enrolled in Medicare?

Yes. Roji Gurung 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 Roji Gurung affiliated with any hospitals?

According to CMS data, Roji Gurung is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Roji Gurung was last updated on April 15, 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.