MOHAN SHRESTHA M.D.
NPI 1568638641
Internal Medicine in Great Falls, MT

Active since May 07, 2008PECOS EnrolledAccepts Medicare Assignment
88.68/100
CMS Quality Rating
1101 26TH ST S, GREAT FALLS, MT 59405(406) 455-5000 Get Directions Write a Review

NPPES record last updated: July 1, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mohan Shrestha M.d. NPPES

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

MOHAN SHRESTHA M.D. (NPI 1568638641) is an individual internal medicine provider in Great Falls, Montana, licensed in Montana (11799) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with Firsthealth Moore Regional Hospital, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1568638641
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMOHAN SHRESTHACredential: M.D.
Location Address1101 26TH ST SGreat Falls, MT 59405-5161
Mailing Address5410 Maryland Way, Suite 300Brentwood, TN 37027-5064 · (615) 377-5600
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateMay 7, 2008
Last NPPES UpdateJuly 1, 2009
✔ NPI 1568638641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MT · 11799
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.
1101 26TH ST S, Great Falls, MT 59405

Other Identifiers 3

Medicare PINP00691458MT
Medicare PIN011002058MT
Medicaid1568638641MT

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mohan Shrestha M.d. 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 ID5395804355
PECOS Enrollment IDI20121206000525
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Mohan Shrestha reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

1,814 mi
Family Medicine
522 ALLEN ST STE 203
Troy, NC 27371
  • Reassigned Medicare billing, North Carolina enrollment
  • 333 clinicians in this Medicare group
Rural Health
522 ALLEN ST, SUITE 101
Troy, NC 27371
  • Reassigned Medicare billing, North Carolina enrollment
  • 151 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.
710 services263 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.
187 services186 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.
69 services69 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.
39 services36 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

Firsthealth Moore Regional Hospital

Acute Care Hospitals · Pinehurst, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340115
Location155 Memorial DrivePinehurst, NC 28374 · Moore County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59405 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
$130.52 typical visit price
range $56.81 – $172.26
Typical copayment $32.63 (range $14.20 – $43.06)
Most-billed visit code 99204
Established Patient
$100.16 typical visit price
range $18.24 – $140.32
Typical copayment $25.04 (range $4.56 – $35.08)
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.

88.68/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.59
Promoting Interoperability96
Improvement Activities40
Cost84.03

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty E0181
DME-Other DME · category DE000N
1 supplier18 claims18 services$12.04 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier25 claims25 services$55.30 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier20 claims20 services$8.57 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Hospitalist
1101 26TH ST S
GREAT FALLS, MT 59405
Internal Medicine (Clinical Cardiac Electrophysiology)
1101 26TH ST S
GREAT FALLS, MT 59405
Occupational Therapy Assistant
1101 26TH ST S
GREAT FALLS, MT 59405
Pharmacist
1101 26TH ST S
GREAT FALLS, MT 59405
Occupational Therapist
1101 26TH ST S
GREAT FALLS, MT 59405
Neurological Surgery
1101 26TH ST S
GREAT FALLS, MT 59405
Nurse Practitioner (Family)
1101 26TH ST S
GREAT FALLS, MT 59405
Pharmacist
1101 26TH ST S
GREAT FALLS, MT 59405

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 Mohan Shrestha's NPI number?

The NPI number for Mohan Shrestha is 1568638641. It was assigned to this individual provider in the NPPES registry on May 7, 2008.

Where is Mohan Shrestha located?

Mohan Shrestha practices at 1101 26th St S, Great Falls, MT 59405. The listed phone number is (406) 455-5000.

What is Mohan Shrestha's specialty?

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

Is Mohan Shrestha enrolled in Medicare?

Yes. Mohan Shrestha 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.

Which organizations bill Medicare for Mohan Shrestha's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mohan Shrestha reassigns Medicare benefits to 2 organizations: Fhpg, LLC (Troy, NC) and Firsthealth Of The Carolinas, Inc. (Troy, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mohan Shrestha's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mohan Shrestha accept?

Health plans from Cigna Healthcare list Mohan Shrestha 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 Mohan Shrestha affiliated with any hospitals?

According to CMS data, Mohan Shrestha is affiliated with Firsthealth Moore Regional Hospital.

When was this NPI record last updated?

The NPPES record for Mohan Shrestha was last updated on July 1, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.