DR. HIMALAYA PATCHA M.D.
NPI 1578516951
Internal Medicine in Barnesville, OH

Active since May 18, 2006PECOS EnrolledAccepts Medicare Assignment
101 E MAIN ST, BARNESVILLE, OH 43713(740) 425-5160 Get Directions Write a Review

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

About Dr. Himalaya Patcha M.d. NPPES

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

DR. HIMALAYA PATCHA M.D. (NPI 1578516951) is an individual internal medicine provider in Barnesville, Ohio, licensed in Ohio (35.065225) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Southeastern Ohio Regional Medical Center, and is a graduate of Other (1979).

NPPES Registry Identity

NPI1578516951
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. HIMALAYA PATCHACredential: M.D.
Location Address101 E MAIN STBarnesville, OH 43713-1005
Mailing Address101 E Main StBarnesville, OH 43713-1005 · (740) 425-5160
Sole ProprietorNo
Medical School CMSOtherGraduated 1979
Enumeration DateMay 18, 2006
Last NPPES UpdateSeptember 16, 2021
NPPES CertifiedAugust 31, 2021
NPI 1578516951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in OH · 35.065225
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.
101 E MAIN ST, Barnesville, OH 43713

Other Identifiers 2

OtherPA2009882OH · Medicare Fqhc Pin
Medicaid0928376OH

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

Dr. Himalaya Patcha 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 ID6103710744
PECOS Enrollment IDI20040212000746
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 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.

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.
47 services20 patients
Detection test by immunoassay with direct visual observation for respiratory syncytial virus 87807
This is a test to identify the respiratory syncytial virus, a common cause of lung and respiratory tract infections. It uses immunoassay, a method that detects the virus through a reaction between the virus and specific antibodies. The result is visually observed.
23 services20 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.
18 services12 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
17 services15 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.
12 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Southeastern Ohio Regional Medical Center

Acute Care Hospitals · Cambridge, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360203
Location1341 North Clark StreetCambridge, OH 43725 · Guernsey County
Emergency services Birthing friendly

Barnesville Hospital Association, Inc

Critical Access Hospitals · Barnesville, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361321
Location639 West Main StreetBarnesville, OH 43713 · Belmont County
Emergency services

Wheeling Hospital, Inc

Acute Care Hospitals · Wheeling, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number510050
Location1 Medical ParkWheeling, WV 26003 · Ohio County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43713 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 19

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers56 claims138 services$5.82 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers19 claims25 services$0.91 avg. paid by Medicare
Urinary catheter anchoring device, adhesive skin attachment, each A4333
DME-Orthotic Devices · category DF000N
1 supplier15 claims60 services$2.14 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier21 claims40 services$8.95 avg. paid by Medicare
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394
DME-Orthotic Devices · category DF010N
1 supplier13 claims13 services$2.51 avg. paid by Medicare
Ostomy pouch, drainable; with barrier attached, (1 piece), each A5061
DME-Orthotic Devices · category DF010N
1 supplier13 claims130 services$3.31 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 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
101 E MAIN ST
BARNESVILLE, OH 43713
Nurse Practitioner (Family)
101 E MAIN ST
BARNESVILLE, OH 43713
Clinic/Center (Federally Qualified Health Center (FQHC))
101 E MAIN ST
BARNESVILLE, OH 43713
Counselor (Professional)
101 E MAIN ST
BARNESVILLE, OH 43713
Dentist (General Practice)
101 E MAIN ST
BARNESVILLE, OH 43713
Nurse Practitioner
101 E MAIN ST
BARNESVILLE, OH 43713
Nurse Practitioner (Acute Care)
101 E MAIN ST
BARNESVILLE, OH 43713
Family Medicine
101 E MAIN ST
BARNESVILLE, OH 43713

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 Himalaya Patcha's NPI number?

The NPI number for Himalaya Patcha is 1578516951. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Where is Himalaya Patcha located?

Himalaya Patcha practices at 101 E Main St, Barnesville, OH 43713. The listed phone number is (740) 425-5160.

What is Himalaya Patcha's specialty?

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

Is Himalaya Patcha enrolled in Medicare?

Yes. Himalaya Patcha 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 Himalaya Patcha accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, Highmark Blue Cross Blue Shield West Virginia, MedMutual and Molina Healthcare list Himalaya Patcha 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 Himalaya Patcha affiliated with any hospitals?

According to CMS data, Himalaya Patcha is affiliated with Southeastern Ohio Regional Medical Center, Barnesville Hospital Association, Inc and Wheeling Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Himalaya Patcha was last updated on September 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.