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DINESH POUDYAL M.D.
NPI 1609254267
Internal Medicine in Lemoyne, PA

Active since May 14, 2015PECOS EnrolledAccepts Medicare Assignment
3 WALNUT STREET, SUITE 100, LEMOYNE, PA 17043(717) 791-2540(717) 791-2549 Get Directions Write a Review

NPPES record last updated: May 29, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 29, 2025, Jun 30, 2024, Oct 25, 2018 (3 updates tracked since 2018).

About Dinesh Poudyal M.d. NPPES

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

DINESH POUDYAL M.D. (NPI 1609254267) is an individual internal medicine provider in Lemoyne, Pennsylvania, licensed in Pennsylvania (MD488468) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, is affiliated with Upmc Carlisle, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1609254267
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDINESH POUDYALCredential: M.D.
Location Address3 WALNUT STREET, SUITE 100Lemoyne, PA 17043-1168
Mailing Address3 Walnut Street, Suite 100Lemoyne, PA 17043-1168 · (717) 791-2540 · Fax (717) 791-2549
Phone(717) 791-2540
Fax(717) 791-2549
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateMay 14, 2015
Last NPPES UpdateMay 29, 20253 updates tracked since enumeration
NPPES CertifiedMay 29, 2025
✔ NPI 1609254267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in PA · MD488468✔ Licensed in TN · 57752✔ Licensed in VA · 0101277657
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.
3 WALNUT STREET, Lemoyne, PA 17043
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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

Dinesh Poudyal 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 ID9931410271
PECOS Enrollment IDI20250530000167
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.

Hospital Affiliations CMS Care Compare 3

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

Upmc Carlisle

Acute Care Hospitals · Carlisle, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390058
Location361 Alexander Spring RoadCarlisle, PA 17015 · Cumberland County
Emergency services Birthing friendly

Upmc Pinnacle Hospitals

Acute Care Hospitals · Harrisburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390067
Location409 South Second StreetHarrisburg, PA 17104 · Dauphin County
Emergency services Birthing friendly

Upmc Memorial

Acute Care Hospitals · York, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390101
Location1701 Innovation DriveYork, PA 17408 · York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17043 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%86 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
2 suppliers11 claims11 services$49.88 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers48 claims48 services$18.24 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier11 claims11 services$906.26 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers53 claims53 services$102.28 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 2

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

HERITAGE MEDICAL GROUP LLP
Family Medicine
3 WALNUT STREET, SUITE 206
LEMOYNE, PA 17043
Cumberland County (717) 761-0208
KENDRA L MILBRAND PT
Physical Therapist
3 WALNUT STREET, SUITE 110
LEMOYNE, PA 17043
Cumberland County (717) 214-3688

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 Dinesh Poudyal's NPI number?

The NPI number for Dinesh Poudyal is 1609254267. It was assigned to this individual provider in the NPPES registry on May 14, 2015.

Where is Dinesh Poudyal located?

Dinesh Poudyal practices at 3 Walnut Street Suite 100, Lemoyne, PA 17043. The listed phone number is (717) 791-2540.

What is Dinesh Poudyal's specialty?

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

Is Dinesh Poudyal enrolled in Medicare?

Yes. Dinesh Poudyal 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 Dinesh Poudyal affiliated with any hospitals?

According to CMS data, Dinesh Poudyal is affiliated with Upmc Carlisle, Upmc Pinnacle Hospitals and Upmc Memorial.

When was this NPI record last updated?

The NPPES record for Dinesh Poudyal was last updated on May 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.