DR. RAHUL N PAWAR MD
NPI 1639455090
Internal Medicine - Nephrology in Rock Springs, WY

Active since October 31, 2011PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1180 COLLEGE DR, ROCK SPRINGS, WY 82901(307) 212-7711(307) 352-8210 Get Directions Write a Review

NPPES record last updated: January 23, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 23, 2020, Jan 5, 2017 (2 updates tracked since 2017).

About Dr. Rahul N Pawar Md NPPES

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

DR. RAHUL N PAWAR MD (NPI 1639455090) is an individual nephrology provider in Rock Springs, Wyoming, licensed in Wyoming (10473A) and active in the NPI registry since October 2011. He is enrolled in Medicare PECOS, is affiliated with South Lincoln Medical Center - Cah, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1639455090
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. RAHUL N PAWARCredential: MD
Location Address1180 COLLEGE DRRock Springs, WY 82901-5863
Mailing AddressPo Box 1359Rock Springs, WY 82902-1359 · (307) 212-7711 · Fax (307) 352-8210
Fax(307) 352-8210
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateOctober 31, 2011
Last NPPES UpdateJanuary 23, 20202 updates tracked since enumeration
NPI 1639455090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in WY · 10473A
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
1180 COLLEGE DR, Rock Springs, WY 82901

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. Rahul N Pawar 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 ID1658664867
PECOS Enrollment IDI20160726001942
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 6

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.
1,024 services477 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
227 services33 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
134 services134 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
41 services26 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.
29 services27 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.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

South Lincoln Medical Center - Cah

Critical Access Hospitals · Kemmerer, WY
OwnershipGovernment - Hospital District or Authority
CMS Certification Number531315
Location711 Onyx StreetKemmerer, WY 83101 · Lincoln County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 82901 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
$129.37 typical visit price
range $56.42 – $170.72
Typical copayment $32.34 (range $14.10 – $42.68)
Most-billed visit code 99204
Established Patient
$99.46 typical visit price
range $18.19 – $139.32
Typical copayment $24.86 (range $4.54 – $34.83)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 6

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers21 claims21 services$19.29 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
3 suppliers21 claims21 services$106.05 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers21 claims1,290 services$0.33 avg. paid by Medicare
Sirolimus, oral, 1 mg J7520
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier12 claims720 services$2.72 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
5 suppliers30 claims30 services$18.95 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
3 suppliers31 claims32 services$12.64 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.

Orthopaedic Surgery
1180 COLLEGE DR
ROCK SPRINGS, WY 82901
Family Medicine
1180 COLLEGE DR, SUITE 3-2
ROCK SPRINGS, WY 82901
Surgery
1180 COLLEGE DR
ROCK SPRINGS, WY 82901
Obstetrics & Gynecology
1180 COLLEGE DR
ROCK SPRINGS, WY 82901
Otolaryngology
1180 COLLEGE DR
ROCK SPRINGS, WY 82901
Psychiatry & Neurology (Neurology)
1180 COLLEGE DR
ROCK SPRINGS, WY 82901
Nurse Practitioner (Family)
1180 COLLEGE DR
ROCK SPRINGS, WY 82901
Otolaryngology (Otolaryngic Allergy)
1180 COLLEGE DR
ROCK SPRINGS, WY 82901

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 Rahul Pawar's NPI number?

The NPI number for Rahul Pawar is 1639455090. It was assigned to this individual provider in the NPPES registry on October 31, 2011.

Where is Rahul Pawar located?

Rahul Pawar practices at 1180 College Dr, Rock Springs, WY 82901. The listed phone number is (307) 212-7711.

What is Rahul Pawar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Rahul Pawar enrolled in Medicare?

Yes. Rahul Pawar 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 Rahul Pawar accept?

Health plans from Blue Cross Blue Shield of Wyoming, UnitedHealthcare and University of Utah Health Plans list Rahul Pawar 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 Rahul Pawar affiliated with any hospitals?

According to CMS data, Rahul Pawar is affiliated with South Lincoln Medical Center - Cah.

When was this NPI record last updated?

The NPPES record for Rahul Pawar was last updated on January 23, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.