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AVEENA GURUNG MD
NPI 1699296491
Internal Medicine - Rheumatology in Kennewick, WA

Active since June 30, 2017PECOS EnrolledAccepts Medicare Assignment
83.05/100
CMS Quality Rating
6710 W OKANOGAN PL, KENNEWICK, WA 99336(509) 942-2528(509) 783-2008 Get Directions Write a Review

NPPES record last updated: August 22, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 22, 2022, Jul 2, 2020, Jun 30, 2017 (3 updates tracked since 2017).

About Aveena Gurung Md NPPES

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

AVEENA GURUNG MD (NPI 1699296491) is an individual rheumatology provider in Kennewick, Washington, licensed in Washington (MD61225244) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, is affiliated with Good Shepherd Medical Center, and maintains a secondary practice location in Brooklyn.

NPPES Registry Identity

NPI1699296491
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameAVEENA GURUNGCredential: MD
Location Address6710 W OKANOGAN PLKennewick, WA 99336-8001
Mailing Address550 Gage Blvd Ste 101Richland, WA 99352-9532 · (509) 942-3627 · Fax (509) 627-2983
Phone(509) 942-2528
Fax(509) 783-2008
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 30, 2017
Last NPPES UpdateAugust 22, 20223 updates tracked since enumeration
NPPES CertifiedAugust 22, 2022
✔ NPI 1699296491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in WA · MD61225244
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
6710 W OKANOGAN PL, Kennewick, WA 99336
Open in Google Maps ↗

Secondary Practice Location 1

Location 1450 Clarkson AveBrooklyn, NY 11203-2012 · Phone (718) 270-1662

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Aveena Gurung 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 ID6103200043
PECOS Enrollment IDI20220826001237
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.

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.
330 services183 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.
50 services50 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
39 services39 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.
34 services28 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

Hospital Affiliations CMS Care Compare 4

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

Good Shepherd Medical Center

Critical Access Hospitals · Hermiston, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number381325
Location610 NW 11th StreetHermiston, OR 97838 · Umatilla County
Emergency services Birthing friendly

Providence St Mary Medical Center

Acute Care Hospitals · Walla Walla, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500002
Location401 W Poplar StWalla Walla, WA 99362 · Walla Walla County
Emergency services Birthing friendly

Kadlec Regional Medical Center

Acute Care Hospitals · Richland, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500058
Location888 Swift BlvdRichland, WA 99352 · Benton County
Emergency services Birthing friendly

Prosser Memorial Hospital

Critical Access Hospitals · Prosser, WA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501312
Location723 Memorial StreetProsser, WA 99350 · Benton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99336 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

83.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.47
Promoting Interoperability100
Improvement Activities40
Cost67.03

Other Providers at the Same Location NPPES 6

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

MANDY RENEE SCHIEFELBEIN ARNP
Nurse Practitioner (Family)
6710 W OKANOGAN PL
KENNEWICK, WA 99336
Benton County (509) 942-2528
LABORATORY CORPORATION OF AMERICA
Clinical Medical Laboratory
6710 W OKANOGAN PL, ROOM LABORATORY
KENNEWICK, WA 99336
Benton County (509) 308-2306
JASPREET KAUR KALER M.D.
Internal Medicine (Rheumatology)
6710 W OKANOGAN PL
KENNEWICK, WA 99336
Benton County (509) 942-2528
DR. SANDRA A HORVATH-DORI M.D.
Internal Medicine (Rheumatology)
6710 W OKANOGAN PL
KENNEWICK, WA 99336
Benton County (509) 942-2528
DR. JOHN MCCORMICK M.D.
Internal Medicine (Rheumatology)
6710 W OKANOGAN PL
KENNEWICK, WA 99336
Benton County (509) 942-2528
ROSA MARGARITA CASILLAS ARNP
Nurse Practitioner (Adult Health)
6710 W OKANOGAN PL
KENNEWICK, WA 99336
Benton County (509) 942-2528

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 Aveena Gurung's NPI number?

The NPI number for Aveena Gurung is 1699296491. It was assigned to this individual provider in the NPPES registry on June 30, 2017.

Where is Aveena Gurung located?

Aveena Gurung practices at 6710 W Okanogan Pl, Kennewick, WA 99336. The listed phone number is (509) 942-2528.

What is Aveena Gurung's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Aveena Gurung enrolled in Medicare?

Yes. Aveena 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.

What insurance does Aveena Gurung accept?

Health plans from Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Aveena Gurung 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 Aveena Gurung affiliated with any hospitals?

According to CMS data, Aveena Gurung is affiliated with Good Shepherd Medical Center, Providence St Mary Medical Center, Kadlec Regional Medical Center and Prosser Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Aveena Gurung was last updated on August 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.