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PATRICIA AUSTRIA SHRESTHA MD
NPI 1720382088
Family Medicine in Mint Hill, NC

Active since December 30, 2010PECOS Enrolled
95.35/100
CMS Quality Rating
11304 HAWTHORNE DR, STE 100, MINT HILL, NC 28227(704) 545-6400 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 15, 2024, Mar 3, 2021, Dec 29, 2015 (3 updates tracked since 2015).

About Patricia Austria Shrestha Md NPPES

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

PATRICIA AUSTRIA SHRESTHA MD (NPI 1720382088) is an individual family medicine provider in Mint Hill, North Carolina, licensed in North Carolina (2023-02111) and active in the NPI registry since December 2010. She is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center/behav Health, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1720382088
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NamePATRICIA AUSTRIA SHRESTHACredential: MD
Location Address11304 HAWTHORNE DR, STE 100Mint Hill, NC 28227-9425
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Phone(704) 545-6400
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateDecember 30, 2010
Last NPPES UpdateJuly 15, 20243 updates tracked since enumeration
NPPES CertifiedMarch 3, 2021
✔ NPI 1720382088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NC · 2023-02111
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
11304 HAWTHORNE DR, Mint Hill, NC 28227
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Patricia Austria Shrestha Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2769610203
PECOS Enrollment IDI20231027002926
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 9

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.
211 services133 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.
45 services37 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
44 services44 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.
43 services35 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
22 services22 patients
Manual urinalysis test with examination using microscope, automated 81001
A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.
20 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Atrium Health Union

Acute Care Hospitals · Monroe, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340130
Location600 Hospital DrMonroe, NC 28112 · Union County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28227 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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
13 suppliers35 claims90 services$6.30 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 19

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

NOVANT MEDICAL GROUP, INC.
Family Medicine
11304 HAWTHORNE DR, SUITE 100
CHARLOTTE, NC 28227
Mecklenburg County (704) 384-8760
CAROLINAS PHYSICIANS NETWORK INC
Family Medicine
11304 HAWTHORNE DR, STE 100
MINT HILL, NC 28227
Mecklenburg County (704) 545-6400
MARC CHRISTOPHER HARVEY MD
Family Medicine
11304 HAWTHORNE DR, STE 100
MINT HILL, NC 28227
Mecklenburg County (704) 545-6400
CAROLINAS PHYSICIANS NETWORK INC
Surgery (Vascular Surgery)
11304 HAWTHORNE DR, STE 115
MINT HILL, NC 28227
Mecklenburg County (704) 863-1950
CAROLINAS PHYSICIANS NETWORK, INC.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
11304 HAWTHORNE DR, SUITE 115
MINT HILL, NC 28227
Mecklenburg County (704) 684-0003
CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
Orthopaedic Surgery
11304 HAWTHORNE DR, SUITE 110
MINT HILL, NC 28227
Mecklenburg County (704) 863-8750
ABIGAIL CHRISTINE LISOWSKI PA
Physician Assistant
11304 HAWTHORNE DR, STE 100
MINT HILL, NC 28227
Mecklenburg County (704) 545-6400
KIRAN DEEP SEMELSBERGER PA
Physician Assistant
11304 HAWTHORNE DR, STE 100
MINT HILL, NC 28227
Mecklenburg County (704) 545-6400

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 Patricia Shrestha's NPI number?

The NPI number for Patricia Shrestha is 1720382088. It was assigned to this individual provider in the NPPES registry on December 30, 2010.

Where is Patricia Shrestha located?

Patricia Shrestha practices at 11304 Hawthorne Dr Ste 100, Mint Hill, NC 28227. The listed phone number is (704) 545-6400.

What is Patricia Shrestha's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Patricia Shrestha enrolled in Medicare?

Yes. Patricia Shrestha is registered in the Medicare PECOS enrollment system.

What insurance does Patricia Shrestha accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Aspirus Health Plan and Blue Cross and Blue Shield of NC and 4 other insurers list Patricia 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 Patricia Shrestha affiliated with any hospitals?

According to CMS data, Patricia Shrestha is affiliated with Carolinas Medical Center/Behav Health and Atrium Health Union.

When was this NPI record last updated?

The NPPES record for Patricia Shrestha was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.