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HIMAL CHAPAGAIN MD
NPI 1730701913
Hospitalist in Syracuse, NY

Active since May 11, 2020PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
750 E. ADAMS STREET, SYRACUSE, NY 13210(315) 464-5910(315) 464-1937 Get Directions Write a Review

NPPES record last updated: July 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 19, 2024, May 11, 2020 (2 updates tracked since 2020).

About Himal Chapagain Md NPPES

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

HIMAL CHAPAGAIN MD (NPI 1730701913) is an individual hospitalist provider in Syracuse, New York, licensed in New York (329483) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS, is affiliated with University Hospital S U N Y Health Science Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1730701913
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameHIMAL CHAPAGAINCredential: MD
Location Address750 E. ADAMS STREETSyracuse, NY 13210
Mailing Address750 E. Adams StreetSyracuse, NY 13210 · (315) 464-5910 · Fax (315) 464-1937
Phone(315) 464-5910
Fax(315) 464-1937
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 11, 2020
Last NPPES UpdateJuly 19, 20242 updates tracked since enumeration
NPPES CertifiedMay 11, 2020
✔ NPI 1730701913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in NY · 329483
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
750 E. ADAMS STREET, Syracuse, NY 13210
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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

Himal Chapagain 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 ID4284055724
PECOS Enrollment IDI20240614002078
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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
201 services68 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
48 services48 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
45 services45 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
26 services19 patients

Hospital Affiliations CMS Care Compare

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

University Hospital S U N Y Health Science Center

Acute Care Hospitals · Syracuse, NY
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330241
Location750 East Adams StreetSyracuse, NY 13210 · Onondaga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13210 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

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.

JENNIFER LONNEN DDS
Dentist
750 E. ADAMS STREET
SYRACUSE, NY 13210
Onondaga County (315) 464-4148
DR. MATTHEW BRIAN ELKINS M.D., PH.D
Pathology (Anatomic Pathology & Clinical Pathology)
750 E. ADAMS STREET
SYRACUSE, NY 13210
Onondaga County (315) 464-6751
MS. UNNATI VISHWAKARMA M.D.
Student in an Organized Health Care Education/Training Program
750 E. ADAMS STREET
SYRACUSE, NY 13210
Onondaga County (315) 464-5240
AAKRITEE SHARMA SUBEDI
Student in an Organized Health Care Education/Training Program
750 E. ADAMS STREET
SYRACUSE, NY 13210
Onondaga County (315) 464-5240
DR. ROBERT JOHN CORONA JR. DO, CPE
Pathology (Anatomic Pathology)
750 E. ADAMS STREET
SYRACUSE, NY 13210
Onondaga County (315) 464-6751
STEPHEN MEIXNER MD
Student in an Organized Health Care Education/Training Program
750 E. ADAMS STREET
SYRACUSE, NY 13210
Onondaga County (315) 464-5540
ZHANNA SPEKTOR MD
Pathology (Clinical Pathology/Laboratory Medicine)
750 E. ADAMS STREET
SYRACUSE, NY 13210
Onondaga County (315) 464-6751
BADER MADOUKH
Internal Medicine
750 E. ADAMS STREET
SYRACUSE, NY 13210
Onondaga County (315) 464-5540

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 Himal Chapagain's NPI number?

The NPI number for Himal Chapagain is 1730701913. It was assigned to this individual provider in the NPPES registry on May 11, 2020.

Where is Himal Chapagain located?

Himal Chapagain practices at 750 E. Adams Street, Syracuse, NY 13210. The listed phone number is (315) 464-5910.

What is Himal Chapagain's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Himal Chapagain enrolled in Medicare?

Yes. Himal Chapagain 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 Himal Chapagain affiliated with any hospitals?

According to CMS data, Himal Chapagain is affiliated with University Hospital S U N Y Health Science Center.

When was this NPI record last updated?

The NPPES record for Himal Chapagain was last updated on July 19, 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.