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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PRASHANK SHREE NEUPANE MD
NPI 1750941001
Internal Medicine - Pulmonary Disease in Morganton, NC

Active since June 19, 2019PECOS Enrolled
2209 S STERLING ST STE 600, MORGANTON, NC 28655(828) 580-4577(828) 580-4599 Get Directions Write a Review

NPPES record last updated: October 21, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Prashank Shree Neupane Md NPPES

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

PRASHANK SHREE NEUPANE MD (NPI 1750941001) is an individual pulmonary disease provider in Morganton, North Carolina, licensed in North Carolina (2024-03571) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with Blue Ridge Healthcare Hospitals, Inc, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1750941001
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NamePRASHANK SHREE NEUPANECredential: MD
Location Address2209 S STERLING ST STE 600Morganton, NC 28655-4092
Mailing Address2209 S Sterling St Ste 600Morganton, NC 28655-4092 · (828) 580-4577 · Fax (828) 580-4599
Phone(828) 580-4577
Fax(828) 580-4599
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 19, 2019
Last NPPES UpdateOctober 21, 2026
NPPES CertifiedOctober 21, 2026
✔ NPI 1750941001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in NC · 2024-03571
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
2209 S STERLING ST STE 600, Morganton, NC 28655
Open in Google Maps ↗

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Prashank Shree Neupane 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 ID6103151725
PECOS Enrollment IDI20250829002154
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.

Medicare Billing Reassignment

Medicare enrollment records show Prashank Neupane reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Blue Ridge Healthcare Medical Group, Inc.
Same address
Surgery
2209 S. STERLING ST., SUITE 530
Morganton, NC 28655
  • Reassigned Medicare billing, North Carolina enrollment
  • 322 clinicians in this Medicare group
NPI 1235372681 (828) 580-4220

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Blue Ridge Healthcare Hospitals, Inc

Acute Care Hospitals · Morganton, NC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number340075
Location2201 S Sterling StMorganton, NC 28655 · Burke County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28655 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
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.

Other Providers at the Same Location NPPES 12

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

DR. ELIE FARES MD
Internal Medicine
2209 S STERLING ST STE 600
MORGANTON, NC 28655
Burke County (828) 580-4577
ANDREA MICHELLE PFEFFER PA-C
Physician Assistant
2209 S STERLING ST STE 600
MORGANTON, NC 28655
Burke County (828) 580-4577
JAMES F DAVIDSON IV M.D.
Internal Medicine (Pulmonary Disease)
2209 S STERLING ST STE 600
MORGANTON, NC 28655
Burke County (828) 580-4577
ERIC TAVIS SEVENSMA D.O.
Surgery
2209 S STERLING ST STE 600
MORGANTON, NC 28655
Burke County (828) 580-2250
STEPHEN P PROHASKA PA
Physician Assistant
2209 S STERLING ST STE 600
MORGANTON, NC 28655
Burke County (828) 580-4577
BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC.
Internal Medicine (Pulmonary Disease)
2209 S STERLING ST STE 600
MORGANTON, NC 28655
Burke County (828) 437-4577
THOMAS PRESTON KENNEDY MD
Internal Medicine (Pulmonary Disease)
2209 S STERLING ST STE 600
MORGANTON, NC 28655
Burke County (828) 580-4577
SIMON S WAGHCHOURE MD
Internal Medicine (Pulmonary Disease)
2209 S STERLING ST STE 600
MORGANTON, NC 28655
Burke County (828) 580-4577

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 Prashank Neupane's NPI number?

The NPI number for Prashank Neupane is 1750941001. It was assigned to this individual provider in the NPPES registry on June 19, 2019.

Where is Prashank Neupane located?

Prashank Neupane practices at 2209 S Sterling St Ste 600, Morganton, NC 28655. The listed phone number is (828) 580-4577.

What is Prashank Neupane's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Prashank Neupane enrolled in Medicare?

Yes. Prashank Neupane 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.

Which organization bills Medicare for Prashank Neupane's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Prashank Neupane reassigns Medicare benefits to Blue Ridge Healthcare Medical Group, Inc. (Morganton, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Prashank Neupane's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Prashank Neupane accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina and Ambetter of Tennessee list Prashank Neupane 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 Prashank Neupane affiliated with any hospitals?

According to CMS data, Prashank Neupane is affiliated with Blue Ridge Healthcare Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Prashank Neupane was last updated on October 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.