KIRAN POKHREL MD
NPI 1760764872
Internal Medicine - Pulmonary Disease in Brockton, MA

Q: What is Kiran Pokhrel's NPI number?

The NPI number for Kiran Pokhrel is 1760764872. It was assigned to this individual provider in the NPPES registry on September 14, 2011.

Q: What is Kiran Pokhrel's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kiran Pokhrel was last updated on March 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.

Active since September 14, 2011PECOS EnrolledAccepts Medicare Assignment

GOOD SAMARITAN PULMONARY, 1 PEARL ST SUITE 1500, BROCKTON, MA 02301(508) 897-4761 Get Directions Write a Review

NPPES record last updated: March 17, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 17, 2025, Nov 4, 2021 (2 updates tracked since 2021).

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About Kiran Pokhrel Md NPPES

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

KIRAN POKHREL MD (NPI 1760764872) is an individual pulmonary disease provider in Brockton, Massachusetts, licensed in New York (313254) and active in the NPI registry since September 2011. He is enrolled in Medicare PECOS, is affiliated with Morton Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1760764872

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameKIRAN POKHRELCredential: MD

Location AddressGOOD SAMARITAN PULMONARY, 1 PEARL ST SUITE 1500Brockton, MA 02301

Mailing AddressBmchs Provider Enrollment, 960 Massachusetts Ave Flr 2Bos, MA 02118

Phone(508) 897-4761

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateSeptember 14, 2011

Last NPPES UpdateMarch 17, 20252 updates tracked since enumeration

NPPES CertifiedMarch 12, 2025

✔ NPI 1760764872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in NY · 313254

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.

Also ListedInternal MedicineTaxonomy 207R00000X · License 313254 (NY), 258679 (MA)

GOOD SAMARITAN PULMONARY, Brockton, MA 02301

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Secondary Practice Locations 3

Location 12 New Hampshire AveTroy, NY 12180-1764 · Phone (518) 272-0331 · Fax (518) 271-9007

Location 25 Palisades Dr Ste 100Albany, NY 12205-6433 · Phone (518) 438-4496 · Fax (518) 438-5803

Location 355 Fogg RdWeymouth, MA 02190-2432 · Phone (781) 624-8000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Taro Health, WellSense Health Plan.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

Kiran Pokhrel 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 ID9436379039

PECOS Enrollment IDI20141002001356

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 Reassignments

Medicare enrollment records show Kiran Pokhrel reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Coastal Medical Associates

8.0 mi

Anesthesiology

55 FOGG RD
Weymouth, MA 02190

Reassigned Medicare billing, Massachusetts enrollment
671 clinicians in this Medicare group

NPI 1932175684 (781) 340-4293

Bmc Affiliated Physicians, Inc.

18 mi

Internal Medicine

1 BOSTON MEDICAL CENTER PLACE
Boston, MA 02118

Reassigned Medicare billing, Massachusetts enrollment
716 clinicians in this Medicare group

NPI 1245320910 (617) 789-3000

Steward Medical Group, Inc

21 mi

Specialist

9 GALEN ST
Watertown, MA 02472

Reassigned Medicare billing, Massachusetts enrollment
991 clinicians in this Medicare group

NPI 1629398219 (615) 467-4474

Southcoast Physicians Group, Inc.

31 mi

Emergency Medicine

208 MILL RD
Fairhaven, MA 02719

Reassigned Medicare billing, Massachusetts enrollment
1,144 clinicians in this Medicare group

NPI 1861830143 (855) 319-0518

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

Areas of Expertise CMS Part B claims 12

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.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

81 services40 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

60 services59 patients

Critical care, each additional 30 minutes 99292

Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.

53 services24 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.

51 services37 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

35 services32 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.

30 services26 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.

28 services28 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

25 services25 patients

Test to determine lung volumes using sensors 94726

This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.

25 services25 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

25 services25 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.

16 services16 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.

14 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Morton Hospital

Acute Care Hospitals · Taunton, MA

1/5 CMS rating

OwnershipProprietary

CMS Certification Number220073

Location88 Washington StreetTaunton, MA 02780 · Bristol County

Emergency services

South Shore Hospital

Acute Care Hospitals · South Weymouth, MA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220100

Location55 Fogg RoadSouth Weymouth, MA 02190 · Norfolk County

Emergency services Birthing friendly

Good Samaritan Medical Center

Acute Care Hospitals · Brockton, MA

2/5 CMS rating

OwnershipProprietary

CMS Certification Number220111

Location235 North Pearl StreetBrockton, MA 02301 · Plymouth County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02301 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

$134.47 typical visit price

range $58.86 – $177.36

Typical copayment $33.61 (range $14.71 – $44.34)

Most-billed visit code 99204

Established Patient

$103.48 typical visit price

range $19.11 – $144.84

Typical copayment $25.87 (range $4.77 – $36.21)

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.

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 Kiran Pokhrel's NPI number?

The NPI number for Kiran Pokhrel is 1760764872. It was assigned to this individual provider in the NPPES registry on September 14, 2011.

Where is Kiran Pokhrel located?

Kiran Pokhrel practices at Good Samaritan Pulmonary 1 Pearl St Suite 1500, Brockton, MA 02301. The listed phone number is (508) 897-4761.

What is Kiran Pokhrel's specialty?

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

Is Kiran Pokhrel enrolled in Medicare?

Yes. Kiran Pokhrel 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 organizations bill Medicare for Kiran Pokhrel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kiran Pokhrel reassigns Medicare benefits to 4 organizations: Coastal Medical Associates (Weymouth, MA), Bmc Affiliated Physicians, Inc. (Boston, MA), Steward Medical Group, Inc (Watertown, MA) and Southcoast Physicians Group, Inc. (Fairhaven, MA). Each 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 Kiran Pokhrel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kiran Pokhrel accept?

Health plans from Taro Health and WellSense Health Plan list Kiran Pokhrel 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 Kiran Pokhrel affiliated with any hospitals?

According to CMS data, Kiran Pokhrel is affiliated with Morton Hospital, South Shore Hospital and Good Samaritan Medical Center.

When was this NPI record last updated?

The NPPES record for Kiran Pokhrel was last updated on March 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.