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DR. APOORV PRASAD MD
NPI 1760820948
Psychiatry & Neurology - Neurology in Chambersburg, PA

Active since June 10, 2013PECOS Enrolled
22 ST PAUL DR STE 101, CHAMBERSBURG, PA 17201(717) 262-2665(717) 267-0159 Get Directions Write a Review

NPPES record last updated: May 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 5, 2026, Apr 23, 2026, Apr 14, 2026 and 2 more (5 updates tracked since 2022).

About Dr. Apoorv Prasad Md NPPES

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

DR. APOORV PRASAD MD (NPI 1760820948) is an individual neurology provider in Chambersburg, Pennsylvania, licensed in Pennsylvania (MD479013) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Wellspan Waynesboro Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1760820948
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. APOORV PRASADCredential: MD
Location Address22 ST PAUL DR STE 101Chambersburg, PA 17201-1036
Mailing Address601 Memory LnYork, PA 17402-2231 · (717) 851-1405 · Fax (717) 851-6969
Phone(717) 262-2665
Fax(717) 267-0159
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJune 10, 2013
Last NPPES UpdateMay 5, 20265 updates tracked since enumeration
NPPES CertifiedMay 5, 2026
✔ NPI 1760820948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses✔ Licensed in PA · MD479013✔ Licensed in MO · 2026013967✔ Licensed in PA · FP1957705✔ Licensed in AZ · 80208✔ Licensed in TX · W4344
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 3902000000X (NY)
22 ST PAUL DR STE 101, Chambersburg, PA 17201
Open in Google Maps ↗

Secondary Practice Locations 4

Location 165 W 96th St Apt 10HNew York, NY 10025-6535 · Phone (917) 628-4595
Location 2501 E Main StWaynesboro, PA 17268-2353 · Phone (717) 765-4000
Location 32790 Clay Edwards Dr Ste 1235North Kansas City, MO 64116-3276 · Phone (816) 472-5157 · Fax (816) 472-7201
Location 42400 S Avenue AYuma, AZ 85364-7127 · Phone (928) 344-2000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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)

Dr. Apoorv Prasad Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4587912498
PECOS Enrollment IDI20260401004137, I20260407003602, I20260415003928, I20260417002360, I20260420001633, I20260429004287, I20260521002296, I20260526003793, I20260527003070, I20260602001462
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 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.

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.
126 services115 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.
123 services108 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.
106 services106 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
45 services44 patients
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.
38 services31 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.
34 services34 patients

Hospital Affiliations CMS Care Compare 2

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

Wellspan Waynesboro Hospital

Acute Care Hospitals · Waynesboro, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390138
Location501 East Main StWaynesboro, PA 17268 · Franklin County
Emergency services

Wellspan Chambersburg Hospital

Acute Care Hospitals · Chambersburg, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390151
Location112 North Seventh StreetChambersburg, PA 17201 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17201 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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.

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier11 claims11 services$39.73 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 4

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

MARGARET E YEALY PA-C
Physician Assistant
22 ST PAUL DR STE 101
CHAMBERSBURG, PA 17201
Franklin County (717) 262-2665
DR. SUNIL C NAIK MD
Psychiatry & Neurology (Neurology)
22 ST PAUL DR STE 101
CHAMBERSBURG, PA 17201
Franklin County (717) 262-2665
SANA SIDDIQI MD
Psychiatry & Neurology (Neurology)
22 ST PAUL DR STE 101
CHAMBERSBURG, PA 17201
Franklin County (717) 262-2665
SHERRY BALDASSARI CRNP
Nurse Practitioner (Adult Health)
22 ST PAUL DR STE 101
CHAMBERSBURG, PA 17201
Franklin County (717) 262-2665

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 Apoorv Prasad's NPI number?

The NPI number for Apoorv Prasad is 1760820948. It was assigned to this individual provider in the NPPES registry on June 10, 2013.

Where is Apoorv Prasad located?

Apoorv Prasad practices at 22 St Paul Dr Ste 101, Chambersburg, PA 17201. The listed phone number is (717) 262-2665.

What is Apoorv Prasad's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Apoorv Prasad enrolled in Medicare?

Yes. Apoorv Prasad is registered in the Medicare PECOS enrollment system.

What insurance does Apoorv Prasad accept?

Health plans from CareSource list Apoorv Prasad 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 Apoorv Prasad affiliated with any hospitals?

According to CMS data, Apoorv Prasad is affiliated with Wellspan Waynesboro Hospital and Wellspan Chambersburg Hospital.

When was this NPI record last updated?

The NPPES record for Apoorv Prasad was last updated on May 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.