DR. NEIL V WARAVDEKAR M.D.
NPI 1780685784
Internal Medicine - Pulmonary Disease in Frederick, MD

Q: What is Neil Waravdekar's NPI number?

The NPI number for Neil Waravdekar is 1780685784. It was assigned to this individual provider in the NPPES registry on August 2, 2005.

Q: What is Neil Waravdekar'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 Neil Waravdekar was last updated on May 15, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 02, 2005PECOS EnrolledAccepts Medicare Assignment

87.41/100

CMS Quality Rating

7115 GUILFORD DR, SUITE #202, FREDERICK, MD 21704(301) 663-5922 Get Directions Write a Review

NPPES record last updated: May 15, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

On this page

About Dr. Neil V Waravdekar M.d. NPPES

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

DR. NEIL V WARAVDEKAR M.D. (NPI 1780685784) is an individual pulmonary disease provider in Frederick, Maryland, licensed in Maryland (D0047611) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Frederick Health Hospital, and is a graduate of Hahnemann University College Of Medicine (1989).

NPPES Registry Identity

NPI1780685784

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameDR. NEIL V WARAVDEKARCredential: M.D.

Location Address7115 GUILFORD DR, SUITE #202Frederick, MD 21704-5199

Mailing Address7115 Guilford Drive, Suite #202Frederick, MD 21704 · (301) 663-5922

Phone(301) 663-5922

Sole ProprietorNo

Medical School CMSHahnemann University College Of MedicineGraduated 1989

Enumeration DateAugust 2, 2005

Last NPPES UpdateMay 15, 2012

✔ NPI 1780685784 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 MD · D0047611

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 D0047611 (MD)

7115 GUILFORD DR, Frederick, MD 21704

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Other Identifiers 3

Medicare UPINF85280MD

Medicare ID-Type Unspecified239MMD

Medicaid366311600MD

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

Dr. Neil V Waravdekar M.d. 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 ID749382984

PECOS Enrollment IDI20070219000659

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 28

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.

Test to measure rate of airflow 94375

This test, known as spirometry, measures how much air you can breathe in and out, and how quickly you can do so. It helps assess your lung function and can be used to diagnose or monitor conditions like asthma or COPD.

791 services412 patients

Established patient office or other outpatient visit, 30-39 minutes 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.

633 services378 patients

Principal care management services for a single high-risk disease, first 30 minutes provided personally by qualified health care professional, per calendar month. 99424

Principal Care Management (PCM) services are health care services focused on managing a single high-risk disease. A qualified health professional will personally provide these services for the first 30 minutes each month. This could include monitoring your condition, coordinating your care, and making necessary adjustments to your treatment plan.

518 services207 patients

Established patient office or other outpatient visit, 40-54 minutes 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.

224 services156 patients

Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month 99426

Principal care management services focus on managing a single high-risk disease. This involves a health care professional directing clinical staff for the first 30 minutes each month. The aim is to monitor your health, coordinate care, and provide necessary support for your disease management.

223 services144 patients

Follow-up hospital inpatient care per day, typically 35 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.

200 services86 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

199 services163 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.

196 services188 patients

Test to measure largest amount of air breathed in an out 94200

This test, called spirometry, measures your lung capacity. It involves taking a deep breath and then exhaling as forcefully as possible into a machine. The results help assess how well your lungs function.

182 services174 patients

Test to measure resistance of the airways and lungs to differing frequencies 94728

This test measures how your lungs and airways respond to different frequencies of air pressure. It helps identify any resistance or obstruction, providing valuable information about your lung health. It's non-invasive and painless.

99 services98 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.

98 services98 patients

Test to determine lung volumes using gas dilution or washout 94727

This test measures lung volumes by either diluting or washing out a known amount of gas in your lungs. You'll breathe in a harmless gas, then exhale. The exhaled air is analyzed to assess your lung capacity and function.

98 services97 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.

96 services96 patients

New patient office or other outpatient visit, 60-74 minutes 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.

86 services86 patients

Follow-up hospital inpatient care per day, typically 25 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.

76 services54 patients

Initial hospital inpatient care per day, typically 70 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.

72 services68 patients

Established patient office or other outpatient visit, 20-29 minutes 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.

66 services54 patients

Evaluation of use of breathing device 94664

The evaluation of a breathing device involves checking how effectively you're using it to manage your respiratory condition. It assesses the device's fit, your comfort, and your technique to ensure optimal results.

54 services52 patients

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.

44 services20 patients

New patient office or other outpatient visit, 45-59 minutes 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.

43 services43 patients

Test to determine lung volumes using sensors 94726

22 services22 patients

Test to measure largest amount of air breathed in an out 94200

21 services21 patients

Test to measure rate of airflow 94375

21 services21 patients

Test to measure resistance of the airways and lungs to differing frequencies 94728

21 services21 patients

Test to examine how well the lungs exchange gases 94729

21 services21 patients

Smoking and tobacco use intensive counseling, 4-10 minutes 99406

This service provides brief, intensive counseling (4-10 minutes) to support you in quitting smoking or tobacco use. It involves discussing the risks of tobacco use, benefits of quitting, and strategies to help you stop. It's a critical step towards a healthier lifestyle.

17 services16 patients

Sleep study in sleep lab (6 years or older) 95810

A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.

15 services15 patients

Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811

A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.

14 services13 patients

Hospital Affiliations CMS Care Compare

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

Frederick Health Hospital

Acute Care Hospitals · Frederick, MD

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210005

Location400 West Seventh StFrederick, MD 21701 · Frederick County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21704 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

$133.05 typical visit price

range $57.99 – $175.57

Typical copayment $33.26 (range $14.49 – $43.89)

Most-billed visit code 99204

Established Patient

$102.11 typical visit price

range $18.66 – $143.02

Typical copayment $25.52 (range $4.66 – $35.75)

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.

87.41/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

83.11

Promoting Interoperability

Improvement Activities

Cost

80.75

Reported Quality Measures

Advance Care Plan

99%640 patients4/55-star benchmark: 100%

Chronic Obstructive Pulmonary Disease (COPD): Long-Acting Inhaled Bronchodilator Therapy

100%100 patients

Documentation of Current Medications in the Medical Record

100%2,371 patients5/55-star benchmark: 100%

e-Prescribing

96%326 patients3/55-star benchmark: 100%

Optimal Asthma Control

Patients adultCtrlNoExacRisk: 92% · 52 patients

Patients adultsNoRiskExac: 0% · 52 patients

Patients adultsWellCtrl: 0% · 52 patients

92%52 patients

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 95% · 775 patients

Patients screened: 97% · 775 patients

98%65 patients4/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

90%645 patients4/55-star benchmark: 100%

Sleep Apnea: Assessment of Adherence to Positive Airway Pressure Therapy

100%73 patients

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 651 patients

Patients totalRate: 1% · 651 patients

0%651 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 18

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

8 suppliers78 claims78 services$35.47 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

3 suppliers34 claims34 services$86.53 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

3 suppliers29 claims69 services$33.07 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

10 suppliers64 claims345 services$16.88 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

4 suppliers40 claims202 services$12.80 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

10 suppliers113 claims113 services$48.76 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

9 suppliers100 claims100 services$16.80 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

6 suppliers54 claims54 services$13.08 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

9 suppliers157 claims888 services$2.01 avg. paid by Medicare

Filter, non disposable, used with positive airway pressure device A7039

DME-Other DME · category DE001N

7 suppliers67 claims67 services$5.33 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

10 suppliers41 claims41 services$11.55 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

6 suppliers61 claims61 services$13.79 avg. paid by Medicare

Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443

DME-Oxygen and Supplies · category DC000N

3 suppliers14 claims16 services$38.85 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

3 suppliers13 claims13 services$122.46 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

8 suppliers118 claims119 services$29.08 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

9 suppliers247 claims248 services$65.79 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

6 suppliers162 claims171 services$32.50 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

5 suppliers13 claims13 services$25.97 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 7

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

BYRD DENTAL HEALTH CENTER

Dentist (General Practice)

7115 GUILFORD DR, STE 101
FREDERICK, MD 21704

Frederick County (240) 379-1550

DAVID CHARLES BRANDENBURG DDS

Dentist

7115 GUILFORD DR, STE 101
FREDERICK, MD 21704

Frederick County (240) 379-1550

DR. ALLEN J GILSON M.D.

Internal Medicine (Pulmonary Disease)

7115 GUILFORD DR, SUITE #202
FREDERICK, MD 21704

Frederick County (301) 663-5922

PHUONG DINH HO MD

Internal Medicine

7115 GUILFORD DR, STE 202
FREDERICK, MD 21704

Frederick County (301) 663-5922

DR. MICHAEL A TOLINO M.D.

Internal Medicine (Pulmonary Disease)

7115 GUILFORD DR, SUITE 202
FREDERICK, MD 21704

Frederick County (301) 663-5922

FREDERICK ENDOSCOPY CENTER LLC

Clinic/Center (Endoscopy)

7115 GUILFORD DR, SUITE 201
FREDERICK, MD 21704

Frederick County (301) 682-6261

ANISH SUMANT DESAI M.D.

Internal Medicine (Pulmonary Disease)

7115 GUILFORD DR, SUITE #202
FREDERICK, MD 21704

Frederick County (301) 663-5922

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 Neil Waravdekar's NPI number?

The NPI number for Neil Waravdekar is 1780685784. It was assigned to this individual provider in the NPPES registry on August 2, 2005.

Where is Neil Waravdekar located?

Neil Waravdekar practices at 7115 Guilford Dr Suite #202, Frederick, MD 21704. The listed phone number is (301) 663-5922.

What is Neil Waravdekar's specialty?

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

Is Neil Waravdekar enrolled in Medicare?

Yes. Neil Waravdekar 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 Neil Waravdekar affiliated with any hospitals?

According to CMS data, Neil Waravdekar is affiliated with Frederick Health Hospital.

When was this NPI record last updated?

The NPPES record for Neil Waravdekar was last updated on May 15, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.