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MEETA PANCHOLI DPM
NPI 1790779031
Podiatrist in Palmerton, PA

Active since September 01, 2005PECOS EnrolledAccepts Medicare Assignment
79.95/100
CMS Quality Rating
3295 FOREST INN RD, PALMERTON, PA 18071(610) 826-3338(610) 824-7229 Get Directions Write a Review

NPPES record last updated: August 14, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Meeta Pancholi Dpm NPPES

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

MEETA PANCHOLI DPM (NPI 1790779031) is an individual podiatrist in Palmerton, Pennsylvania, licensed in Pennsylvania (SC004248L) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1790779031
Entity TypeIndividualFemale
Primary Taxonomy213E00000X
Provider Legal NameMEETA PANCHOLICredential: DPM
Location Address3295 FOREST INN RDPalmerton, PA 18071-5467
Mailing Address265 Pine Cove CtLehighton, PA 18235-9256 · (570) 283-1150
Phone(610) 826-3338
Fax(610) 824-7229
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateSeptember 1, 2005
Last NPPES UpdateAugust 14, 2015
✔ NPI 1790779031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in PA · SC004248L
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
3295 FOREST INN RD, Palmerton, PA 18071
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Other Identifiers 1

Other097265PA · Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Meeta Pancholi Dpm 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 ID5395786594
PECOS Enrollment IDI20050518000543
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 14

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.

Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
1,750 services938 patients
Trimming of dystrophic nails, any number G0127
Trimming of dystrophic nails involves the careful cutting and shaping of thickened or deformed nails. This is often required when nails are affected by conditions such as fungus or psoriasis. The procedure helps to reduce discomfort and improve nail health.
1,384 services725 patients
Removal of fingernails or toenails, 1-5 nails 11720
This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.
934 services551 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
628 services493 patients
Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99304
An initial nursing facility visit is a daily check-up to monitor your health status. This service, lasting typically 25 minutes, involves a nurse assessing your overall wellbeing, discussing concerns, and updating your care plan as needed.
608 services600 patients
Removal of noncancer thickened skin growth, 1 growth 11055
This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.
81 services71 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18071 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
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.

79.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.91
Promoting Interoperability87
Improvement Activities40
Cost61.81

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
6%122 patients1/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
3%143 patients1/55-star benchmark: 85%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
86%210 patients2/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%204 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
51%474 patients3/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
69%474 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
2%474 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
21%474 patients
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.

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.

MISS BROOKE ERIN NEFF LPC
Counselor (Professional)
3295 FOREST INN RD, SUITE 3
PALMERTON, PA 18071
Carbon County (855) 826-8482
NICOLE MITCHELL LSW
Social Worker
3295 FOREST INN RD
PALMERTON, PA 18071
Carbon County (610) 826-8482
MRS. HALEY J MOSKELLA LCSW
Social Worker (Clinical)
3295 FOREST INN RD, SUITE 3
PALMERTON, PA 18071
Carbon County (610) 826-8482
GINA MARIE HOLMES LCSW
Social Worker (Clinical)
3295 FOREST INN RD, SUITE 3
PALMERTON, PA 18071
Carbon County (855) 826-8482

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 Meeta Pancholi's NPI number?

The NPI number for Meeta Pancholi is 1790779031. It was assigned to this individual provider in the NPPES registry on September 1, 2005.

Where is Meeta Pancholi located?

Meeta Pancholi practices at 3295 Forest Inn Rd, Palmerton, PA 18071. The listed phone number is (610) 826-3338.

What is Meeta Pancholi's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Meeta Pancholi enrolled in Medicare?

Yes. Meeta Pancholi 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.

What insurance does Meeta Pancholi accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Meeta Pancholi 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.

When was this NPI record last updated?

The NPPES record for Meeta Pancholi was last updated on August 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.