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SMRITI MANANDHAR MD
NPI 1801109095
Internal Medicine - Endocrinology, Diabetes & Metabolism in Cumberland, MD

Active since July 16, 2010PECOS Enrolled
86.92/100
CMS Quality Rating
12502 WILLOWBROOK RD STE 330, CUMBERLAND, MD 21502(240) 964-8900(240) 964-8901 Get Directions Write a Review

NPPES record last updated: October 31, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 31, 2023, Dec 2, 2019 (2 updates tracked since 2019).

About Smriti Manandhar Md NPPES

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

SMRITI MANANDHAR MD (NPI 1801109095) is an individual endocrinology, diabetes & metabolism provider in Cumberland, Maryland, licensed in Maryland (D78944) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS and maintains a secondary practice location in Towson.

NPPES Registry Identity

NPI1801109095
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameSMRITI MANANDHARCredential: MD
Location Address12502 WILLOWBROOK RD STE 330Cumberland, MD 21502-6498
Mailing AddressPo Box 1671Cumberland, MD 21501-1671 · (240) 964-8342 · Fax (240) 964-8337
Phone(240) 964-8900
Fax(240) 964-8901
Sole ProprietorYes
Enumeration DateJuly 16, 2010
Last NPPES UpdateOctober 31, 20232 updates tracked since enumeration
✔ NPI 1801109095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in MD · D78944
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
12502 WILLOWBROOK RD STE 330, Cumberland, MD 21502
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Secondary Practice Location 1

Location 16565 N. Charles Street PPE 203Towson, MD 21204 · Phone (443) 849-2682 · Fax (443) 849-8030

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)

Smriti Manandhar Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 5

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.
320 services282 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
113 services91 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
56 services53 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.
27 services27 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
21 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21502 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.

86.92/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.08
Promoting Interoperability100
Improvement Activities40
Cost80.8

Referred Medical Equipment & Supplies CMS DME claims 13

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
7 suppliers81 claims1,046 services$18.32 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
7 suppliers81 claims2,705 services$2.33 avg. paid by Medicare
Supply allowance for adjunctive continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service A4238
DME-Medical/Surgical Supplies · category DA000N
1 supplier11 claims11 services$177.91 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
18 suppliers250 claims900 services$6.23 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
4 suppliers23 claims23 services$2.95 avg. paid by Medicare
Spring-powered device for lancet, each A4258
DME-Other DME · category DE000N
5 suppliers12 claims12 services$1.65 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

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

DR. EMILY SULTAN SULIEMAN GAMMOH M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
12502 WILLOWBROOK RD STE 330
CUMBERLAND, MD 21502
Allegany County (240) 964-8900

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 Smriti Manandhar's NPI number?

The NPI number for Smriti Manandhar is 1801109095. It was assigned to this individual provider in the NPPES registry on July 16, 2010.

Where is Smriti Manandhar located?

Smriti Manandhar practices at 12502 Willowbrook Rd Ste 330, Cumberland, MD 21502. The listed phone number is (240) 964-8900.

What is Smriti Manandhar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Smriti Manandhar enrolled in Medicare?

Yes. Smriti Manandhar is registered in the Medicare PECOS enrollment system.

What insurance does Smriti Manandhar accept?

Health plans from CareSource list Smriti Manandhar 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 Smriti Manandhar was last updated on October 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.