DR. PRITAM NEUPANE MBBS
NPI 1801939772
Internal Medicine - Pulmonary Disease in Carmichael, CA

Q: What is Pritam Neupane's NPI number?

The NPI number for Pritam Neupane is 1801939772. It was assigned to this individual provider in the NPPES registry on February 14, 2007.

Q: What is Pritam Neupane'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 Pritam Neupane was last updated on November 27, 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.

Active since February 14, 2007PECOS EnrolledAccepts Medicare Assignment

96.5/100

CMS Quality Rating

6555 COYLE AVE STE 215, CARMICHAEL, CA 95608(916) 536-2442(916) 536-2598 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 14, 2020, Jun 16, 2020, Apr 11, 2020 (3 updates tracked since 2020).

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About Dr. Pritam Neupane Mbbs NPPES

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

DR. PRITAM NEUPANE MBBS (NPI 1801939772) is an individual pulmonary disease provider in Carmichael, California, licensed in Wyoming (9223A) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in Kalispell, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1801939772

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameDR. PRITAM NEUPANECredential: MBBS

Location Address6555 COYLE AVE STE 215Carmichael, CA 95608-0303

Mailing Address711 Onyx StKemmerer, WY 83101-3214 · (307) 800-8708

Phone(916) 536-2442

Fax(916) 536-2598

Sole ProprietorNo

Medical School CMSOtherGraduated 2002

Enumeration DateFebruary 14, 2007

Last NPPES UpdateNovember 27, 20233 updates tracked since enumeration

NPPES CertifiedJuly 14, 2020

✔ NPI 1801939772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

Licenses✔ Licensed in WY · 9223A✔ Licensed in CA · C167782✔ Licensed in MT · 76276

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 P20609 (MD)

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 76276 (MT)

6555 COYLE AVE STE 215, Carmichael, CA 95608

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Secondary Practice Location 1

Location 1350 Heritage Way Ste 2100Kalispell, MT 59901-3167 · Phone (406) 257-8992 · Fax (406) 257-8996

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

Dr. Pritam Neupane Mbbs 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 ID9436300597

PECOS Enrollment IDI20200504001557

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 Reassignment

Medicare enrollment records show Pritam Neupane reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Chw Medical Foundation

0.1 mi

Radiology, Mammography

6620 COYLE AVE, SUITE 107
Carmichael, CA 95608

Reassigned Medicare billing, California enrollment
Medicare enrollment name: Dignity Health Medical Foundation
1,191 clinicians in this Medicare group

NPI 1679503759 (916) 961-6946

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 13

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.

179 services63 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.

143 services62 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.

79 services47 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.

29 services29 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.

28 services28 patients

Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth G0425

A telehealth consultation is a remote medical service where a doctor assesses your health condition through a video call. In an emergency or initial inpatient scenario, this typically lasts for about 30 minutes. This method allows for prompt, efficient care without needing to be physically present in a healthcare facility.

25 services25 patients

Test to measure expiratory airflow and volume 94010

This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.

23 services23 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.

23 services23 patients

Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth G0407

A follow-up inpatient consultation is a service where a doctor spends around 25 minutes discussing your health progress via telehealth. This virtual meeting helps track your recovery, manage your treatment plan, and address any concerns you may have. It's a crucial part of your ongoing care.

22 services15 patients

Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556

This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.

18 services17 patients

Irrigation and suction of lung airways to obtain cells using an endoscope 31624

This is a procedure where a thin, flexible tube called an endoscope is inserted through your mouth into the lungs. A small amount of saline is then introduced to wash the airways. The fluid, along with cells from the lung, is suctioned back for analysis.

13 services11 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.

13 services13 patients

Emergent insertion of breathing tube into windpipe using an endoscope 31500

This is a procedure where a thin tube is inserted into your windpipe to aid in breathing. It's done in emergency situations, using an endoscope, a tool with a light and camera, to ensure correct placement.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95608 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

$137.20 typical visit price

range $60.44 – $180.85

Typical copayment $34.30 (range $15.11 – $45.21)

Most-billed visit code 99204

Established Patient

$105.95 typical visit price

range $19.88 – $148.15

Typical copayment $26.48 (range $4.97 – $37.03)

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.

96.5/100

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

Scored through an Alternative Payment Model

Quality

80.34

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 11

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

6 suppliers17 claims17 services$40.64 avg. paid by Medicare

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

DME-Other DME · category DE001N

4 suppliers18 claims18 services$110.04 avg. paid by Medicare

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

DME-Other DME · category DE001N

4 suppliers20 claims53 services$42.99 avg. paid by Medicare

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

DME-Other DME · category DE001N

3 suppliers15 claims87 services$17.32 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

4 suppliers24 claims24 services$67.94 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

5 suppliers20 claims20 services$23.40 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 8

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

DR. ROBERT D GREER M.D.

Internal Medicine (Pulmonary Disease)