PANKAJ AGRAWAL MBBS
NPI 1861706038
Family Medicine - Adult Medicine in Marshalltown, IA

Q: What is Pankaj Agrawal's NPI number?

The NPI number for Pankaj Agrawal is 1861706038. It was assigned to this individual provider in the NPPES registry on July 30, 2010.

Q: What is Pankaj Agrawal's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Q: When was this NPI record last updated?

The NPPES record for Pankaj Agrawal was last updated on July 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 July 30, 2010PECOS Enrolled

85.99/100

CMS Quality Rating

3 S 4TH AVE, MARSHALLTOWN MEDICAL & SURGICAL CENT, MARSHALLTOWN, IA 50158(641) 754-5151 Get Directions Write a Review

NPPES record last updated: July 8, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Pankaj Agrawal Mbbs NPPES

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

PANKAJ AGRAWAL MBBS (NPI 1861706038) is an individual adult medicine provider in Marshalltown, Iowa, licensed in Iowa (40719) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS, is affiliated with Sgmc Health, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1861706038

Entity TypeIndividualMale

Primary Taxonomy207QA0505X

Provider Legal NamePANKAJ AGRAWALCredential: MBBS

Location Address3 S 4TH AVE, MARSHALLTOWN MEDICAL & SURGICAL CENTMarshalltown, IA 50158-2924

Mailing Address3 S 4th Ave, Marshalltown Medical & Surgical CentMarshalltown, IA 50158-2924 · (641) 754-5151

Phone(641) 754-5151

Sole ProprietorYes

Medical School CMSOtherGraduated 2007

Enumeration DateJuly 30, 2010

Last NPPES UpdateJuly 8, 2013

✔ NPI 1861706038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QA0505X

License✔ Licensed in IA · 40719

Definition

The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

3 S 4TH AVE, Marshalltown, IA 50158

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Oscar Insurance Company.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)

Pankaj Agrawal Mbbs is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3274776083

PECOS Enrollment IDI20170208002373

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 3

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.

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.

187 services80 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

41 services41 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.

17 services15 patients

Hospital Affiliations CMS Care Compare

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

Sgmc Health

Acute Care Hospitals · Valdosta, GA

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110122

Location2501 North Patterson Street, PO Box 1727Valdosta, GA 31602 · Lowndes County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50158 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

$81.84 typical visit price

range $52.96 – $161.40

Typical copayment $20.46 (range $13.24 – $40.35)

Most-billed visit code 99203

Established Patient

$94.05 typical visit price

range $16.91 – $131.98

Typical copayment $23.51 (range $4.22 – $32.99)

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.

85.99/100

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

Scored as part of a group practice

Quality

67.98

Improvement Activities

Cost

80.63

Referred Medical Equipment & Supplies CMS DME claims 5

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

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034

Other-Enteral and Parenteral · category OB006N

1 supplier12 claims360 services$4.15 avg. paid by Medicare

Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152

Other-Enteral and Parenteral · category OB006N

1 supplier12 claims8,100 services$0.39 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

2 suppliers25 claims25 services$16.38 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier12 claims12 services$5.66 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

2 suppliers25 claims25 services$82.33 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 20

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

EMMALINE M WRIGHT RD

Dietitian, Registered