PRABIN PHUYAL MD
NPI 1881358612
Internal Medicine in Grants Pass, OR

Q: What is Prabin Phuyal's NPI number?

The NPI number for Prabin Phuyal is 1881358612. It was assigned to this individual provider in the NPPES registry on October 27, 2021.

Q: What is Prabin Phuyal's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Prabin Phuyal was last updated on August 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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 October 27, 2021PECOS EnrolledAccepts Medicare Assignment

500 SW RAMSEY AVE, GRANTS PASS, OR 97527(732) 799-8857 Get Directions Write a Review

NPPES record last updated: August 19, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Prabin Phuyal Md NPPES

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

PRABIN PHUYAL MD (NPI 1881358612) is an individual internal medicine provider in Grants Pass, Oregon, licensed in Oregon (MD220921) and active in the NPI registry since October 2021. He is enrolled in Medicare PECOS, is affiliated with Asante Three Rivers Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1881358612

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NamePRABIN PHUYALCredential: MD

Location Address500 SW RAMSEY AVEGrants Pass, OR 97527-5554

Mailing Address500 Sw Ramsey AveGrants Pass, OR 97527-5554

Phone(732) 799-8857

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateOctober 27, 2021

Last NPPES UpdateAugust 19, 2025

NPPES CertifiedAugust 19, 2025

✔ NPI 1881358612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in OR · MD220921

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

500 SW RAMSEY AVE, Grants Pass, OR 97527

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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

Prabin Phuyal Md 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 ID3375080260

PECOS Enrollment IDI20240809001136

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.

62 services29 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.

18 services18 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

Hospital Affiliations CMS Care Compare 3

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

Asante Three Rivers Medical Center

Acute Care Hospitals · Grants Pass, OR

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number380002

Location500 SW Ramsey AvenueGrants Pass, OR 97527 · Josephine County

Emergency services Birthing friendly

Asante Ashland Community Hospital

Acute Care Hospitals · Ashland, OR

OwnershipGovernment - Local

CMS Certification Number380005

Location280 Maple StreetAshland, OR 97520 · Jackson County

Emergency services Birthing friendly

Asante Rogue Regional Medical Center

Acute Care Hospitals · Medford, OR

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380018

Location2825 E Barnett RoadMedford, OR 97504 · Jackson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97527 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

$126.25 typical visit price

range $54.96 – $166.64

Typical copayment $31.56 (range $13.74 – $41.66)

Most-billed visit code 99204

Established Patient

$97.16 typical visit price

range $17.68 – $136.19

Typical copayment $24.29 (range $4.42 – $34.04)

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.

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.

GREGORY ROBERT OWENS MD

Emergency Medicine