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DR. KOMAL H KIRPEKAR MD
NPI 1912084096
Internal Medicine in Maryville, TN

Active since November 01, 2006PECOS EnrolledAccepts Medicare Assignment
79.29/100
CMS Quality Rating
1702 E LAMAR ALEXANDER PKWY, MARYVILLE, TN 37804(865) 980-5370(865) 980-5375 Get Directions Write a Review

NPPES record last updated: October 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2023, May 15, 2020, Feb 1, 2017 (3 updates tracked since 2017).

About Dr. Komal H Kirpekar Md NPPES

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

DR. KOMAL H KIRPEKAR MD (NPI 1912084096) is an individual internal medicine provider in Maryville, Tennessee, licensed in Tennessee (27171) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, is affiliated with Blount Memorial Hospital, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1912084096
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. KOMAL H KIRPEKARCredential: MD
Location Address1702 E LAMAR ALEXANDER PKWYMaryville, TN 37804-6204
Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842
Phone(865) 980-5370
Fax(865) 980-5375
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateNovember 1, 2006
Last NPPES UpdateOctober 28, 20253 updates tracked since enumeration
NPPES CertifiedOctober 28, 2025
✔ NPI 1912084096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TN · 27171
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.
1702 E LAMAR ALEXANDER PKWY, Maryville, TN 37804
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Other Identifiers 1

Medicaid1520460TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, UnitedHealthcare.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

Dr. Komal H Kirpekar 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 ID2062504632
PECOS Enrollment IDI20070828000145
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 9

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.
344 services146 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
132 services132 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
80 services11 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
59 services38 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.
32 services16 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
28 services26 patients

Hospital Affiliations CMS Care Compare

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

Blount Memorial Hospital

Acute Care Hospitals · Maryville, TN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number440011
Location907 E Lamar Alexander ParkwayMaryville, TN 37804 · Blount County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37804 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

79.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.55
Promoting Interoperability92
Improvement Activities40
Cost63.09

Referred Medical Equipment & Supplies CMS DME claims 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers29 claims82 services$5.86 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers12 claims22 services$1.15 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$5.28 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$199.75 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 2

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

PATRICK H BURKHART MD
Dermatology
1702 E LAMAR ALEXANDER PKWY
MARYVILLE, TN 37804
Blount County (865) 977-0555
DR. IBRAHIM F SHALABY MD
Internal Medicine
1702 E LAMAR ALEXANDER PKWY
MARYVILLE, TN 37804
Blount County (865) 980-5370

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 Komal Kirpekar's NPI number?

The NPI number for Komal Kirpekar is 1912084096. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Komal Kirpekar located?

Komal Kirpekar practices at 1702 E Lamar Alexander Pkwy, Maryville, TN 37804. The listed phone number is (865) 980-5370.

What is Komal Kirpekar's specialty?

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

Is Komal Kirpekar enrolled in Medicare?

Yes. Komal Kirpekar 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 Komal Kirpekar accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Komal Kirpekar 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.

Is Komal Kirpekar affiliated with any hospitals?

According to CMS data, Komal Kirpekar is affiliated with Blount Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Komal Kirpekar was last updated on October 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.