VIKRAM KHETPAL MD
NPI 1942281761
Internal Medicine - Cardiovascular Disease in Cumming, GA

Active since November 09, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
3970 DEPUTY BILL CANTRELL MEMORIAL RD, SUITE 100, CUMMING, GA 30040(678) 513-2273(678) 513-8869 Get Directions Write a Review

NPPES record last updated: June 13, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Vikram Khetpal Md NPPES

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

VIKRAM KHETPAL MD (NPI 1942281761) is an individual cardiovascular disease provider in Cumming, Georgia, licensed in Georgia (57757) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1942281761
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameVIKRAM KHETPALCredential: MD
Location Address3970 DEPUTY BILL CANTRELL MEMORIAL RD, SUITE 100Cumming, GA 30040
Mailing Address3970 Deputy Bill Cantrell Memorial Rd, Suite 100Cumming, GA 30040 · (678) 513-2273 · Fax (678) 513-8869
Fax(678) 513-8869
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateNovember 9, 2005
Last NPPES UpdateJune 13, 2016
NPI 1942281761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in GA · 57757
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedSpecialistTaxonomy 174400000X · License 21287 (AL)
3970 DEPUTY BILL CANTRELL MEMORIAL RD, Cumming, GA 30040

Other Identifiers 6

Medicare UPING58752
Medicaid499957792AGA
Medicare ID-Type Unspecified34969AL · Alabama Medicare
Medicaid00119609MS
Medicare ID-Type UnspecifiedG58752GA
Medicaid000034969AL

Accepted 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

Vikram Khetpal 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 ID4587677679
PECOS Enrollment IDI20060712000220
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 28

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.
1,988 services1,128 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
1,415 services1,066 patients
Injection, regadenoson, 0.1 mg J2785
Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.
1,164 services291 patients
Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries A9555
Rubidium Rb-82 is a radioactive drug used in a PET scan to help visualize the heart. It helps detect areas with poor blood flow, aiding in diagnosing heart conditions. The dose is up to 60 millicuries per study.
536 services268 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
466 services455 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician 93015
An exercise or drug-induced heart stress test with ECG is a procedure performed by a doctor to assess how your heart responds to exertion. It involves monitoring your heart's electrical activity while you exercise or after medication is given to mimic exercise effects.
372 services360 patients

Hospital Affiliations CMS Care Compare

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

Northside Hospital Forsyth

Acute Care Hospitals · Cumming, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110005
Location1200 Northside Forsyth DriveCumming, GA 30041 · Forsyth County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30040 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
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.

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

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%5,250 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%3,797 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
97%840 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
83%3,537 patients4/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
23%2,824 patients1/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 99% · 1,291 patients
Patients tobacco: 12% · 68 patients
88%1,291 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
88%3,537 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
9%3,537 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
41%3,537 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 11

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

Internal Medicine (Cardiovascular Disease)
3970 DEPUTY BILL CANTRELL MEMORIAL RD, STE 100
CUMMING, GA 30040
Internal Medicine (Cardiovascular Disease)
3970 DEPUTY BILL CANTRELL MEMORIAL RD
CUMMING, GA 30040
Family Medicine
3970 DEPUTY BILL CANTRELL MEMORIAL RD, SUITE 150
CUMMING, GA 30040
Nurse Practitioner (Family)
3970 DEPUTY BILL CANTRELL MEMORIAL RD, STE 100
CUMMING, GA 30040
Internal Medicine (Cardiovascular Disease)
3970 DEPUTY BILL CANTRELL MEMORIAL RD, SUITE 100
CUMMING, GA 30040
Nurse Practitioner (Acute Care)
3970 DEPUTY BILL CANTRELL MEMORIAL RD, SUITE 1000
CUMMING, GA 30040
Internal Medicine (Interventional Cardiology)
3970 DEPUTY BILL CANTRELL MEMORIAL RD, SUITE 100
CUMMING, GA 30040
Internal Medicine (Cardiovascular Disease)
3970 DEPUTY BILL CANTRELL MEMORIAL RD, SUITE 100
CUMMING, GA 30040

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 Vikram Khetpal's NPI number?

The NPI number for Vikram Khetpal is 1942281761. It was assigned to this individual provider in the NPPES registry on November 9, 2005.

Where is Vikram Khetpal located?

Vikram Khetpal practices at 3970 Deputy Bill Cantrell Memorial Rd Suite 100, Cumming, GA 30040. The listed phone number is (678) 513-2273.

What is Vikram Khetpal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Vikram Khetpal enrolled in Medicare?

Yes. Vikram Khetpal 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 Vikram Khetpal accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Vikram Khetpal 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 Vikram Khetpal affiliated with any hospitals?

According to CMS data, Vikram Khetpal is affiliated with Northside Hospital Forsyth.

When was this NPI record last updated?

The NPPES record for Vikram Khetpal was last updated on June 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.