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PARASHAR M TRIVEDI MD
NPI 1952960437
Family Medicine in Frederick, MD

Active since June 10, 2019PECOS EnrolledAccepts Medicare Assignment
83.84/100
CMS Quality Rating
56 THOMAS JOHNSON DR, FREDERICK, MD 21702(301) 694-3111 Get Directions Write a Review

NPPES record last updated: May 5, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 5, 2025, Mar 23, 2023, Jun 10, 2019 (3 updates tracked since 2019).

About Parashar M Trivedi Md NPPES

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

PARASHAR M TRIVEDI MD (NPI 1952960437) is an individual family medicine provider in Frederick, Maryland, licensed in Maryland (D0103403) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with Frederick Health Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1952960437
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NamePARASHAR M TRIVEDICredential: MD
Location Address56 THOMAS JOHNSON DRFrederick, MD 21702-4599
Mailing Address56 Thomas Johnson DrFrederick, MD 21702-4599 · (301) 694-3111
Phone(301) 694-3111
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 10, 2019
Last NPPES UpdateMay 5, 20253 updates tracked since enumeration
NPPES CertifiedMay 5, 2025
✔ NPI 1952960437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MD · D0103403
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
56 THOMAS JOHNSON DR, Frederick, MD 21702
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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

Parashar M Trivedi 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 ID4082949235
PECOS Enrollment IDI20251116000098
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 Reassignments

2

Medicare enrollment records show Parashar Trivedi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Privia Care Center LLC
42 mi
Internal Medicine
950 N GLEBE RD, SUITE 4000
Arlington, VA 22203
  • Reassigned Medicare billing, Maryland enrollment
  • 339 clinicians in this Medicare group
NPI 1164874426 (571) 366-8850
Privia Medical Group, LLC
42 mi
Internal Medicine
950 N GLEBE RD STE 700
Arlington, VA 22203
  • Reassigned Medicare billing, Maryland enrollment
  • 668 clinicians in this Medicare group
NPI 1013042480 (571) 366-8850

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 6

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.
334 services194 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.
77 services77 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
71 services67 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
46 services41 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
23 services23 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Frederick Health Hospital

Acute Care Hospitals · Frederick, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210005
Location400 West Seventh StFrederick, MD 21701 · Frederick County
Emergency services Birthing friendly

Christus St Vincent Regional Medical Center

Acute Care Hospitals · Santa Fe, NM
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320002
Location455 St Michael's DriveSanta Fe, NM 87505 · Santa Fe County
Emergency services Birthing friendly

Presbyterian Santa Fe Medical Center

Acute Care Hospitals · Santa Fe, NM
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320090
Location4801 Beckner RoadSanta Fe, NM 87507 · Santa Fe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21702 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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.

83.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.59
Promoting Interoperability100
Improvement Activities40
Cost58.63

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.

JAMES S ALBERTOLI MD FACS LLC
Plastic Surgery
56 THOMAS JOHNSON DR, SUITE 100
FREDERICK, MD 21702
Frederick County (301) 698-9999
MRS. JAYME MICAELA DRIVER PHELPS APRN
Nurse Practitioner (Family)
56 THOMAS JOHNSON DR
FREDERICK, MD 21702
Frederick County (301) 694-3111
FREDERICK PRIMARY CARE ASSOCIATES, P.A.
Family Medicine
56 THOMAS JOHNSON DR
FREDERICK, MD 21702
Frederick County (301) 694-3111
AMBER DAWN FULLMER
Physician Assistant
56 THOMAS JOHNSON DR
FREDERICK, MD 21702
Frederick County (301) 694-3111
SUSAN L BURTON CRNP
Nurse Practitioner (Family)
56 THOMAS JOHNSON DR
FREDERICK, MD 21702
Frederick County (301) 694-3111
MEGAN STITELY-BRENNEMAN C.R.N.P.
Nurse Practitioner (Family)
56 THOMAS JOHNSON DR
FREDERICK, MD 21702
Frederick County (301) 694-3111
TYREE MORRISON CRNP
Nurse Practitioner (Adult Health)
56 THOMAS JOHNSON DR
FREDERICK, MD 21702
Frederick County (301) 694-3111
ALEXANDRA KATHLEEN FISHER NP
Nurse Practitioner (Family)
56 THOMAS JOHNSON DR
FREDERICK, MD 21702
Frederick County (301) 694-3111

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 Parashar Trivedi's NPI number?

The NPI number for Parashar Trivedi is 1952960437. It was assigned to this individual provider in the NPPES registry on June 10, 2019.

Where is Parashar Trivedi located?

Parashar Trivedi practices at 56 Thomas Johnson Dr, Frederick, MD 21702. The listed phone number is (301) 694-3111.

What is Parashar Trivedi's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Parashar Trivedi enrolled in Medicare?

Yes. Parashar Trivedi 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.

Which organizations bill Medicare for Parashar Trivedi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Parashar Trivedi reassigns Medicare benefits to 2 organizations: Privia Care Center LLC (Arlington, VA) and Privia Medical Group, LLC (Arlington, VA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Parashar Trivedi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Parashar Trivedi affiliated with any hospitals?

According to CMS data, Parashar Trivedi is affiliated with Frederick Health Hospital, Christus St Vincent Regional Medical Center and Presbyterian Santa Fe Medical Center.

When was this NPI record last updated?

The NPPES record for Parashar Trivedi was last updated on May 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.