DR. PRACHI PRIYAM MD
NPI 1952961286
Hospitalist in Concord, CA

Active since June 18, 2019PECOS EnrolledAccepts Medicare Assignment
85.73/100
CMS Quality Rating
2700 GRANT ST STE 200, CONCORD, CA 94520(925) 674-2609(925) 674-2211 Get Directions Write a Review

NPPES record last updated: August 3, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 3, 2022, Jun 18, 2019 (2 updates tracked since 2019).

About Dr. Prachi Priyam Md NPPES

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

DR. PRACHI PRIYAM MD (NPI 1952961286) is an individual hospitalist provider in Concord, California, licensed in California (A180175) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1952961286
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameDR. PRACHI PRIYAMCredential: MD
Location Address2700 GRANT ST STE 200Concord, CA 94520-2270
Mailing Address1450 Treat Blvd Ste 300Walnut Creek, CA 94597-2168 · (925) 952-2828
Fax(925) 674-2211
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 18, 2019
Last NPPES UpdateAugust 3, 20222 updates tracked since enumeration
NPPES CertifiedAugust 3, 2022
NPI 1952961286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in CA · A180175
Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

2700 GRANT ST STE 200, Concord, CA 94520

Secondary Practice Locations 2

Location 12311 Loveridge RdPittsburg, CA 94565-5117 · Phone (800) 495-8885
Location 22500 Alhambra AveMartinez, CA 94553-3156 · Phone (925) 370-5000

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. Prachi Priyam 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 ID8224411806
PECOS Enrollment IDI20220815001219
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 2

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.

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.
62 services62 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94520 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

85.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.68
Promoting Interoperability99
Improvement Activities40
Cost70.58

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.

Internal Medicine (Endocrinology, Diabetes & Metabolism)
2700 GRANT ST STE 200
CONCORD, CA 94520
Family Medicine
2700 GRANT ST STE 200
CONCORD, CA 94520
Hospitalist
2700 GRANT ST STE 200
CONCORD, CA 94520
Hospitalist
2700 GRANT ST STE 200
CONCORD, CA 94520
Hospitalist
2700 GRANT ST STE 200
CONCORD, CA 94520
Hospitalist
2700 GRANT ST STE 200
CONCORD, CA 94520
Hospitalist
2700 GRANT ST STE 200
CONCORD, CA 94520
Hospitalist
2700 GRANT ST STE 200
CONCORD, CA 94520

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 Prachi Priyam's NPI number?

The NPI number for Prachi Priyam is 1952961286. It was assigned to this individual provider in the NPPES registry on June 18, 2019.

Where is Prachi Priyam located?

Prachi Priyam practices at 2700 Grant St Ste 200, Concord, CA 94520. The listed phone number is (925) 674-2609.

What is Prachi Priyam's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Prachi Priyam enrolled in Medicare?

Yes. Prachi Priyam 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.

When was this NPI record last updated?

The NPPES record for Prachi Priyam was last updated on August 3, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.