DR. VIRAG PANDEYA M.D.
NPI 1962411504
Internal Medicine in Munfordville, KY

Active since August 05, 2006PECOS EnrolledAccepts Medicare Assignment
950 MAIN ST, MUNFORDVILLE, KY 42765(270) 524-1201(270) 506-5972 Get Directions Write a Review

NPPES record last updated: January 25, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Virag Pandeya M.d. NPPES

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

DR. VIRAG PANDEYA M.D. (NPI 1962411504) is an individual internal medicine provider in Munfordville, Kentucky, licensed in Kentucky (38368) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1962411504
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. VIRAG PANDEYACredential: M.D.
Location Address950 MAIN STMunfordville, KY 42765-9435
Mailing Address201 Park StBowling Green, KY 42101-1708 · (270) 524-1201 · Fax (270) 506-5972
Fax(270) 506-5972
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateAugust 5, 2006
Last NPPES UpdateJanuary 25, 2021
NPPES CertifiedJanuary 25, 2021
NPI 1962411504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in KY · 38368
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.

950 MAIN ST, Munfordville, KY 42765

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

Dr. Virag Pandeya M.d. 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 ID4486549938
PECOS Enrollment IDI20040216000455
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 36

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.
642 services144 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
509 services228 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
479 services227 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
440 services212 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.
390 services136 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
233 services122 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42765 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

Referred Medical Equipment & Supplies CMS DME claims 6

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

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
5 suppliers16 claims32 services$58.07 avg. paid by Medicare
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each A5512
DME-Orthotic Devices · category DF000N
4 suppliers15 claims90 services$24.93 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers45 claims45 services$19.28 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
6 suppliers88 claims88 services$105.85 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers18 claims18 services$38.32 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers12 claims12 services$28.80 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 10

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

Ophthalmology
950 MAIN ST
MUNFORDVILLE, KY 42765
Nurse Practitioner
950 MAIN ST
MUNFORDVILLE, KY 42765
Nurse Practitioner (Family)
950 MAIN ST
MUNFORDVILLE, KY 42765
Nurse Practitioner (Family)
950 MAIN ST
MUNFORDVILLE, KY 42765
Nurse Practitioner (Family)
950 MAIN ST
MUNFORDVILLE, KY 42765
Pharmacy (Community/Retail Pharmacy)
950 MAIN ST, SUITE 100
MUNFORDVILLE, KY 42765
Nurse Practitioner (Family)
950 MAIN ST
MUNFORDVILLE, KY 42765
Clinic/Center (Rural Health)
950 MAIN ST
MUNFORDVILLE, KY 42765

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 Virag Pandeya's NPI number?

The NPI number for Virag Pandeya is 1962411504. It was assigned to this individual provider in the NPPES registry on August 5, 2006.

Where is Virag Pandeya located?

Virag Pandeya practices at 950 Main St, Munfordville, KY 42765. The listed phone number is (270) 524-1201.

What is Virag Pandeya's specialty?

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

Is Virag Pandeya enrolled in Medicare?

Yes. Virag Pandeya 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 Virag Pandeya accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Virag Pandeya 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.

When was this NPI record last updated?

The NPPES record for Virag Pandeya was last updated on January 25, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.