DR. MAHESH NEPAL MD
NPI 1972165033
Hospitalist in Rochester, NY

Active since June 28, 2019PECOS EnrolledAccepts Medicare Assignment
81.63/100
CMS Quality Rating
1425 PORTLAND AVENUE, ROCHESTER, NY 14621(585) 922-4000 Get Directions Write a Review

NPPES record last updated: July 5, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Mahesh Nepal Md NPPES

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

DR. MAHESH NEPAL MD (NPI 1972165033) is an individual hospitalist provider in Rochester, New York, licensed in New York (317869) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with Rochester General Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1972165033
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. MAHESH NEPALCredential: MD
Location Address1425 PORTLAND AVENUERochester, NY 14621
Mailing Address1425 Portland AvenueRochester, NY 14621 · (585) 922-4000
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJune 28, 2019
Last NPPES UpdateJuly 5, 2024
NPPES CertifiedJuly 5, 2024
NPI 1972165033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in NY · 317869
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.
Also ListedInternal MedicineTaxonomy 207R00000X · License 317869 (NY)
1425 PORTLAND AVENUE, Rochester, NY 14621

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. Mahesh Nepal 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 ID3476882044
PECOS Enrollment IDI20220716000235
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.

Hospital Affiliations CMS Care Compare

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

Rochester General Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330125
Location1425 Portland AvenueRochester, NY 14621 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14621 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

81.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.86
Promoting Interoperability100
Improvement Activities40
Cost52.79

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.

Radiology (Radiation Oncology)
1425 PORTLAND AVENUE
ROCHESTER, NY 14621
Student in an Organized Health Care Education/Training Program
1425 PORTLAND AVENUE
ROCHESTER, NY 14621
Family Medicine
1425 PORTLAND AVENUE, WILSON BUILDING
ROCHESTER, NY 14621
Student in an Organized Health Care Education/Training Program
1425 PORTLAND AVENUE
ROCHESTER, NY 14621
General Acute Care Hospital
1425 PORTLAND AVENUE
ROCHESTER, NY 14621
Hospitalist
1425 PORTLAND AVENUE
ROCHESTER, NY 14621
Student in an Organized Health Care Education/Training Program
1425 PORTLAND AVENUE
ROCHESTER, NY 14621
Student in an Organized Health Care Education/Training Program
1425 PORTLAND AVENUE
ROCHESTER, NY 14621

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 Mahesh Nepal's NPI number?

The NPI number for Mahesh Nepal is 1972165033. It was assigned to this individual provider in the NPPES registry on June 28, 2019.

Where is Mahesh Nepal located?

Mahesh Nepal practices at 1425 Portland Avenue, Rochester, NY 14621. The listed phone number is (585) 922-4000.

What is Mahesh Nepal's specialty?

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

Is Mahesh Nepal enrolled in Medicare?

Yes. Mahesh Nepal 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.

Is Mahesh Nepal affiliated with any hospitals?

According to CMS data, Mahesh Nepal is affiliated with Rochester General Hospital.

When was this NPI record last updated?

The NPPES record for Mahesh Nepal was last updated on July 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.