MANISH NEPAL MD
NPI 1982862751
Internal Medicine - Nephrology in Bangor, ME

Active since May 29, 2008PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
417 STATE ST, SUITE 321, BANGOR, ME 04401(207) 973-8833 Get Directions Write a Review

NPPES record last updated: September 7, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Manish Nepal Md NPPES

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

MANISH NEPAL MD (NPI 1982862751) is an individual nephrology provider in Bangor, Maine, licensed in Maine (018669) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with St Joseph Hospital, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1982862751
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameMANISH NEPALCredential: MD
Location Address417 STATE ST, SUITE 321Bangor, ME 04401-6630
Mailing Address417 State St, Suite 321Bangor, ME 04401-6630 · (207) 973-8833
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateMay 29, 2008
Last NPPES UpdateSeptember 7, 2012
NPI 1982862751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in ME · 018669
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
417 STATE ST, Bangor, ME 04401

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

Manish 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 ID3375712425
PECOS Enrollment IDI20110808000433
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 12

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
343 services111 patients
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.
147 services97 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
114 services49 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
69 services52 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.
48 services47 patients
Home dialysis services per month (20 years or older) 90966
Home dialysis services provide kidney treatment for patients aged 20 or older right in their own homes. This service includes necessary equipment, supplies, and support for performing dialysis. It's a convenient option that allows patients to maintain their daily routines while receiving essential care.
47 services25 patients

Hospital Affiliations CMS Care Compare 4

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

St Joseph Hospital

Acute Care Hospitals · Bangor, ME
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number200001
Location360 BroadwayBangor, ME 04401 · Penobscot County
Emergency services

Northern Light A R Gould Hospital

Acute Care Hospitals · Presque Isle, ME
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200018
LocationPO Box 151Presque Isle, ME 04769 · Aroostook County
Emergency services Birthing friendly

Cary Medical Center

Acute Care Hospitals · Caribou, ME
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number200031
Location163 Van Buren Rd, Suite 1Caribou, ME 04736 · Aroostook County
Emergency services Birthing friendly

Northern Light Eastern Maine Medical Center

Acute Care Hospitals · Bangor, ME
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200033
Location489 State StreetBangor, ME 04401 · Penobscot County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04401 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
$123.23 typical visit price
range $53.26 – $162.77
Typical copayment $30.80 (range $13.31 – $40.69)
Most-billed visit code 99204
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims 4

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

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers13 claims1,230 services$0.32 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers13 claims1,800 services$1.00 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
4 suppliers15 claims15 services$17.73 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
3 suppliers15 claims15 services$12.64 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 20

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

Obstetrics & Gynecology
417 STATE ST, WEBBER WEST, SUITE 141
BANGOR, ME 04401
Obstetrics & Gynecology
417 STATE ST, WEBBER WEST SUITE 141
BANGOR, ME 04401
Pathology (Anatomic Pathology & Clinical Pathology)
417 STATE ST, WEBBER WEST 541
BANGOR, ME 04401
Pharmacist
417 STATE ST, SUITE 130
BANGOR, ME 04401
Orthopaedic Surgery (Orthopaedic Trauma)
417 STATE ST
BANGOR, ME 04401
Physician Assistant
417 STATE ST
BANGOR, ME 04401
Internal Medicine (Pulmonary Disease)
417 STATE ST, STE 400
BANGOR, ME 04401
Thoracic Surgery (Cardiothoracic Vascular Surgery)
417 STATE ST, SUITE 421
BANGOR, ME 04401

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 Manish Nepal's NPI number?

The NPI number for Manish Nepal is 1982862751. It was assigned to this individual provider in the NPPES registry on May 29, 2008.

Where is Manish Nepal located?

Manish Nepal practices at 417 State St Suite 321, Bangor, ME 04401. The listed phone number is (207) 973-8833.

What is Manish Nepal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Manish Nepal enrolled in Medicare?

Yes. Manish 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.

What insurance does Manish Nepal accept?

Health plans from Anthem Blue Cross and Blue Shield list Manish Nepal 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 Manish Nepal affiliated with any hospitals?

According to CMS data, Manish Nepal is affiliated with St Joseph Hospital, Northern Light A R Gould Hospital, Cary Medical Center and Northern Light Eastern Maine Medical Center.

When was this NPI record last updated?

The NPPES record for Manish Nepal was last updated on September 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.