Active NPI 1306158035 Individual Practitioner Male Practitioner

Dr. Pushpa Raj Poudel , MD

Internal Medicine • Gainesville, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Pushpa Poudel, MD is a certified Internal Medicine practicing in Gainesville, FL. With approximately 22 years of clinical experience since completing medical education in 2004, Dr. Poudel delivers high-quality medical care to the local community at 1600 SW ARCHER RD.

Dr. Poudel maintains professional affiliations with Hospital Physician Services - Southeast Professional Corporation, Carolinas Physicians Network Inc, Novant Health Medical Group, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, more than, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1600 Sw Archer Rd

Gainesville, FL 326102346

Telephone 3522655911

Fax 3522655606

Associated Practice Facility / Clinic

🏢 Faculty Associates, Inc Facility NPI 1659322014

Medicare Profile & Education

Medical School

Other

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Gainesville, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

22 Yrs +3.6 yrs vs City Avg

City Avg: 18.4 Yrs

State Avg: 26.5 Yrs

Regional Practice Density

296 Specialists

Practicing in Gainesville, FL (10650 Statewide)

Telehealth Adoption Rate

12.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

73.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Poudel (22 Years) 22 Yrs

Gainesville Specialty Average (18.4 Years) 18.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	235	138	$285.31	$78.08
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	213	125	$422.51	$117.75
99239 Hospital discharge day management, more than 30 minutes	184	179	$406.15	$113.15
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	45	45	$811.07	$172.20
99238 Hospital discharge day management, 30 minutes or less	21	21	$296.19	$80.51
99497 Advance care planning, first 30 minutes	21	19	$303.43	$73.81
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$375.21	$129.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	420	212	$289.29	$124.28
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	287	155	$203.42	$82.63
99239 Hospital discharge day management, more than 30 minutes	276	266	$307.07	$119.60
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	54	53	$867.87	$181.06
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	32	31	$399.28	$136.57
99497 Advance care planning, first 30 minutes	25	22	$210.08	$78.35
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	15	15	$184.40	$53.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	445	204	$345.00	$107.10
99239 Hospital discharge day management, more than 30 minutes	243	231	$377.00	$109.42
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	226	129	$236.00	$74.57
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	56	56	$532.00	$207.71
99217 Hospital observation care on day of discharge	55	55	$236.00	$74.59
99220 Hospital observation care, typically 70 minutes	46	46	$495.00	$186.67
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	12	12	$225.00	$55.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	453	235	$342.91	$108.92
99239 Hospital discharge day management, more than 30 minutes	264	255	$373.00	$111.77
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	180	118	$234.00	$75.87
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	65	64	$527.00	$211.35
99217 Hospital observation care on day of discharge	36	36	$234.00	$75.87
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	21	$434.00	$144.22
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	18	18	$223.00	$55.61
99220 Hospital observation care, typically 70 minutes	15	15	$490.00	$191.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	392	220	$342.00	$108.36
99239 Hospital discharge day management, more than 30 minutes	301	291	$373.00	$111.12
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	212	123	$234.00	$75.59
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	94	92	$527.00	$213.25
99217 Hospital observation care on day of discharge	66	65	$234.00	$76.45
99220 Hospital observation care, typically 70 minutes	44	43	$490.00	$195.60
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	41	41	$223.00	$55.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	466	203	$234.00	$76.82
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	443	228	$342.00	$109.54
99239 Hospital discharge day management, more than 30 minutes	260	247	$373.00	$112.16
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	75	74	$527.00	$213.71
99217 Hospital observation care on day of discharge	71	71	$234.00	$76.95
99220 Hospital observation care, typically 70 minutes	45	45	$490.00	$195.87
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	33	33	$223.00	$55.71
99236 Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes	19	15	$627.00	$229.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	577	258	$232.65	$75.12
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	500	260	$339.62	$107.51
99239 Hospital discharge day management, more than 30 minutes	293	279	$371.47	$111.37
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	122	119	$530.44	$209.92
99217 Hospital observation care on day of discharge	46	46	$233.59	$74.74
99220 Hospital observation care, typically 70 minutes	40	40	$490.00	$194.36
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	23	23	$223.00	$55.60
99236 Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes	18	16	$627.00	$227.98
99226 Subsequent observation care, typically 35 minutes per day	13	13	$167.00	$109.37
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$422.73	$139.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	838	341	$234.57	$74.74
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	506	267	$341.80	$108.47
99239 Hospital discharge day management, more than 30 minutes	306	284	$372.45	$111.27
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	67	66	$528.04	$211.08
99217 Hospital observation care on day of discharge	55	55	$233.65	$75.62
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	49	49	$223.00	$55.61
99225 Subsequent observation care, typically 25 minutes per day	21	21	$120.71	$75.40
99220 Hospital observation care, typically 70 minutes	17	17	$490.00	$192.88
99226 Subsequent observation care, typically 35 minutes per day	13	13	$167.00	$108.98

Medical Specialties & State Licenses

CMS Verified: 2025-08-22

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License FL ME125134

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.

Hospitalist

NUCC Taxonomy Code: 208M00000X

State License FL ME125134

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.

Hospitalist

NUCC Taxonomy Code: 208M00000X

State License NC 2014-02134

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

015781700 (FL)

Commercial Insurance / Payer ID Florida Blue

0L8A0 (FL)

Hospital & Practice Group Affiliations

Carolinas Physicians Network Inc

1000 Blythe Blvd, Charlotte, NC 282035812

Phone: 7043550720

Unc Physicians Network Llc

2700 Wayne Memorial Dr, Goldsboro, NC 275349494

Phone: 9195874394

Hospital Physician Services - Southeast Professional Corporation

288 S Ridgecrest Ave, Rutherfordton, NC 281392838

Phone: 8282865000

Novant Health Medical Group, Llc

3333 Silas Creek Pkwy, Winston Salem, NC 271033013

Phone: 3367187597

Secondary Practice Locations

200 Se Hospital Ave

Stuart, FL 349942346

Phone: 7722235618

2700 Wayne Memorial Dr

Goldsboro, NC 275349494

Phone: 9195874394

612 Mocksville Ave

Salisbury, NC 281442732

Phone: 7042105260

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

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Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Practice Location May 06, 2024

Registered at 1600 SW ARCHER RD, GAINESVILLE, FL 326102346 (Tel: 3522655911)

📍

Updated Business Mailing Address May 06, 2024

Registered at PO BOX 100186, GAINESVILLE, FL 326100186 (Tel: 3522655911)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 06, 2024

Hospitalist (License #ME125134 in FL)

✅

NPI Profile Active March 18, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location March 18, 2016

Registered at 200 SE HOSPITAL AVE, STUART, FL 349942346 (Tel: 7722235618)

📍

Updated Business Mailing Address March 18, 2016

Registered at PO BOX 417, STUART, FL 349950417 (Tel: 7722232832)

👤

Provider Name / Credentials Updated March 18, 2016

Recorded as PUSHPA POUDEL, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 18, 2016

Internal Medicine (License #ME125134 in FL)

🟢

Initial NPI Registration & Enumeration July 10, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1306158035

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 10, 2010

Last Update: August 22, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 100186

Gainesville, FL 326100186

Phone: 3522655911

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.