Active NPI 1992876569 Individual Practitioner Male Practitioner

Dr. Prakash R. Darji , MD

Internal Medicine • Saint Cloud, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Prakash Darji, MD is a certified Internal Medicine practicing in Saint Cloud, FL. With approximately 24 years of clinical experience since completing medical education in 2002, Dr. Darji delivers high-quality medical care to the local community at 2906 17TH ST.

Dr. Darji maintains professional affiliations with Ability Health Services And Rehabilitation Lp, Orlando Health Medical Group Inc, Ability Health Services, Inc and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

2906 17th St

Saint Cloud, FL 347696006

Telephone 3218417856

Fax 4072532563

Associated Practice Facility / Clinic

🏢 Emergency & Acute Care Company - Southeast, Llc Facility NPI 1942251632

Medicare Profile & Education

Medical School

Other

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Saint Cloud, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

24 Yrs +2.5 yrs vs City Avg

City Avg: 21.5 Yrs

State Avg: 26.5 Yrs

Regional Practice Density

29 Specialists

Practicing in Saint Cloud, FL (10650 Statewide)

Telehealth Adoption Rate

20.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

68.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Darji (24 Years) 24 Yrs

Saint Cloud Specialty Average (21.5 Years) 21.5 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
99239 Hospital discharge day management, more than 30 minutes	376	367	$346.00	$110.97
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	370	362	$542.99	$168.52
99497 Advance care planning, first 30 minutes	221	218	$248.00	$72.68
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	113	83	$360.00	$115.75
G0316 Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by th	84	53	$96.00	$29.60
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	27	22	$240.00	$76.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	206	204	$553.31	$171.33
99239 Hospital discharge day management, more than 30 minutes	168	168	$362.75	$112.95
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	156	101	$258.10	$79.16
99231 Follow-up hospital inpatient care per day, typically 15 minutes	30	17	$157.00	$49.90
99497 Advance care planning, first 30 minutes	25	25	$248.08	$74.61

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	308	120	$192.92	$70.38
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	96	96	$517.63	$197.31
99239 Hospital discharge day management, more than 30 minutes	94	92	$284.02	$104.48
99220 Hospital observation care, typically 70 minutes	68	68	$559.87	$181.48
99217 Hospital observation care on day of discharge	56	55	$173.00	$72.74
99225 Subsequent observation care, typically 25 minutes per day	42	27	$132.90	$70.58
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$263.75	$135.50

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	348	149	$263.02	$73.76
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	152	149	$694.22	$211.26
99239 Hospital discharge day management, more than 30 minutes	112	109	$397.10	$109.61
99220 Hospital observation care, typically 70 minutes	99	99	$637.14	$189.50
99217 Hospital observation care on day of discharge	97	94	$202.75	$74.38
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	30	30	$375.77	$140.32
99219 Hospital observation care, typically 50 minutes	28	28	$395.71	$139.65
99225 Subsequent observation care, typically 25 minutes per day	22	18	$137.77	$73.80

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	320	152	$230.98	$74.16
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	171	168	$724.35	$210.16
99239 Hospital discharge day management, more than 30 minutes	123	123	$336.21	$110.12
99220 Hospital observation care, typically 70 minutes	102	102	$645.13	$192.07
99217 Hospital observation care on day of discharge	39	38	$214.00	$74.24
99225 Subsequent observation care, typically 25 minutes per day	17	14	$123.41	$71.32

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	469	195	$131.98	$71.19
99239 Hospital discharge day management, more than 30 minutes	161	154	$187.73	$105.26
99225 Subsequent observation care, typically 25 minutes per day	91	64	$118.00	$71.39
99217 Hospital observation care on day of discharge	87	86	$116.63	$71.49
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	86	86	$374.80	$202.30
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	70	34	$131.00	$89.06
99220 Hospital observation care, typically 70 minutes	61	61	$378.12	$189.16
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	41	35	$180.54	$102.12
99316 Nursing facility discharge management, more than 30 minutes	26	25	$146.00	$102.83
99219 Hospital observation care, typically 50 minutes	14	14	$220.82	$136.91
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$256.21	$142.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	358	353	$323.48	$210.40
99220 Hospital observation care, typically 70 minutes	256	251	$320.54	$192.85
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	115	71	$113.70	$73.60
99239 Hospital discharge day management, more than 30 minutes	32	31	$181.28	$108.49
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	24	$248.29	$141.35
99225 Subsequent observation care, typically 25 minutes per day	24	19	$109.18	$74.14
99217 Hospital observation care on day of discharge	23	23	$135.43	$74.97
99219 Hospital observation care, typically 50 minutes	19	19	$229.87	$140.54
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	18	16	$160.49	$106.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	128	124	$368.87	$207.03
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	100	99	$266.98	$140.01
99219 Hospital observation care, typically 50 minutes	56	56	$258.90	$139.05
99220 Hospital observation care, typically 70 minutes	54	54	$333.62	$189.85
99213 Established patient office or other outpatient visit, typically 15 minutes	30	29	$85.07	$52.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	22	$128.00	$81.36
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	11	11	$32.00	$8.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$60.00	$26.27

Medical Specialties & State Licenses

CMS Verified: 2023-04-05

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License FL ME154208

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.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License MA 230136

Hospitalist

NUCC Taxonomy Code: 208M00000X

State License MA 230136

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Cigna Indemnity

043531502 (MA)

Commercial Insurance / Payer ID Gic Indemnity

043531502 (MD)

Commercial Insurance / Payer ID Mvp

6003108 (MA)

Commercial Insurance / Payer ID Bcbs

J40995 (MA)

Commercial Insurance / Payer ID Hmc Ppo

043531502 (MA)

Commercial Insurance / Payer ID Cdphp

10117498 (MA)

Commercial Insurance / Payer ID Harvard Pilgrim

AA75439 (MA)

Commercial Insurance / Payer ID Aetna

043531502 (MA)

Commercial Insurance / Payer ID Uhc

043531502 (MA)

Commercial Insurance / Payer ID Health New England

39532 (MA)

Hospital & Practice Group Affiliations

Ability Health Services, Inc

1200 Lexington Green Ln, Sanford, FL 327711013

Orlando Health Medical Group Inc

2906 17th St, Saint Cloud, FL 347696006

Phone: 3218417856

Ability Health Services And Rehabilitation Lp

1200 Lexington Green Ln, Sanford, FL 327711013

Secondary Practice Locations

164 High Street

Greenfield, MA 013012613

Phone: 4137720211

777 North St, Suite 207

Pittsfield, MA 012014147

Phone: 4134998510

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Crystal Verdick , DO

Internal Medicine - Pulmonary Disease

NPI 1023467222

Doctor of Osteopathic Medicine (D.O.)

Dr. Rima Pandya , MD

Internal Medicine

NPI 1023645280

Doctor of Medicine (M.D.)

Stephanie Khoury

Internal Medicine

NPI 1043848435

Dr. Vahid Kazemi , MD

Internal Medicine

NPI 1093246845

Doctor of Medicine (M.D.)

Dr. Keishla Garcia Fernandez , MD

Internal Medicine

NPI 1154970945

Doctor of Medicine (M.D.)

Dr. Herman Gaztambide-Rodriguez , MD

Internal Medicine - Critical Care Medicine

NPI 1164735502

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Practice Location April 05, 2023

Registered at 2906 17TH ST, SAINT CLOUD, FL 347696006 (Tel: 3218417856)

✅

NPI Profile Active February 04, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location February 04, 2010

Registered at 777 NORTH ST, SUITE 207, PITTSFIELD, MA 012014147 (Tel: 4134998510)

📍

Updated Business Mailing Address February 04, 2010

Registered at 29 DELAWARE AVE, PITTSFIELD, MA 012013615 (Tel: 4134998510)

👤

Provider Name / Credentials Updated February 04, 2010

Recorded as PRAKASH DARJI, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 04, 2010

Internal Medicine (License #230136 in MA)

🟢

Initial NPI Registration & Enumeration November 13, 2006

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: 1992876569

Entity Type:

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

Enumeration Date: November 13, 2006

Last Update: April 05, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

29 Delaware Ave

Pittsfield, MA 012013615

Phone: 4134998510

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.