Active NPI 1497282610 Individual Practitioner Female Practitioner

Achala Shivanthi Gunasena , PA-C

Physician Assistant • Frederick, MD

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Achala Gunasena, PA-C is a certified Physician Assistant practicing in Frederick, MD. With approximately 10 years of clinical experience since completing medical education in 2016, Achala Gunasena delivers high-quality medical care to the local community at 7211 BANK CT.

Achala Gunasena maintains professional affiliations with Frederick Health Hospital Inc, Frederick Health Medical Group Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, automated urinalysis test. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

7211 Bank Ct

Frederick, MD 217038483

Telephone 2402156310

Fax 2405667754

Associated Practice Facility / Clinic

🏢 Frederick Health Medical Group Llc Facility NPI 1770850547

Medicare Profile & Education

Medical School

Other

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Frederick, MD

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

10 Yrs -1.9 yrs vs City Avg

City Avg: 11.9 Yrs

State Avg: 11.8 Yrs

Regional Practice Density

107 Specialists

Practicing in Frederick, MD (3255 Statewide)

Telehealth Adoption Rate

23.4% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

64.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gunasena (10 Years) 10 Yrs

Frederick Specialty Average (11.9 Years) 11.9 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
99213 Established patient office or other outpatient visit, typically 15 minutes	125	121	$194.82	$77.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	119	115	$299.88	$113.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	53	53	$415.04	$154.52
81003 Automated urinalysis test	39	37	$8.15	$2.20
87804 Detection test by immunoassay with direct visual observation for influenza virus	36	18	$51.33	$16.22
71046 X-ray of chest, 2 views	22	22	$84.00	$26.61
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	21	21	$271.00	$34.62
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	18	18	$49.61	$16.20
87651 Detection test for Strep (Streptococcus, group A)	17	17	$118.29	$34.39
87636 Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19) and influenza virus types a and b	15	15	$333.00	$139.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$280.00	$102.79
87637 Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus	14	14	$333.00	$139.78
96127 Assessment of emotional or behavioral problems	14	11	$9.00	$4.95
93000 Routine ekg using at least 12 leads including interpretation and report	12	12	$49.42	$13.38
82962 Blood glucose (sugar) test performed by hand-held instrument	11	11	$12.27	$3.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	101	100	$296.40	$118.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	81	81	$407.11	$152.36
87804 Detection test by immunoassay with direct visual observation for influenza virus	54	27	$55.00	$16.22
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	46	46	$225.78	$34.62
81003 Automated urinalysis test	34	32	$10.00	$2.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$272.18	$102.32
99213 Established patient office or other outpatient visit, typically 15 minutes	33	32	$208.03	$83.57
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	32	32	$55.66	$16.20
71046 X-ray of chest, 2 views	22	22	$79.27	$25.32
82962 Blood glucose (sugar) test performed by hand-held instrument	21	21	$11.00	$3.21
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$131.50	$53.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	77	77	$401.00	$154.63
87804 Detection test by immunoassay with direct visual observation for influenza virus	62	31	$55.00	$16.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	57	$267.97	$121.06
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	54	54	$104.48	$41.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	46	46	$266.00	$104.23
81003 Automated urinalysis test	44	43	$10.00	$2.17
99213 Established patient office or other outpatient visit, typically 15 minutes	28	28	$186.79	$87.25
71046 X-ray of chest, 2 views	19	18	$73.47	$26.92
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	13	13	$55.00	$16.30
93000 Routine ekg using at least 12 leads including interpretation and report	13	13	$60.00	$13.37
82962 Blood glucose (sugar) test performed by hand-held instrument	13	13	$10.00	$3.22
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$353.00	$154.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	46	46	$266.00	$105.75
99213 Established patient office or other outpatient visit, typically 15 minutes	32	30	$180.00	$89.12
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	25	25	$100.00	$45.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$401.00	$159.29
81003 Automated urinalysis test	16	16	$10.00	$2.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$263.00	$124.48
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	11	11	$210.00	$51.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	110	109	$202.64	$51.29
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	95	93	$353.00	$143.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	76	76	$266.00	$105.06
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	70	69	$59.71	$23.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	48	$263.00	$105.25
99202 New patient office or other outpatient visit, typically 20 minutes	38	38	$185.00	$74.12
71046 X-ray of chest, 2 views	33	33	$94.06	$31.49
87804 Detection test by immunoassay with direct visual observation for influenza virus	32	29	$49.00	$15.71
81003 Automated urinalysis test	32	31	$10.00	$2.22
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	27	27	$100.00	$45.23
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	27	26	$51.22	$16.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$401.00	$154.86
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	23	23	$503.00	$204.13
99213 Established patient office or other outpatient visit, typically 15 minutes	22	22	$180.00	$72.54
93000 Routine ekg using at least 12 leads including interpretation and report	12	12	$60.00	$16.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	138	133	$342.54	$137.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	63	61	$254.46	$102.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	56	55	$388.68	$155.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	51	51	$256.24	$104.14
81003 Automated urinalysis test	46	45	$16.20	$2.44
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	40	38	$49.42	$16.20
87804 Detection test by immunoassay with direct visual observation for influenza virus	29	20	$44.66	$16.22
71046 X-ray of chest, 2 views	24	24	$90.21	$31.07
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$161.82	$71.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	243	236	$125.29	$66.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	112	112	$190.43	$98.80
94010 Test to measure expiratory airflow and volume	78	76	$73.00	$33.48
81003 Automated urinalysis test	61	61	$34.67	$2.71
82570 Creatinine level to test for kidney function or muscle injury	58	58	$25.00	$6.26
71046 X-ray of chest, 2 views	46	46	$75.00	$28.07
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	32	32	$32.56	$16.20
A4565 Slings	15	15	$20.00	$8.55
93000 Routine ekg using at least 12 leads including interpretation and report	13	13	$64.00	$15.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	130	130	$190.00	$97.96
99213 Established patient office or other outpatient visit, typically 15 minutes	110	105	$125.00	$65.95
82570 Creatinine level to test for kidney function or muscle injury	44	44	$25.00	$5.54
81003 Automated urinalysis test	44	44	$35.00	$3.02
94010 Test to measure expiratory airflow and volume	24	24	$73.00	$32.98
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	24	24	$32.00	$16.11
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg	15	13	$15.00	$0.05
94640 Inhalation treatment for airway obstruction or sputum production	12	12	$75.00	$17.15

Medical Specialties & State Licenses

CMS Verified: 2024-08-27

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MD C0006440

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Frederick Health Medical Group Llc

504 E Ridgeville Blvd, Mount Airy, MD 217715942

Phone: 2402156310

Frederick Health Medical Group Llc

7211 Bank Ct, Frederick, MD 217038482

Phone: 2402156310

Frederick Health Medical Group Llc

3000 D Ventrie Ct, Myersville, MD 217737817

Phone: 2402156310

Frederick Health Hospital Inc

1194 Dutchmans Creek Dr, Brunswick, MD 217169786

Phone: 2402156310

Frederick Health Hospital Inc

7211 Bank Ct, Frederick, MD 217038483

Phone: 2402156310

Frederick Health Medical Group Llc

400 W 7th St, Frederick, MD 217014506

Phone: 2402156310

Practice Associates & Co-Workers

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

40 Associated Practitioners

Kent Perttula , NP

Nurse Practitioner

NPI 1003668138

Nurse Practitioner

Jeanette Foronda , PA

Physician Assistant

NPI 1013033778

Physician Assistant

Dr. Jennifer Cavanagh , MD

Orthopaedic Surgery

NPI 1033213376

Doctor of Medicine (M.D.)

Kadiatu Kamara-Hill , MSN, CRNP, FNP-BC, F

Nurse Practitioner - Family

NPI 1033942081

Master of Science in Nursing, Certified Registered Nurse Practitioner, Family Nurse Practitioner (Board Certified), F

Estefanny Winton , MSN, ED, FNP-C

Nurse Practitioner

NPI 1043166101

Master of Science in Nursing, ED, Family Nurse Practitioner (Certified)

Sepharot Jones Andoh-Okyere , CRNP

Nurse Practitioner - Family

NPI 1053036103

Certified Registered Nurse Practitioner

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location August 27, 2024

Registered at 7211 BANK CT, FREDERICK, MD 217038483 (Tel: 2402156310)

📍

Updated Business Mailing Address August 27, 2024

Registered at 400 W 7TH ST, FREDERICK, MD 217014506 (Tel: 2402156310)

✅

NPI Profile Active May 18, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location May 18, 2017

Registered at 5 BEL AIR SOUTH PKWY STE 1535, BEL AIR, MD 210153816 (Tel: 4105692441)

📍

Updated Business Mailing Address May 18, 2017

Registered at 5 BEL AIR SOUTH PKWY STE 1535, BEL AIR, MD 210153816

👤

Provider Name / Credentials Updated May 18, 2017

Recorded as ACHALA GUNASENA, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 18, 2017

Physician Assistant (License #C0006440 in MD)

🟢

Initial NPI Registration & Enumeration May 18, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Achala Gunasena. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1497282610

Entity Type:

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

Enumeration Date: May 18, 2017

Last Update: August 27, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

400 W 7th St

Frederick, MD 217014506

Phone: 2402156310

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.