Active NPI 1649243130 Individual Practitioner Male Practitioner

Dr. Sukumar C Gargya , MD

Internal Medicine • Reno, NV

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Sukumar Gargya, MD is a certified Internal Medicine practicing in Reno, NV. With approximately 25 years of clinical experience since completing medical education in 2001, Dr. Gargya delivers high-quality medical care to the local community at 10623 PROFESSIONAL CIR STE A.

Dr. Gargya 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, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, administration of influenza virus vaccine. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

10623 Professional Cir Ste A

Reno, NV 895215833

Telephone 7759964042

Fax 7754016262

Associated Practice Facility / Clinic

🏢 Sukumar Gargya, Llc Facility NPI 1952839441

Medicare Profile & Education

Medical School

Other

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Reno, NV

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

25 Yrs +6.8 yrs vs City Avg

City Avg: 18.2 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

164 Specialists

Practicing in Reno, NV (1271 Statewide)

Telehealth Adoption Rate

14.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

56.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gargya (25 Years) 25 Yrs

Reno Specialty Average (18.2 Years) 18.2 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	440	137	$275.25	$125.29
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	422	133	$37.64	$15.94
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	160	68	$370.96	$176.15
G0008 Administration of influenza virus vaccine	113	112	$42.50	$31.72
90653 Vaccine for influenza for injection into muscle	111	111	$148.50	$81.82
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	103	15	$26.00	$14.03
99497 Advance care planning, first 30 minutes	89	85	$215.76	$79.84
90480 Admn sarscov2 vacc 1 dose	71	71	$68.50	$42.31
91322 Sarscov2 vac 50 mcg/0.5ml im	64	63	$319.92	$158.42
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	53	53	$305.28	$126.85
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	29	29	$440.91	$160.81
81002 Urinalysis, manual test	24	15	$12.85	$3.41
93000 Routine ekg using at least 12 leads including interpretation and report	18	17	$44.84	$13.85
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$528.35	$214.70

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	527	138	$275.25	$127.09
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	240	88	$370.96	$177.98
G0008 Administration of influenza virus vaccine	114	113	$42.13	$30.36
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	111	111	$138.50	$75.81
91322 Sarscov2 vac 50 mcg/0.5ml im	56	56	$285.00	$143.00
90480 Admn sarscov2 vacc 1 dose	56	56	$68.50	$40.86
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	55	13	$41.05	$14.06
81002 Urinalysis, manual test	23	15	$12.85	$3.41
99213 Established patient office or other outpatient visit, typically 15 minutes	21	17	$186.56	$89.83
91313 Coronavirus vaccine 14	21	19	$0.01	$0.01
0134A Fee covid-19 vac 14 res	21	19	$68.50	$40.86
93000 Routine ekg using at least 12 leads including interpretation and report	16	13	$40.79	$14.31
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$528.35	$218.77
99497 Advance care planning, first 30 minutes	13	12	$215.76	$82.41
69210 Removal of impacted ear wax	12	12	$124.81	$47.87

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	480	129	$275.25	$130.26
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	161	77	$370.96	$184.55
G0008 Administration of influenza virus vaccine	98	98	$42.50	$29.79
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	97	97	$138.50	$70.25
91313 Coronavirus vaccine 14	68	68	$0.01	$0.01
0134A Fee covid-19 vac 14 res	67	67	$68.50	$39.31
91306 Sarscov2 vac 50mcg/0.25ml im	45	45	$0.01	$0.01
0064A Adm sarscov2 50mcg/0.25mlbst	41	41	$68.50	$39.81
99213 Established patient office or other outpatient visit, typically 15 minutes	25	21	$186.56	$92.77
81002 Urinalysis, manual test	20	15	$12.85	$3.42
99497 Advance care planning, first 30 minutes	19	18	$215.76	$86.09
93000 Routine ekg using at least 12 leads including interpretation and report	14	12	$43.51	$14.69
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$528.35	$227.37

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	342	117	$275.25	$133.25
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	260	99	$370.96	$186.25
0013A Adm sarscov2 100mcg/0.5ml3rd	99	99	$68.50	$40.44
91301 Sarscov2 vac 100mcg/0.5ml im	98	81	$0.01	$0.01
G0008 Administration of influenza virus vaccine	73	73	$42.50	$17.25
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	72	72	$138.50	$66.43
0012A Adm sarscov2 100mcg/0.5ml2nd	40	40	$68.50	$40.44
0011A Adm sarscov2 100mcg/0.5ml1st	36	36	$42.05	$22.78
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	35	11	$46.50	$14.46
99213 Established patient office or other outpatient visit, typically 15 minutes	34	29	$186.56	$93.92
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	26	26	$528.35	$228.77
99497 Advance care planning, first 30 minutes	15	15	$215.76	$87.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$420.19	$173.20

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	273	84	$370.96	$147.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	238	95	$275.25	$110.82
99497 Advance care planning, first 30 minutes	20	19	$215.76	$86.79
99213 Established patient office or other outpatient visit, typically 15 minutes	18	15	$186.56	$76.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$420.19	$168.17
99442 Telephone medical discussion with physician, 11-20 minutes	16	14	$212.50	$76.66
99354 Prolonged office or other outpatient service first hour	16	14	$234.53	$132.60
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$528.35	$208.95
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	11	11	$440.91	$171.62

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	192	72	$370.72	$145.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	164	74	$275.08	$109.50
99497 Advance care planning, first 30 minutes	37	37	$215.76	$85.05
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	26	26	$440.91	$171.95
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	20	20	$528.35	$207.48
99213 Established patient office or other outpatient visit, typically 15 minutes	15	12	$186.56	$74.68
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	11	11	$299.96	$116.64

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	123	53	$275.51	$108.59
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	89	43	$366.13	$146.12
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	51	50	$525.00	$200.45
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	44	19	$275.00	$103.01
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	26	26	$528.61	$208.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$420.68	$165.65

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	154	135	$276.95	$109.46
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	134	108	$370.27	$146.03
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	114	35	$185.00	$70.41
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	43	21	$275.00	$101.82
99239 Hospital discharge day management, more than 30 minutes	24	24	$275.00	$105.16
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	23	$525.00	$197.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$427.00	$167.32
99238 Hospital discharge day management, 30 minutes or less	17	17	$200.00	$70.92
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$527.47	$209.20

Medical Specialties & State Licenses

CMS Verified: 2023-09-19

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License NV 11105

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Caqh

11678602

Commercial Insurance / Payer ID Railroad Medicare

P00166116 (NV)

Career & Practice History Timeline

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

13 Historical Events

📍

Updated Business Mailing Address September 19, 2023

Registered at 2745 SPINNAKER DR, RENO, NV 895195759 (Tel: 7759964042)

📍

Updated Practice Location July 02, 2019

Registered at 10623 PROFESSIONAL CIR STE A, RENO, NV 895215833 (Tel: 7759964042)

✅

NPI Profile Active July 05, 2017

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address July 05, 2017

Registered at 2320 ROANOKE TRAIL, RENO, NV 895234460 (Tel: 7759964042)

📍

Updated Practice Location July 05, 2017

Registered at 1595 ROBB DR, SUITE #2, RENO, NV 895233747 (Tel: 7757707580)

👤

Provider Name / Credentials Updated July 05, 2017

Recorded as SUKUMAR GARGYA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 05, 2017

Internal Medicine (License #11105 in NV)

✅

NPI Profile Active May 07, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location May 07, 2014

Registered at 1595 ROBB DR, SUITE #2, RENO, NV 895233747 (Tel: 7757707580)

📍

Updated Business Mailing Address May 07, 2014

Registered at 645 N ARLINGTON AVE, SUITE 660, RENO, NV 895034460 (Tel: 7757707348)

👤

Provider Name / Credentials Updated May 07, 2014

Recorded as SUKUMAR GARGYA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 07, 2014

Internal Medicine (License #11105 in NV)

🟢

Initial NPI Registration & Enumeration February 07, 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: 1649243130

Entity Type:

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

Enumeration Date: February 07, 2006

Last Update: September 19, 2023

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

2745 Spinnaker Dr

Reno, NV 895195759

Phone: 7759964042

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.