Active NPI 1235266867 Individual Practitioner Female Practitioner

Dr. Richa Gopal , MD

Internal Medicine • Monroe, NJ

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Richa Gopal, MD is a certified Internal Medicine practicing in Monroe, NJ. With approximately 25 years of clinical experience since completing medical education in 2001, Dr. Gopal delivers high-quality medical care to the local community at 312 APPLEGARTH RD.

Dr. Gopal is affiliated with Practice Associates Medical Group 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, 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, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

312 Applegarth Rd
Suite 107

Monroe, NJ 088315347

Telephone 6093952939

Fax 6093954179

Associated Practice Facility / Clinic

🏢 Pathways To Wellness Llc Facility NPI 1508280322

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 Monroe, NJ

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

25 Yrs +2.3 yrs vs City Avg

City Avg: 22.7 Yrs

State Avg: 30.1 Yrs

Regional Practice Density

3 Specialists

Practicing in Monroe, NJ (4957 Statewide)

Telehealth Adoption Rate

100.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

61.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gopal (25 Years) 25 Yrs

Monroe Specialty Average (22.7 Years) 22.7 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	648	289	$363.00	$91.86
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	198	157	$53.00	$17.41
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	174	174	$397.00	$57.19
99213 Established patient office or other outpatient visit, typically 15 minutes	103	66	$247.00	$78.01
G0008 Administration of influenza virus vaccine	64	64	$35.00	$34.30
90662 Influenza vaccine split virus, preservative free	60	60	$117.00	$81.82
G0009 Administration of pneumococcal vaccine	55	55	$54.00	$35.50
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	55	55	$396.73	$288.57
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	27	27	$81.00	$68.88
93000 Routine ekg using at least 12 leads including interpretation and report	16	16	$59.00	$15.81
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	14	14	$562.00	$150.91

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	578	265	$363.00	$97.65
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	105	105	$397.00	$64.06
99213 Established patient office or other outpatient visit, typically 15 minutes	79	63	$247.00	$80.42
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	74	74	$370.00	$281.19
G0009 Administration of pneumococcal vaccine	74	74	$54.00	$33.97
G0008 Administration of influenza virus vaccine	58	56	$35.00	$33.97
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	50	50	$93.00	$75.81
93000 Routine ekg using at least 12 leads including interpretation and report	16	16	$59.00	$16.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$551.00	$183.07
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	12	11	$81.00	$51.17

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	533	237	$363.00	$108.02
99213 Established patient office or other outpatient visit, typically 15 minutes	80	63	$247.00	$82.13
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	37	37	$397.00	$61.05
G0009 Administration of pneumococcal vaccine	36	36	$54.00	$33.88
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	29	29	$370.00	$278.44
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	24	24	$33.00	$31.63
G0008 Administration of influenza virus vaccine	23	23	$35.00	$33.69
93000 Routine ekg using at least 12 leads including interpretation and report	18	18	$59.00	$16.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$551.00	$185.41
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	16	13	$81.00	$30.44

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	354	189	$275.15	$113.68
99213 Established patient office or other outpatient visit, typically 15 minutes	66	49	$191.55	$78.60
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	58	58	$237.64	$148.69
G0444 Annual depression screening, 5 to 15 minutes	24	24	$61.00	$21.74
G0008 Administration of influenza virus vaccine	22	21	$35.00	$18.84
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	22	21	$32.86	$29.91

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	248	153	$150.00	$97.02
99213 Established patient office or other outpatient visit, typically 15 minutes	126	96	$125.00	$65.82
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	53	53	$160.00	$131.80
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	28	20	$22.20	$15.42
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	27	27	$30.00	$29.23
99441 Telephone medical discussion with physician, 5-10 minutes	27	24	$23.00	$23.19
G0008 Administration of influenza virus vaccine	27	27	$35.00	$18.84
G0009 Administration of pneumococcal vaccine	26	26	$35.00	$18.90
99442 Telephone medical discussion with physician, 11-20 minutes	19	16	$43.00	$43.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$190.00	$121.48
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	16	16	$180.00	$116.92
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	14	14	$200.00	$192.87
G0444 Annual depression screening, 5 to 15 minutes	12	12	$61.00	$21.05

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	321	152	$150.00	$98.26
99213 Established patient office or other outpatient visit, typically 15 minutes	128	87	$125.00	$64.48
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	55	55	$160.00	$130.06
G0008 Administration of influenza virus vaccine	43	42	$35.00	$18.67
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	42	42	$30.00	$27.57
G0009 Administration of pneumococcal vaccine	27	27	$35.00	$18.67
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	16	16	$200.00	$190.73
90670 Pneumococcal vaccine for injection into muscle	16	16	$255.00	$208.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$190.00	$120.65
G0444 Annual depression screening, 5 to 15 minutes	13	13	$61.00	$20.53
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	12	12	$180.00	$110.34
93000 Routine ekg using at least 12 leads including interpretation and report	11	11	$50.00	$19.29

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	318	137	$150.00	$103.82
99213 Established patient office or other outpatient visit, typically 15 minutes	83	58	$125.00	$71.06
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	46	46	$160.00	$129.59
G0008 Administration of influenza virus vaccine	39	39	$35.00	$23.21
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	35	35	$31.00	$23.57
93000 Routine ekg using at least 12 leads including interpretation and report	20	19	$50.00	$19.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$200.00	$180.85
G0009 Administration of pneumococcal vaccine	15	15	$35.00	$23.23
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	11	$175.00	$138.71
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	11	11	$200.00	$189.45

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	248	123	$150.00	$113.26
99213 Established patient office or other outpatient visit, typically 15 minutes	56	43	$125.00	$75.58
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	56	56	$160.00	$128.27
G0008 Administration of influenza virus vaccine	51	49	$35.00	$28.99
G0009 Administration of pneumococcal vaccine	43	43	$35.00	$29.01
Q2039 Influenza virus vaccine, not otherwise specified	38	38	$31.00	$22.33
90670 Pneumococcal vaccine for injection into muscle	23	23	$255.00	$185.83
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	18	18	$180.00	$95.42
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	13	13	$200.00	$188.19
93000 Routine ekg using at least 12 leads including interpretation and report	11	11	$50.00	$19.14

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License NJ 25MA08380400

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

Medicaid State Provider ID

0138673 (NJ)

Hospital & Practice Group Affiliations

Practice Associates Medical Group

312 Applegarth Rd, Monroe, NJ 088315347

Phone: 6093952939

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. John Verdoni , MD

Internal Medicine

NPI 1225108566

Doctor of Medicine (M.D.)

Dominika Symanski

Nurse Practitioner - Family

NPI 1821637547

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active September 05, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location September 05, 2013

Registered at 312 APPLEGARTH RD, SUITE 107, MONROE, NJ 088315347 (Tel: 6093952939)

📍

Updated Business Mailing Address September 05, 2013

Registered at 17 BROAD ST, FREEHOLD, NJ 077281757 (Tel: 6093952939)

👤

Provider Name / Credentials Updated September 05, 2013

Recorded as RICHA GOPAL, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 05, 2013

Internal Medicine (License #25MA08380400 in NJ)

🟢

Initial NPI Registration & Enumeration February 28, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1235266867

Entity Type:

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

Enumeration Date: February 28, 2007

Last Update: September 05, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

17 Broad St

Freehold, NJ 077281757

Phone: 6093952939

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.