Active NPI 1609186337 Individual Practitioner Male Practitioner

Dr. Manoj Gurung , MD

Internal Medicine • Warwick, RI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Manoj Gurung, MD is a certified Internal Medicine practicing in Warwick, RI. With approximately 21 years of clinical experience since completing medical education in 2005, Dr. Gurung delivers high-quality medical care to the local community at 455 TOLL GATE RD.

Dr. Gurung is affiliated with Affinity Physicians 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, follow-up hospital inpatient care per day. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

455 Toll Gate Rd
Kent Hospital

Warwick, RI 028862759

Telephone 4017377000

Associated Practice Facility / Clinic

🏢 Kent County Memorial Hospital Facility NPI 1386643294

Medicare Profile & Education

Medical School

Other

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Warwick, RI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

21 Yrs +3.2 yrs vs City Avg

City Avg: 17.8 Yrs

State Avg: 27.9 Yrs

Regional Practice Density

121 Specialists

Practicing in Warwick, RI (1079 Statewide)

Telehealth Adoption Rate

10.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

55.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gurung (21 Years) 21 Yrs

Warwick Specialty Average (17.8 Years) 17.8 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	294	142	$165.00	$77.94
99239 Hospital discharge day management, more than 30 minutes	118	114	$243.00	$113.45
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	51	41	$237.00	$117.10
99231 Follow-up hospital inpatient care per day, typically 15 minutes	35	19	$89.00	$48.85
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	27	26	$458.00	$171.50

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	236	122	$165.00	$79.85
99239 Hospital discharge day management, more than 30 minutes	92	90	$243.00	$115.83
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	71	51	$237.00	$118.66
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	27	27	$458.00	$175.17
99238 Hospital discharge day management, 30 minutes or less	23	23	$167.00	$81.74
99231 Follow-up hospital inpatient care per day, typically 15 minutes	22	17	$89.00	$50.05
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$312.00	$131.45

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	264	121	$165.90	$72.42
99231 Follow-up hospital inpatient care per day, typically 15 minutes	131	34	$89.64	$39.41
99239 Hospital discharge day management, more than 30 minutes	72	69	$243.83	$106.97
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	70	51	$237.34	$103.37
99217 Hospital observation care on day of discharge	28	28	$167.50	$72.93
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	20	$458.95	$192.94
99238 Hospital discharge day management, 30 minutes or less	18	18	$168.33	$73.54

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	349	156	$172.00	$74.30
99231 Follow-up hospital inpatient care per day, typically 15 minutes	105	53	$93.00	$39.66
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	70	30	$163.00	$71.53
99238 Hospital discharge day management, 30 minutes or less	62	61	$173.00	$74.79
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	42	21	$104.00	$45.49
99217 Hospital observation care on day of discharge	28	27	$173.00	$74.79
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	28	26	$245.00	$106.76
99239 Hospital discharge day management, more than 30 minutes	27	27	$253.00	$110.19
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	22	22	$307.00	$133.94
99225 Subsequent observation care, typically 25 minutes per day	17	15	$172.00	$74.27
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$323.00	$140.62
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	14	11	$216.00	$94.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	236	80	$216.00	$95.18
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	119	51	$172.00	$75.27
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	116	39	$104.00	$46.14
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	93	30	$163.00	$72.61
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	89	27	$320.00	$140.23
99231 Follow-up hospital inpatient care per day, typically 15 minutes	66	21	$93.00	$41.01
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	41	34	$307.00	$135.58
99238 Hospital discharge day management, 30 minutes or less	25	25	$173.00	$76.15
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	24	13	$245.00	$108.64
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	23	21	$213.00	$94.75
99442 Telephone medical discussion with physician, 11-20 minutes	18	12	$58.00	$57.19
99217 Hospital observation care on day of discharge	18	18	$173.00	$75.72
99306 Initial nursing facility visit, typically 45 minutes per day	11	11	$394.00	$173.11

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	385	165	$171.64	$74.69
99231 Follow-up hospital inpatient care per day, typically 15 minutes	103	45	$92.57	$40.26
99238 Hospital discharge day management, 30 minutes or less	73	72	$172.52	$74.81
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	61	44	$244.59	$107.24
99239 Hospital discharge day management, more than 30 minutes	42	41	$252.90	$106.08
99217 Hospital observation care on day of discharge	26	26	$173.00	$75.50
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	22	21	$473.82	$208.59
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	17	$322.61	$141.22
99220 Hospital observation care, typically 70 minutes	11	11	$433.91	$191.39

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	396	192	$167.00	$75.16
99239 Hospital discharge day management, more than 30 minutes	101	98	$249.00	$111.75
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	85	53	$240.00	$107.86
99238 Hospital discharge day management, 30 minutes or less	51	51	$168.00	$75.79
99231 Follow-up hospital inpatient care per day, typically 15 minutes	48	27	$91.00	$40.57
99217 Hospital observation care on day of discharge	37	37	$169.00	$75.82
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	36	36	$467.00	$209.99
99220 Hospital observation care, typically 70 minutes	12	12	$429.00	$193.08

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	255	142	$167.00	$73.93
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	92	62	$240.00	$106.83
99239 Hospital discharge day management, more than 30 minutes	80	80	$249.00	$110.41
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	63	63	$467.00	$207.47
99231 Follow-up hospital inpatient care per day, typically 15 minutes	51	29	$91.00	$40.16
99220 Hospital observation care, typically 70 minutes	25	25	$429.00	$190.30
99217 Hospital observation care on day of discharge	18	18	$169.00	$74.76
99226 Subsequent observation care, typically 35 minutes per day	17	12	$242.00	$107.72
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$316.00	$140.00

Medical Specialties & State Licenses

CMS Verified: 2020-07-27

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License RI MD14351

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 RI MD14351

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.

Hospital & Practice Group Affiliations

Affinity Physicians Llc.

455 Toll Gate Rd, Warwick, RI 028862759

Phone: 4017377010

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Sterling Malish , MD

Internal Medicine

NPI 1003073776

Doctor of Medicine (M.D.)

Sabrina O'donnell , FNP-BC

Nurse Practitioner - Family

NPI 1003422775

Family Nurse Practitioner (Board Certified)

Dr. John Gelzhiser , MD

Internal Medicine

NPI 1013100759

Doctor of Medicine (M.D.)

Maureen Mccourt

Nurse Practitioner - Pediatrics

NPI 1053589796

Cameron Fletcher , PA

Physician Assistant

NPI 1063088730

Physician Assistant

Nicole Barton , PA-C

Physician Assistant

NPI 1063746592

Physician Assistant (Certified)

Career & Practice History Timeline

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

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 27, 2020

Internal Medicine (License #MD14351 in RI)

✅

NPI Profile Active October 04, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location October 04, 2013

Registered at 455 TOLL GATE RD, KENT HOSPITAL, WARWICK, RI 028862759 (Tel: 4017377000)

📍

Updated Business Mailing Address October 04, 2013

Registered at 27 CEDAR POND DR, APT-7, WARWICK, RI 028866638 (Tel: 5857551241)

👤

Provider Name / Credentials Updated October 04, 2013

Recorded as MANOJ GURUNG, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 04, 2013

Hospitalist (License #MD14351 in RI)

🟢

Initial NPI Registration & Enumeration October 15, 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: 1609186337

Entity Type:

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

Enumeration Date: October 15, 2010

Last Update: July 27, 2020

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

27 Cedar Pond Dr, Apt-7

Warwick, RI 028866638

Phone: 5857551241

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.