Gopalbhai Vaghela, MD
NPI 1013221589 · Hospitalist Physician · Sumter, SC
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Gopalbhai Vaghela, MD is a Hospitalist Physician provider in Sumter, SC (NPI 1013221589).
Provider details
- NPI number
- 1013221589
- Entity type
- Individual
- Primary specialty
- Hospitalist PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 33084 (SC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
15 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
737 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 324 | $111 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 239 | $74 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 128 | $107 |
| Hospital Discharge Day Management, 30 Minutes Or Less99238 | 20 | $73 |
| Physician Or Allowed Practitioner Certification for Medicare-Covered Home Health Services Under a Home Health Plan of Care (patient Not Present), Including Contacts With Home Health Agency and Review of Reports of Patient Status Required By Physicians andG0180 | 15 | $50 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 13 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Carvedilol | 36 | 20 |
| Prednisone | 22 | 20 |
| Apixabanbrand: Eliquis | 21 | — |
| Furosemide | 20 | 13 |
| Atorvastatin Calcium | 19 | 11 |
| Nifedipinebrand: Nifedipine Er | 18 | — |
| Losartan Potassium | 16 | — |
Practice location
Mailing address
Additional practice locations (1)
- 1040 Marlboro WaySuite 1Bennettsville, SC 29512-2494Phone: (843) 479-5890Fax: (843) 479-5893
Registry dates
- Enumerated
- 2010-07-27
- Last updated
- 2023-10-02
- Certified
- 2023-10-02
Frequently asked questions
- What is Gopalbhai Vaghela's NPI number?
- Gopalbhai Vaghela's National Provider Identifier (NPI) is 1013221589, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gopalbhai Vaghela's specialty?
- Gopalbhai Vaghela is listed in the NPPES registry with a primary specialty of Hospitalist Physician (Allopathic & Osteopathic Physicians).
- Where is Gopalbhai Vaghela located?
- Gopalbhai Vaghela's practice location on file with NPPES is 129 N Washington St, Sumter, SC 29150-4949.
- What is Gopalbhai Vaghela's phone number?
- The practice phone number listed in the NPPES registry for Gopalbhai Vaghela is (803) 774-9680.
- Does Gopalbhai Vaghela accept Medicare?
- Gopalbhai Vaghela is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Gopalbhai Vaghela's NPI active?
- Yes — Gopalbhai Vaghela's NPI (1013221589) is active in the NPPES registry as of the last update on 2023-10-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.