Prajeena Mainali, D.O.
NPI 1053705160 · Family Medicine Physician · Fall River, MA
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prajeena Mainali, D.O. is a Family Medicine Physician provider in Fall River, MA (NPI 1053705160).
Provider details
- NPI number
- 1053705160
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 277316 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
11 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
2,337 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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) |
|---|---|---|
| Chronic Care Management Services, First 20 Minutes of Clinical Staff Time Directed By Health Care Professional, Per Calendar Month99490 | 327 | $63 |
| 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'SG2211 | 273 | $16 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 263 | $124 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 209 | $9 |
| Hemoglobin A1c Level83036 | 126 | $9 |
| Blood Test, Comprehensive Group of Blood Chemicals |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 91 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 332 | 91 |
| Lisinopril | 232 | 60 |
| Amlodipine Besylate | 173 | 51 |
| Pantoprazole Sodium | 148 | 44 |
| Levothyroxine Sodium | 138 | 34 |
| Trazodone Hcl | 127 | 31 |
| Omeprazole |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$525 across 20 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-03-26
- Last updated
- 2018-10-23
Frequently asked questions
- What is Prajeena Mainali's NPI number?
- Prajeena Mainali's National Provider Identifier (NPI) is 1053705160, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Prajeena Mainali's specialty?
- Prajeena Mainali is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Prajeena Mainali located?
- Prajeena Mainali's practice location on file with NPPES is 203 Plymouth Ave Ste 701, Fall River, MA 02721-4300.
- What is Prajeena Mainali's phone number?
- The practice phone number listed in the NPPES registry for Prajeena Mainali is (502) 235-5445.
- Does Prajeena Mainali accept Medicare?
- Prajeena Mainali is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Prajeena Mainali's NPI active?
- Yes — Prajeena Mainali's NPI (1053705160) is active in the NPPES registry as of the last update on 2018-10-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.