Sunita Paudyal, MD
NPI 1225230949 · Rheumatology Physician · Columbia, SC
Enrolled with Medicare as Practitioner - Rheumatology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sunita Paudyal, MD is a Rheumatology Physician provider in Columbia, SC (NPI 1225230949).
Provider details
- NPI number
- 1225230949
- Entity type
- Individual
- Primary specialty
- Rheumatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 39206 (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 tenure25% of score
19 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
639 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 322 | $125 |
| 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 | 206 | $16 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 38 | $164 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 19 | $179 |
| New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More99205 | 18 | $217 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 21 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisone | 135 | 67 |
| Methotrexate Sodiumbrand: Methotrexate | 134 | 44 |
| Leflunomide | 122 | 34 |
| Hydroxychloroquine Sulfate | 121 | 56 |
| Adalimumabbrand: Humira(cf) Pen | 98 | 17 |
| Alendronate Sodium | 67 | 21 |
| Allopurinol | 38 | 14 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$112 across 6 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
- 2007-06-04
- Last updated
- 2018-04-05
Frequently asked questions
- What is Sunita Paudyal's NPI number?
- Sunita Paudyal's National Provider Identifier (NPI) is 1225230949, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sunita Paudyal's specialty?
- Sunita Paudyal is listed in the NPPES registry with a primary specialty of Rheumatology Physician (Allopathic & Osteopathic Physicians).
- Where is Sunita Paudyal located?
- Sunita Paudyal's practice location on file with NPPES is 2 Medical Park Road, Columbia, SC 29203-6839.
- What is Sunita Paudyal's phone number?
- The practice phone number listed in the NPPES registry for Sunita Paudyal is (803) 540-1000.
- Does Sunita Paudyal accept Medicare?
- Sunita Paudyal is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sunita Paudyal's NPI active?
- Yes — Sunita Paudyal's NPI (1225230949) is active in the NPPES registry as of the last update on 2018-04-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.