Sunil Paudel, M.D.
NPI 1326496688 · Hospitalist Physician · Martinsburg, WV
Enrolled with Medicare as Practitioner - Hospitalist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sunil Paudel, M.D. is a Hospitalist Physician provider in Martinsburg, WV (NPI 1326496688).
Provider details
- NPI number
- 1326496688
- Entity type
- Individual
- Primary specialty
- Hospitalist PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 329577 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
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
10 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
817 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 35 Minutes99232 | 413 | $76 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 185 | $116 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 130 | $107 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 89 | $166 |
Typical Medicare-allowed amounts for these services range $76–$166 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 8 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Cephalexin | 25 | 25 |
| Pantoprazole Sodium | 16 | 13 |
| Furosemide | 15 | 15 |
| Apixabanbrand: Eliquis | 13 | 12 |
| Metoprolol Tartrate | 13 | 13 |
| Prednisone | 13 | 13 |
| Doxycycline Hyclate | 13 | 13 |
Practice location
Mailing address
Additional practice locations (1)
- 309 Jackson StMonroe, LA 71201-7407Phone: (318) 966-4541
Registry dates
- Enumerated
- 2016-05-27
- Last updated
- 2025-05-08
- Certified
- 2025-05-08
Frequently asked questions
- What is Sunil Paudel's NPI number?
- Sunil Paudel's National Provider Identifier (NPI) is 1326496688, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sunil Paudel's specialty?
- Sunil Paudel is listed in the NPPES registry with a primary specialty of Hospitalist Physician (Allopathic & Osteopathic Physicians).
- Where is Sunil Paudel located?
- Sunil Paudel's practice location on file with NPPES is 2500 Hospital Dr, Martinsburg, WV 25401.
- What is Sunil Paudel's phone number?
- The practice phone number listed in the NPPES registry for Sunil Paudel is (304) 264-1000.
- Does Sunil Paudel accept Medicare?
- Sunil Paudel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sunil Paudel's NPI active?
- Yes — Sunil Paudel's NPI (1326496688) is active in the NPPES registry as of the last update on 2025-05-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.