Roji Gurung
NPI 1558746594 · Family Nurse Practitioner · Binghamton, NY
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Roji Gurung is a Family Nurse Practitioner provider in Binghamton, NY (NPI 1558746594).
Provider details
- NPI number
- 1558746594
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- F339756-1 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
10 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
348 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 Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 249 | $53 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 88 | $76 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 11 | $106 |
Typical Medicare-allowed amounts for these services range $53–$106 (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 · 17 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Methylprednisolone | 257 | 254 |
| Fluticasone Propionate | 198 | 196 |
| Cefdinir | 169 | 168 |
| Tizanidine Hcl | 50 | 49 |
| Ofloxacin | 49 | 49 |
| Doxycycline Hyclate | 48 | 47 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 38 | 37 |
| Mupirocin | 38 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$102 across 5 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
- 2015-07-20
- Last updated
- 2021-04-15
- Certified
- 2021-04-15
Frequently asked questions
- What is Roji Gurung's NPI number?
- Roji Gurung's National Provider Identifier (NPI) is 1558746594, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Roji Gurung's specialty?
- Roji Gurung is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Roji Gurung located?
- Roji Gurung's practice location on file with NPPES is 169 Riverside Dr, Binghamton, NY 13905-4246.
- What is Roji Gurung's phone number?
- The practice phone number listed in the NPPES registry for Roji Gurung is (607) 798-5017.
- Does Roji Gurung accept Medicare?
- Roji Gurung is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Roji Gurung's NPI active?
- Yes — Roji Gurung's NPI (1558746594) is active in the NPPES registry as of the last update on 2021-04-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.