Pushpa Raj Poudel, MD
Internal Medicine Physician · Gainesville, FL
Pushpa Raj Poudel, MD is an internal medicine physician with a practice address in Gainesville, Florida, and NPI 1306158035, issued on Jul 10, 2010. Check the license (Florida ME125134, as entered in NPPES) on the Florida health license search; the Medicare figures below come from public CMS files.
- Name
- Pushpa Raj Poudel
- Credential
- MD
- Primary taxonomy
- Internal Medicine Physician 207R00000X
- License numbers
- ME125134 FL
2014-02134 NC
Self-reported in NPPES; status is on the state search - Practice location
- 1600 SW Archer RD, Gainesville, FL 32610
- Phone
- (352) 265-5911
- Enumerated
- Jul 10, 2010
- Record last updated
- Aug 22, 2025
- Fax
- (352) 265-5606
- Medicaid ID
- 015781700 FL
- Medicare enrollment
- Enrolled (PECOS I20171005000864); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest internal medicine physician records → All 10,151 in Florida → Look up another NPI →
Also registered at 1600 SW Archer RD
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Garrett AbernathyStudent in an Organized Health Care Education/Training Program1215870894
- Emily Abernethy, MDFamily Medicine Physician1740970482
Verify Pushpa Raj Poudel in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersFlorida health license search
Search for license ME125134Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
77% fewer Medicare Part D claims than the average internal medicine physician in 2024
726 Medicare Part D claims for 266 beneficiaries, against an average of 3,176 among the 108,855 providers of this specialty who prescribed in Part D. 25 claims were for opioids.
Most prescribed
- Pantoprazole Sodium49 claims
- Atorvastatin Calcium37 claims
- Furosemide30 claims
- Cefuroxime27 claims
- Prednisone26 claims
- Amlodipine Besylate19 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 89.9 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Bills Medicare through 4 group practices
- Carolinas Physicians Network IncCharlotte, NC
- Hospital Physician Services - Southeast Professional CorporationRutherfordton, NC
- Novant Health Medical Group, LLCWinston Salem, NC
- Unc Physicians Network LLCGoldsboro, NC
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Pushpa Raj Poudel among 10,151 internal medicine physician records in Florida
Pushpa Raj Poudel, MD is one of 10,151 internal medicine physician records with a practice address in Florida. 84% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2010, is newer than 58% of them.
- NPI issued2010 · 58% of these records are older, 39% newer
- In a Medicare fileYes · 84% of these records are
- In the CMS Doctors and Clinicians fileYes · 65% of these records are
- Graduated2004 · median 2004 among the 6,606 with a school on file
- Record last updated2025 · 48% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207R00000X and a Florida practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
289 internal medicine physician records list a practice address in Gainesville
They are 289 of the 14,407 NPPES records with a practice address in Gainesville, and 10,151 internal medicine physician records in Florida.
All 10,151 in Florida → Every provider in Gainesville → Internal Medicine Physician nationwide →
The 8 internal medicine physician records with the nearest ZIP codes
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- Robert Cook, MDGainesville, FL 326101174596589
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- Lucy Guerra, MDGainesville, FL 326101245286004
- Vijay Prabhakaran, MDGainesville, FL 326101346208097
- Nila Radhakrishnan, MDGainesville, FL 326101245298470
Common questions
What is Pushpa Raj Poudel, MD's NPI number?
Pushpa Raj Poudel, MD's National Provider Identifier (NPI) is 1306158035, issued on Jul 10, 2010. An NPI identifies a provider in billing; it is not a license.
Where is Pushpa Raj Poudel, MD located?
The NPPES record lists a practice address at 1600 SW Archer RD, Gainesville, FL, 32610. Phone: (352) 265-5911. Providers update this record themselves, so call before visiting.
How can I verify Pushpa Raj Poudel, MD's license?
NPPES lists Florida license number ME125134, as entered by the provider. Search the Florida health license search at https://mqa-internet.doh.state.fl.us/mqasearchservices/healthcareproviders. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Pushpa Raj Poudel, MD prescribe under Medicare Part D?
In 2024, Pushpa Raj Poudel, MD had 726 Medicare Part D claims for 266 beneficiaries; the average among internal medicine physician prescribers was 3,176. Part D covers Medicare prescriptions only.
What is Pushpa Raj Poudel, MD's MIPS final score?
The 2023 MIPS final score is 89.9 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.