NPPES file of Aug 9, 2026

Sunita Paudyal, MD

Rheumatology Physician · Columbia, SC

Sunita Paudyal, MD is a rheumatology physician with a practice address in Columbia, South Carolina, and NPI 1225230949, issued on Jun 4, 2007. Check the license (South Carolina 39206, as entered in NPPES) on the South Carolina Board of Medical Examiners; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1225230949
Name
Sunita Paudyal
Credential
MD
Primary taxonomy
Rheumatology Physician 207RR0500X
License numbers
39206 SC
MD126236 OR
Self-reported in NPPES; status is on the state search
Practice location
2 Medical Park Road, Columbia, SC 29203
Phone
(803) 540-1000
Enumerated
Jun 4, 2007
Record last updated
Apr 5, 2018 (not updated in 8 years: call before relying on the address or phone)
Fax
(803) 540-1075
Medicaid ID
392060 SC
Medicare enrollment
Enrolled (PECOS I20160728001019); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 2 Medical Park Road

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Brooke McAdams, MDEndocrinology, Diabetes & Metabolism Physician1336434182
  2. Alberto Saenz, MDCardiovascular Disease Physician1669490637

Verify Sunita Paudyal in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersSouth Carolina Board of Medical Examiners
    Search for license 39206
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the South Carolina license search

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44% fewer Medicare Part D claims than the average rheumatology physician in 2024

1,101 Medicare Part D claims for 224 beneficiaries, against an average of 1,978 among the 6,301 providers of this specialty who prescribed in Part D. 14 claims were for opioids.

  1. Sunita Paudyal1,101
  2. Specialty average1,978

Most prescribed

  1. Prednisone135 claims
  2. Methotrexate134 claims
  3. Leflunomide122 claims
  4. Hydroxychloroquine Sulfate121 claims
  5. Humira(Cf) Pen98 claims
  6. Alendronate Sodium67 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): 99.3 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.

  1. Qualityout of 100 · 30% of the final score90.6
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $112.07

6 payments; by number, the most common kind was food and beverage; the largest payer was Celgene Corporation. The 4,486 providers of this specialty with any payment received $8,538.33 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Sunita Paudyal$112.07
  2. Specialty average$8,538.33

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Prisma Health Medical Group-MidlandsColumbia, SC

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Sunita Paudyal among 128 rheumatology physician records in South Carolina

Sunita Paudyal, MD is one of 128 rheumatology physician records with a practice address in South Carolina. 88% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 46% of them.

  • NPI issued2007 · 46% of these records are older, 45% newer
  • In a Medicare fileYes · 88% of these records are
  • In the CMS Doctors and Clinicians fileYes · 71% of these records are
  • Graduated2005 · median 2008 among the 90 with a school on file
  • Record last updated2018 · 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 207RR0500X and a South Carolina practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Rheumatology Physician providers in South Carolina

There are 128 rheumatology physician records in South Carolina.

The 8 rheumatology physician records with the nearest ZIP codes

  1. Nirosha AdepuColumbia, SC 292031669177002
  2. Ala Mohamad Awad Al-Adamat, M.D.Columbia, SC 292031912574070
  3. Brinda Basida, M.D.Columbia, SC 292031841855426
  4. Robert Boyd, MDColumbia, SC 292031801869458
  5. Angus Brabham, MDColumbia, SC 292031841263910
  6. James Fant, M.D.Columbia, SC 292031699742825
  7. Richard Hoppmann, M.D.Columbia, SC 292031154399848
  8. Shannon Iriza, D.O.Columbia, SC 292031124438759

Common questions

What is Sunita Paudyal, MD's NPI number?

Sunita Paudyal, MD's National Provider Identifier (NPI) is 1225230949, issued on Jun 4, 2007. An NPI identifies a provider in billing; it is not a license.

Where is Sunita Paudyal, MD located?

The NPPES record lists a practice address at 2 Medical Park Road, Columbia, SC, 29203. Phone: (803) 540-1000. Providers update this record themselves, so call before visiting.

How can I verify Sunita Paudyal, MD's license?

NPPES lists South Carolina license number 39206, as entered by the provider. Search the South Carolina Board of Medical Examiners at https://verify.llronline.com/LicLookup/Med/Med.aspx?div=22. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Sunita Paudyal, MD prescribe under Medicare Part D?

In 2024, Sunita Paudyal, MD had 1,101 Medicare Part D claims for 224 beneficiaries; the average among rheumatology physician prescribers was 1,978. Part D covers Medicare prescriptions only.

What is Sunita Paudyal, MD's MIPS final score?

The 2023 MIPS final score is 99.3 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.