Doctor profile · Federal record

Dr. Nishedh Gyawali, MD

Internal Medicine Physician (CMS: Hospitalist) · Student in an Organized Health Care Education/Training Program · Pueblo, CO

  • NPI 1366096737
  • Accepts Medicare
  • MIPS 93.3 / 100 · 2023
  • 11 yrs in practice
  • Licensed in 2 states
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
400 W 16Th St
Pueblo, CO 810032745
(719) 584-4000
Mailing address
123 Summer St
Worcester, MA 016081216

Credentials & registration

NPPES · NUCC
NPI registered
July 2019 — 7 yrs on file
Profile last updated
May 15, 2025
Year of graduation
2015 — 11 yrs since
Specialty taxonomy
207R00000X — NUCC code
State licenses (2)
Colorado #DR.0069033 · Massachusetts #280071

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1366096737. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
758
Distinct HCPCS
5
Medicare allowed
$76,987
HCPCS Description Services Patients Avg allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 390 168 $79
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 201 154 $118
99239 Hospital discharge day management, more than 30 minutes 98 97 $114
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 58 57 $172
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 11 11 $129

In context: peer comparison

Among 26 peers in this city , average services per provider: 113. This provider delivers 6.7× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$35
Transactions
1
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Novartis Pharmaceuticals Corporation 1 $34.86

By nature of payment

Food and Beverage
$35

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
158
Patients
100
Total drug cost
$2,108
Drug Type Claims Patients Total cost
Amlodipine Besylate Generic 26 13 $114
Atorvastatin Calcium Generic 24 15 $248
Omeprazole Generic 22 17 $240
Cefpodoxime Proxetil Generic 16 16 $759
Hydralazine Hcl Generic 15 0 $140
Pantoprazole Sodium Generic 15 11 $122
Prednisone Generic 15 15 $31
Potassium Chloride Generic 14 13 $180
Albuterol Sulfate Hfa (Albuterol Sulfate) Brand 11 0 $274

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Nishedh Gyawali's medical specialty?
Dr. Nishedh Gyawali practices Internal Medicine Physician in Pueblo, CO.
Where does Dr. Nishedh Gyawali practice?
Dr. Nishedh Gyawali practices at 400 W 16Th St, Pueblo, CO 810032745. Office phone: 7195844000.
What is Dr. Nishedh Gyawali's NPI?
Dr. Nishedh Gyawali's National Provider Identifier (NPI) is 1366096737, issued by NPPES.
Does Dr. Nishedh Gyawali accept Medicare assignment?
Yes. Dr. Nishedh Gyawali accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Nishedh Gyawali commonly perform?
Top Medicare-reported procedures in 2023: Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232); Subsequent hospital care with moderate levelof medical decision making (HCPCS 99233); Hospital discharge day management (HCPCS 99239). Source: CMS Medicare Physician & Other Practitioners file.