Doctor profile · Federal record
Dr. Prajeena Mainali, D.O.
Family Medicine Physician (CMS: Internal Medicine) · Fall River, MA
- NPI 1053705160
- Accepts Medicare
- 11 yrs in practice
- Female
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
203 Plymouth Ave Ste 701
Fall River, MA 027214300
(502) 235-5445
fax (508) 235-5594 - Mailing address
-
9 Turner CT
Rehoboth, MA 027692128
Credentials & registration
- NPI registered
- March 2015 — 11 yrs on file
- Profile last updated
- October 23, 2018
- Year of graduation
- 2015 — 11 yrs since
- Specialty taxonomy
- 207Q00000X — NUCC code
- State license (1)
- Massachusetts #277316
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1053705160. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,501
Distinct HCPCS
10
Medicare allowed
$61,453
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 207 | 103 | $125 | |
36415 |
Insertion of needle into vein for collection of blood sample | 192 | 92 | $8 | |
83036 |
Hemoglobin a1c level | 106 | 83 | $9 | |
85025 |
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 103 | 74 | $8 | |
80053 |
Blood test, comprehensive group of blood chemicals | 100 | 77 | $10 | |
80061 |
Blood test, lipids (cholesterol and triglycerides) | 98 | 79 | $13 | |
84443 |
Blood test, thyroid stimulating hormone (tsh) | 94 | 75 | $16 | |
82306 |
Vitamin d-3 level | 78 | 73 | $29 | |
G0444 |
Annual depression screening, 5 to 15 minutes | 75 | 75 | $19 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 74 | 74 | $132 |
In context: peer comparison
Among 11 peers in this city , average services per provider: 113. This provider delivers 13× the peer median.Open Payments
Industry payments received
All-time total
$525
Transactions
20
Manufacturers
10
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| AstraZeneca Pharmaceuticals LP | 5 | $255.05 | |
| Tolmar, Inc. | 3 | $64.96 | |
| Novo Nordisk Inc | 3 | $59.21 | |
| Lilly USA, LLC | 2 | $31.96 | |
| Boehringer Ingelheim Pharmaceuticals, Inc. | 2 | $27.26 | |
| GlaxoSmithKline, LLC. | 1 | $23.03 | |
| Abbott Laboratories | 1 | $18.62 | |
| Bayer Healthcare Pharmaceuticals Inc. | 1 | $17.11 | |
| Dexcom, Inc. | 1 | $14.02 | |
| SANOFI PASTEUR INC. | 1 | $13.33 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
1,915
Patients
476
Total drug cost
$25,842
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Atorvastatin Calcium | Generic | 313 | 83 | $5,007 |
| Lisinopril | Generic | 222 | 58 | $2,767 |
| Omeprazole | Generic | 161 | 35 | $2,095 |
| Amlodipine Besylate | Generic | 159 | 50 | $1,497 |
| Pantoprazole Sodium | Generic | 141 | 36 | $2,448 |
| Levothyroxine Sodium | Generic | 131 | 32 | $2,186 |
| Gabapentin | Generic | 116 | 23 | $1,548 |
| Montelukast Sodium | Generic | 102 | 21 | $1,575 |
| Zolpidem Tartrate | Generic | 93 | 15 | $753 |
| Trazodone Hcl | Generic | 89 | 24 | $1,176 |
Hospital affiliations
Frequently asked questions
What is Dr. Prajeena Mainali's medical specialty?
Dr. Prajeena Mainali practices Family Medicine Physician in Fall River, MA.
Where does Dr. Prajeena Mainali practice?
Dr. Prajeena Mainali practices at 203 Plymouth Ave Ste 701, Fall River, MA 027214300. Office phone: 5022355445.
What is Dr. Prajeena Mainali's NPI?
Dr. Prajeena Mainali's National Provider Identifier (NPI) is 1053705160, issued by NPPES.
Does Dr. Prajeena Mainali accept Medicare assignment?
Yes. Dr. Prajeena Mainali accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Prajeena Mainali commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Insertion of needle into vein for collection of blood sample (HCPCS 36415); Hemoglobin a1c level (HCPCS 83036). Source: CMS Medicare Physician & Other Practitioners file.