Doctor profile · Federal record
Dr. Prakash Kafle, M.D.
Infectious Disease Physician (CMS: Infectious Disease) · Newport News, VA
- NPI 1073746897
- Accepts Medicare
- MIPS 94.1 / 100 · 2023
- 24 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
12420 Warwick Blvd Ste 4C
Newport News, VA 23606
(757) 596-7115
fax (757) 596-7126 - Additional location
-
3000 32Nd Ave S
Fargo, ND 581036132
(701) 364-8000
fax (701) 364-8078 - Mailing address
-
856 J Clyde Morris Blvd Ste A
Newport News, VA 236011318
Credentials & registration
- NPI registered
- August 2009 — 17 yrs on file
- Profile last updated
- July 3, 2018
- Year of graduation
- 2002 — 24 yrs since
- Specialty taxonomy
- 207RI0200X — NUCC code
- State license (1)
- Virginia #0101264684
- Medicaid
- ND #18177
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1073746897. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
786
Distinct HCPCS
7
Medicare allowed
$62,998
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 449 | 171 | $74 | |
99231 |
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 102 | 58 | $46 | |
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 67 | 65 | $123 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 60 | 50 | $65 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 53 | 38 | $90 | |
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 28 | 28 | $163 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 27 | 27 | $127 |
In context: peer comparison
Among 3 peers in this city , average services per provider: 86. This provider delivers 9.1× the peer median.Open Payments
Industry payments received
All-time total
$148
Transactions
7
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| ViiV Healthcare Company | 5 | $99.17 | |
| Shionogi Inc | 1 | $26.37 | |
| ABBVIE INC. | 1 | $22.65 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
651
Patients
35
Total drug cost
$1,408,218
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Biktarvy (Bictegrav/Emtricit/Tenofov Ala) | Brand | 199 | 21 | $814,858 |
| Cephalexin | Generic | 63 | 0 | $1,060 |
| Tivicay (Dolutegravir Sodium) | Brand | 48 | 0 | $124,089 |
| Descovy (Emtricitabine/Tenofov Alafenam) | Brand | 46 | 0 | $106,428 |
| Prezcobix (Darunavir/Cobicistat) | Brand | 40 | 0 | $103,188 |
| Genvoya (Elviteg/Cob/Emtri/Tenof Alafen) | Brand | 33 | 0 | $136,115 |
| Ertapenem (Ertapenem Sodium) | Brand | 29 | 0 | $14,549 |
| Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) | Brand | 27 | 14 | $553 |
| Fluconazole | Generic | 27 | 0 | $1,304 |
| Piperacillin-Tazobactam (Piperacillin Sodium/Tazobactam) | Brand | 27 | 0 | $8,403 |
Frequently asked questions
What is Dr. Prakash Kafle's medical specialty?
Dr. Prakash Kafle practices Infectious Disease Physician in Newport News, VA.
Where does Dr. Prakash Kafle practice?
Dr. Prakash Kafle practices at 12420 Warwick Blvd Ste 4C, Newport News, VA 23606. Office phone: 7575967115.
What is Dr. Prakash Kafle's NPI?
Dr. Prakash Kafle's National Provider Identifier (NPI) is 1073746897, issued by NPPES.
Does Dr. Prakash Kafle accept Medicare assignment?
Yes. Dr. Prakash Kafle accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Prakash Kafle commonly perform?
Top Medicare-reported procedures in 2023: Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232); Subsequent hospital care with straightforward or low level of medical decision making (HCPCS 99231); Initial hospital care with straightforward or low-level medical decision making (HCPCS 99222). Source: CMS Medicare Physician & Other Practitioners file.