Physician

Shirish Poudyal, MD

According to 2025 Medicare claims, Shirish Poudyal, MD (NPI: 1275062507) practices internal medicine in the Fort Collins-Loveland, CO market, with the plurality of this provider's patient population coming from Larimer, CO. This provider's primary affiliated billing organization is CENTERS FOR GASTROENTEROLOGY (NPI: 1801994157; TIN: 840815744) and primary practice location at 80537-5136.

Poudyal's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 418 traditional Medicare patients, billed 14,016 HCPCS/CPT codes, and received $302,731 in Medicare payments. The top billing code was 45385 (Removal of polyps or growths of large bowel using an endoscope with mechanical snare). Part D data shows 780 prescription claims across 307 beneficiaries totaling $249,671 in drug costs, led by Ocaliva (Obeticholic Acid). Open Payments data shows 30 records totaling $595. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider has fewer than 5 years of reported Medicare Part B carrier billing data, so a reliable trend cannot be assigned. Concurrently, Part D prescription costs have risen steadily, from $2,425 to $249,671. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$151K$303K2023 Medicare payment: $101,300 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $302,731 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
20231464,073$101,300
202441814,016$302,731

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$125K$250K2017 Drug cost: $2,425 (USD; Tot_Drug_Cst)2018 Drug cost: $11,186 (USD; Tot_Drug_Cst)2019 Drug cost: $15,820 (USD; Tot_Drug_Cst)2020 Drug cost: $3,926 (USD; Tot_Drug_Cst)2021 Drug cost: $166,722 (USD; Tot_Drug_Cst)2022 Drug cost: $135,239 (USD; Tot_Drug_Cst)2023 Drug cost: $62,289 (USD; Tot_Drug_Cst)2024 Drug cost: $249,671 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
2016N/RN/RN/R
20172144$2,425
201838159$11,186
201930175$15,820
20202290$3,926
20212053$166,722
20221234$135,239
202377112$62,289
2024307780$249,671

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

No connected DME records

No connected DME records

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare128137$204
45380Biopsy of large bowel using a flexible endoscope155160$69
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more94115$67
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope114120$61
88305Pathology examination of tissue using a microscope, intermediate complexity196620$27

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
OcalivaObeticholic Acid13390$114,834
LinzessLinaclotide14480$8,501
MotegrityPrucalopride Succinate13390$6,644
Sod Sulf-Potass Sulf-Mag SulfSodium, Potassium,mag Sulfates4663$3,339
Gavilyte-CPeg3350/Sod Sulf,bicarb,cl/Kcl107219$2,347

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.30$595ABBVIE INC.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Shirish Poudyal, MD?

Tedicare shows public-source Medicare data for Shirish Poudyal, MD (NPI 1275062507), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Shirish Poudyal, MD have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Shirish Poudyal, MD?

Shirish Poudyal, MD is linked to CENTERS FOR GASTROENTEROLOGY (billing NPI 1801994157) in the available physician profile data.

Does Shirish Poudyal, MD have Open Payments data?

Shirish Poudyal, MD has 30 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.