Dr. Nakul Goyal, MD
3801 International DR, Suite 211, Silver Spring, MD 20906 • +1-208-555-2869
Medical Education: Accredited U.S. Medical School (Class of 2016)
What This Doctor Actually Performs: CMS Medicare Utilization & Silver Spring Percentiles
NPI #1194738567 • CBSA Regional • Internal Medicine
Dr. Nakul Goyal, MD (NPI #1194738567) practices Internal Medicine in Silver Spring, MD (20906) with sub-specialty concentration in 22 Active CMS HCPCS Codes, recording 3,123 annual CMS services across 418 distinct beneficiaries—placing this practice as a upper-quartile active clinical volume (70.91th Silver Spring percentile) (-0.02σ vs MD state mean, 77.42th statewide percentile).
Procedural volume for Dr. Goyal is led by HCPCS 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up — 1405 annual services, $105–$144 GPCI cash estimate), followed by CPT 99213 (Established Preventive & Chronic Care Visit, 812/yr) and CPT 93000 (In-Office 12-Lead Resting Electrocardiogram, 406/yr).
Uninsured and high-deductible cash patients visiting Dr. Nakul Goyal in Silver Spring (20906) face an estimated $209.00 initial evaluation fee at 3801 International DR, Suite 211 (in-person clinic visits only; 19-minute average reception wait; bedside manner 4.79/5 from 3 verified reports).
Patients evaluating Dr. Nakul Goyal in ZIP 20906 note 10 years of post-doctoral tenure (null, 2016) alongside 7.5 annual CMS procedures per patient.
Compared against Silver Spring, MD Internal Medicine peers
3,123 annual services across 418 beneficiaries
Standard deviations from MD Internal Medicine mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Moderate-to-High Complexity Internal Medicine Follow-Up | 1,405 | 70.91th | $105 – $144 |
| 99213 | Established Preventive & Chronic Care Visit | 812 | 75.91th | $80 – $110 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 406 | 74.91th | $38 – $53 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 312 | 75.91th | $123 – $169 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 187 | 65.91th | $146 – $200 |
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Dr. Nakul Goyal, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Goyal National Provider Identifier | NPI #1194738567 (MD) | CMS NPPES Registry (20906) |
| Dr. Goyal Silver Spring CMS Volume Rank | 70.91th Pct (3,123 CMS svcs; Z -0.021σ) | CMS Medicare Part B (MD Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Silver Spring, MD) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 19 min lobby wait | 3 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.79/5 Listening • 4.82/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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