Dr. Nune Karamyan, MD
1500 Forest Glen Rd, Silver Spring, MD 20910 • +1-481-555-5094
Medical Education: Accredited U.S. Medical School (Class of 2013)
What This Doctor Actually Performs: CMS Medicare Utilization & Silver Spring Percentiles
NPI #1629462791 • CBSA Regional • Internal Medicine
Anchored in Silver Spring, MD 20910, Dr. Nune Karamyan, MD (NPI 1629462791) logged 713 annual procedures (focused low-volume boutique caseload (9.09th Silver Spring percentile), 5.87th MD percentile, -0.16σ) with sub-specialty concentration in 7 Active CMS HCPCS Codes.
Among 5 tracked CMS fee-schedule codes for Dr. Karamyan (averaging 2.4 services per beneficiary), 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up) represents 45% of tracked volume (321 encounters), paired with 99213 (185x).
Uninsured and high-deductible cash patients visiting Dr. Nune Karamyan in Silver Spring (20910) face an estimated $209.00 initial evaluation fee at 1500 Forest Glen Rd (in-person clinic visits only; 10-minute average reception wait; bedside manner 4.67/5 from 6 verified reports).
Clinical background for Dr. Karamyan (MD, NPI #1629462791) includes accredited doctoral training (2013, 13 yrs in practice) and dedicated on-site consultations at 1500 Forest Glen Rd.
Compared against Silver Spring, MD Internal Medicine peers
713 annual services across 294 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 | 321 | 12th | $197 – $269 |
| 99213 | Established Preventive & Chronic Care Visit | 185 | 12th | $150 – $206 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 93 | 14.09th | $72 – $98 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 71 | 12th | $231 – $316 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 43 | 12th | $273 – $375 |
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Dr. Nune Karamyan, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Karamyan National Provider Identifier | NPI #1629462791 (MD) | CMS NPPES Registry (20910) |
| Dr. Karamyan Silver Spring CMS Volume Rank | 9.09th Pct (713 CMS svcs; Z -0.161σ) | 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 • 10 min lobby wait | 6 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.67/5 Listening • 4.87/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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