Gopalbhai Kanijibhai Vaghela, MD
NPI 1013221589ActiveIndividual· Hospitalist· Sumter, SC
Hospitalist (MD) with Prisma Health Medical Group-Midlands, practicing in Sumter, South Carolina. In 2024 Medicare paid $57,329 for 262 patients, and Part D covered 466 of their prescriptions, 86% of them generic. Lists Prisma Health Richland Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1013221589 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jul 27, 2010 |
| Last updated in NPPES | Oct 2, 2023 |
| Certified by provider | Oct 2, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Hospitalist Primary | 208M00000X | 33084 | SC |
| Family Medicine | 207Q00000X | 33084 | SC |
| Internal Medicine | 207R00000X | 33084 | SC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Internal Medicine (SC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 262 |
|---|---|
| Services billed | 768 across 10 procedure codes |
| Paid by Medicare | $57,329 |
Part D prescriptions in 2024
| Prescriptions (claims) | 466 · 531 30-day fills |
|---|---|
| Patients | 159 |
| Total drug cost | $31,980 |
| Generic share | 86% of claims |
Education and affiliations
| Graduation year | 2006 |
|---|---|
| Medicare specialty | Internal Medicine |
Medical group
- Prisma Health Medical Group-MidlandsColumbia, SC · 1,068 clinicians
Hospital affiliations
- Prisma Health Richland HospitalColumbia, SC
- Prisma Health Tuomey HospitalSumter, SC
Other facilities
- Prisma Health TuomeyHome health agency · Sumter, SC
- Prisma Health Tuomey HospiceHospice · Sumter, SC
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 23 hospitalists in Sumter · All hospitalists in South Carolina