PECOS Enrollment and Medicare Participation Status
Samatha Kadiyala is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Registered in PECOS? Yes
PECOS PAC ID: 6800954280
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.
PECOS Enrollment ID: I20091027000539
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.
Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 77566 ZIP code area.
- Average New Patient Price $136.68
- Minimum New Patient Price $59.58
- Maximum New Patient Price $180.4
- Average New Patient Copayment $34.17
- Minimum New Patient Copayment $14.89
- Maximum New Patient Copayment $45.1
- Average Established Patient Price $74.68
- Minimum Established Patient Price $18.76
- Maximum Established Patient Price $147.85
- Average Established Patient Copayment $18.67
- Minimum Established Patient Copayment $4.69
- Maximum Established Patient Copayment $36.96
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.
- 79Urinalysis, manual test (HCPCS:81002)
- 24Ultrasound pelvis through vagina (HCPCS:76830)
- 18Ultrasound measurement of bladder capacity after voiding (HCPCS:51798)
- 18Cervical or vaginal cancer screening; pelvic and clinical breast examination (HCPCS:G0101)
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Samatha Kadiyala is affiliated with the following medical facilities:
|Hospital Name||Address||Phone||Hospital Type||Overall Rating|
|CHI ST. LUKES' BRAZOSPORT HOSPITAL||100 MEDICAL DRIVE|
LAKE JACKSON, TX 77566
|(979) 297-4411||Acute Care Hospitals|
|SWEENY COMMUNITY HOSPITAL||305 NORTH MCKINNEY|
SWEENY, TX 77480
|(979) 548-3311||Critical Access Hospitals|
|HCA HOUSTON HEALTHCARE PEARLAND||11100 SHADOW CREEK PARKWAY|
PEARLAND, TX 77584
|(713) 770-7000||Acute Care Hospitals|
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
|Start with the original NPI number, the last digit is the check digit and is not used in the calculation.|
|Step 1: Double the value of the alternate digits, beginning with the rightmost digit.|
|Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.|
|2 + 0 + 0 + 3 + 0 + 0 + 4 + 6 + 4 + 24 = 43|
|Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.|
|50 - 43 = 7||7|
The NPI number 1003002627 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
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Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
Frequently Asked Questions
What is Dr. Samatha Kadiyala M.D. NPI number?
The NPI number assigned to this healthcare provider is 1003002627, enumerated in the NPI registry as an "individual" on September 18, 2007
Where is the provider located?
The provider is located at 506 This Way St Lake Jackson, Tx 77566 and the phone number is (979) 266-9544
What is the provider specialty code?
The provider's speciality is Obstetrics & Gynecology with taxonomy code 207V00000X
How many years of experience does Dr. Samatha Kadiyala M.D. have?
The provider has more than 23 years of experience.
What insurance does Dr. Samatha Kadiyala M.D. accept?
The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Is Dr. Samatha Kadiyala M.D. registered in PECOS?
Yes, as of December 01, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
How much is a visit to Dr. Samatha Kadiyala M.D.?
Medicare beneficiaries should expect a typical cost of $136.68 with an average copayment of $34.17 for new patient appointments. Established patients should expect a typical charge of $74.68 and an average copayment of 18.67. Please review your insurance plan or contact the provider directly to determine your specific costs.
What are some of the services provided by Dr. Samatha Kadiyala M.D.?
The most common procedures or services performed by this practitioner are: Urinalysis, manual test, Ultrasound pelvis through vagina, Ultrasound measurement of bladder capacity after voiding and Cervical or vaginal cancer screening; pelvic and clinical breast examination.
Is Dr. Samatha Kadiyala M.D. affiliated to any hospitals?
The practitioner is affiliated to the following hospital(s): CHI ST. LUKES' BRAZOSPORT HOSPITAL, SWEENY COMMUNITY HOSPITAL and HCA HOUSTON HEALTHCARE PEARLAND. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
How do I update my NPI information?
This NPI record was last updated on September 18, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.