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PRAVIR R VATSA MD
NPI 1003912239
Hospitalist in San Luis Obispo, CA

Active since September 15, 2006PECOS EnrolledAccepts Medicare Assignment
80.59/100
CMS Quality Rating
1023 NIPOMO ST # 110, SAN LUIS OBISPO, CA 93401(805) 439-2998(805) 439-2997 Get Directions Write a Review

NPPES record last updated: August 17, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pravir R Vatsa Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRAVIR R VATSA MD (NPI 1003912239) is an individual hospitalist provider in San Luis Obispo, California, licensed in California (A95811) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1003912239
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NamePRAVIR R VATSACredential: MD
Location Address1023 NIPOMO ST # 110San Luis Obispo, CA 93401-3882
Mailing Address1023 Nipomo St # 110San Luis Obispo, CA 93401-3882 · (805) 439-2998 · Fax (805) 439-2997
Phone(805) 439-2998
Fax(805) 439-2997
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateSeptember 15, 2006
Last NPPES UpdateAugust 17, 2015
✔ NPI 1003912239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in CA · A95811
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License A95811 (CA)
1023 NIPOMO ST # 110, San Luis Obispo, CA 93401
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Other Identifiers 4

Medicare UPINI67386
Medicaid00A958110CA
Medicare PINBM183ZCA
Other00A958110CA · Blue Shield Of Ca

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Pravir R Vatsa Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567464498
PECOS Enrollment IDI20070206000616
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
520 services253 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
278 services271 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
217 services132 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
140 services137 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
108 services103 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
34 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$135.73 typical visit price
range $59.84 – $178.89
Typical copayment $33.93 (range $14.96 – $44.72)
Most-billed visit code 99204
Established Patient
$104.82 typical visit price
range $19.70 – $146.55
Typical copayment $26.20 (range $4.92 – $36.63)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality90
Improvement Activities0
Cost72.71

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty E0181
DME-Other DME · category DE000N
1 supplier15 claims15 services$12.75 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier16 claims16 services$54.03 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pravir Vatsa's NPI number?

The NPI number for Pravir Vatsa is 1003912239. It was assigned to this individual provider in the NPPES registry on September 15, 2006.

Where is Pravir Vatsa located?

Pravir Vatsa practices at 1023 Nipomo St # 110, San Luis Obispo, CA 93401. The listed phone number is (805) 439-2998.

What is Pravir Vatsa's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Pravir Vatsa enrolled in Medicare?

Yes. Pravir Vatsa is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Pravir Vatsa was last updated on August 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.