DR. PAVAN GANAPATHIRAJU DO, MPH
NPI 1023469988
Internal Medicine - Pulmonary Disease in Austin, TX

Active since June 22, 2016PECOS EnrolledAccepts Medicare Assignment
93.27/100
CMS Quality Rating
7901 METROPOLIS DR, AUSTIN, TX 78744(512) 823-4000 Get Directions Write a Review

NPPES record last updated: August 9, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 9, 2023, Apr 26, 2022, Apr 21, 2022 and 2 more (5 updates tracked since 2016).

About Dr. Pavan Ganapathiraju Do, Mph NPPES

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

DR. PAVAN GANAPATHIRAJU DO, MPH (NPI 1023469988) is an individual pulmonary disease provider in Austin, Texas, licensed in Connecticut (1.069754-DO) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Guthrie Cortland Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1023469988
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. PAVAN GANAPATHIRAJUCredential: DO, MPH
Location Address7901 METROPOLIS DRAustin, TX 78744-3111
Mailing Address7901 Metropolis DrAustin, TX 78744-3111
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 22, 2016
Last NPPES UpdateAugust 9, 20235 updates tracked since enumeration
NPPES CertifiedJuly 18, 2023
NPI 1023469988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in CT · 1.069754-DO
Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 1.069754-DO (CT)
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License 1.069754-DO (CT)
7901 METROPOLIS DR, Austin, TX 78744

Secondary Practice Locations 2

Location 120 York StNew Haven, CT 06510-3220 · Phone (203) 688-4242
Location 234 Maple StNorwalk, CT 06850-3815 · Phone (203) 852-2000

Accepted Insurance

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

Dr. Pavan Ganapathiraju Do, Mph 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 ID244618742
PECOS Enrollment IDI20230127000963
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 3

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.

Telehealth consultation, critical care, subsequent, physicians typically spend 50 minutes communicating with the patient and providers via telehealth G0509
A telehealth consultation for critical care is a virtual meeting with a doctor for ongoing critical health issues. It involves a 50-minute session where the physician connects with the patient and other healthcare providers to discuss and manage the patient's condition. This method ensures safe, convenient care.
38 services26 patients
Telehealth consultation, critical care, initial , physicians typically spend 60 minutes communicating with the patient and providers via telehealth G0508
A telehealth consultation for critical care is a virtual meeting with a physician, typically lasting 60 minutes. Here, the doctor assesses your health condition, provides guidance, and communicates with other care providers, all through digital platforms. It's a safe, convenient way to receive critical care.
37 services36 patients
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.
34 services34 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Guthrie Cortland Regional Medical Center

Acute Care Hospitals · Cortland, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330175
Location134 Homer AvenueCortland, NY 13045 · Cortland County
Emergency services Birthing friendly

Robert Packer Hospital

Acute Care Hospitals · Sayre, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390079
LocationOne Guthrie SquareSayre, PA 18840 · Bradford County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78744 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
$131.95 typical visit price
range $57.88 – $174.00
Typical copayment $32.98 (range $14.47 – $43.50)
Most-billed visit code 99204
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
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.

93.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.72
Promoting Interoperability78.03
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (VA)
7901 METROPOLIS DR
AUSTIN, TX 78744
Pharmacist
7901 METROPOLIS DR
AUSTIN, TX 78744
Nurse Practitioner (Family)
7901 METROPOLIS DR
AUSTIN, TX 78744
Internal Medicine
7901 METROPOLIS DR
AUSTIN, TX 78744
Urology
7901 METROPOLIS DR
AUSTIN, TX 78744
Nurse Practitioner (Family)
7901 METROPOLIS DR
AUSTIN, TX 78744
Social Worker (Clinical)
7901 METROPOLIS DR
AUSTIN, TX 78744
Psychologist
7901 METROPOLIS DR
AUSTIN, TX 78744

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 Pavan Ganapathiraju's NPI number?

The NPI number for Pavan Ganapathiraju is 1023469988. It was assigned to this individual provider in the NPPES registry on June 22, 2016.

Where is Pavan Ganapathiraju located?

Pavan Ganapathiraju practices at 7901 Metropolis Dr, Austin, TX 78744. The listed phone number is (512) 823-4000.

What is Pavan Ganapathiraju's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Pavan Ganapathiraju enrolled in Medicare?

Yes. Pavan Ganapathiraju 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.

What insurance does Pavan Ganapathiraju accept?

Health plans from Blue Cross and Blue Shield of Texas and Molina Healthcare list Pavan Ganapathiraju as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Pavan Ganapathiraju affiliated with any hospitals?

According to CMS data, Pavan Ganapathiraju is affiliated with Guthrie Cortland Regional Medical Center and Robert Packer Hospital.

When was this NPI record last updated?

The NPPES record for Pavan Ganapathiraju was last updated on August 9, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.