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DR. RAJESH V PUTCHA M.D.
NPI 1043296353
Internal Medicine - Gastroenterology in Mckinney, TX

Active since December 19, 2005PECOS EnrolledAccepts Medicare Assignment
79.87/100
CMS Quality Rating
5236 W UNIVERSITY DR, #3300, MCKINNEY, TX 75071(972) 562-4430(972) 529-2763 Get Directions Write a Review

NPPES record last updated: May 16, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Rajesh V Putcha M.d. NPPES

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

DR. RAJESH V PUTCHA M.D. (NPI 1043296353) is an individual gastroenterology provider in Mckinney, Texas, licensed in Texas (K3630) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Baylor Scott And White Medical Center Mckinney, and is a graduate of University Of Miami, Lm Miller School Of Medicine (1996).

NPPES Registry Identity

NPI1043296353
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. RAJESH V PUTCHACredential: M.D.
Location Address5236 W UNIVERSITY DR, #3300Mckinney, TX 75071-7889
Mailing AddressPo Box 35269Dallas, TX 75235-0269 · (214) 424-2213 · Fax (214) 231-2159
Phone(972) 562-4430
Fax(972) 529-2763
Sole ProprietorNo
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 1996
Enumeration DateDecember 19, 2005
Last NPPES UpdateMay 16, 2013
✔ NPI 1043296353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in TX · K3630
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
5236 W UNIVERSITY DR, Mckinney, TX 75071
Open in Google Maps ↗

Other Identifiers 5

Medicare PIN110245671TX
Medicare UPING95530TX
Medicare PIN8004K4TX
Medicaid045522202TX
Other8F7160TX · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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. Rajesh V Putcha M.d. 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 ID345234548
PECOS Enrollment IDI20040412000682
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.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
171 services170 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
78 services74 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
43 services43 patients
Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249
This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.
31 services23 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
29 services27 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
19 services19 patients

Hospital Affiliations CMS Care Compare

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

Baylor Scott And White Medical Center Mckinney

Acute Care Hospitals · Mc Kinney, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670082
Location5252 West University DriveMc Kinney, TX 75071 · Collin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75071 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

79.87/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.55
Promoting Interoperability100
Improvement Activities40
Cost64.36

Referred Medical Equipment & Supplies CMS DME claims

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

Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims4,950 services$0.28 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

RYAN DANIEL BURKART M.D.
Surgery
5236 W UNIVERSITY DR, SUITE 2200
MCKINNEY, TX 75071
Collin County (469) 800-5036
SYED ABDUL SARMAST M.D.
Internal Medicine (Cardiovascular Disease)
5236 W UNIVERSITY DR, SUITE 4900
MCKINNEY, TX 75071
Collin County (469) 800-6100
BAYLOR MEDICAL CENTERS AT GARLAND AND MCKINNEY
Nurse Practitioner
5236 W UNIVERSITY DR, STE 1500
MCKINNEY, TX 75071
Collin County (469) 764-2273
DR. GABRIEL RENDON M.D.
Internal Medicine (Gastroenterology)
5236 W UNIVERSITY DR, SUITE 3300
MCKINNEY, TX 75071
Collin County (972) 562-4430
MS. ASHLEY KAY WIGINTON PA
Physician Assistant
5236 W UNIVERSITY DR, SUITE 3300
MCKINNEY, TX 75071
Collin County (972) 562-4430
KATIE MICHELE OFFIELD PT
Physical Therapist
5236 W UNIVERSITY DR
MCKINNEY, TX 75071
Collin County (469) 952-5082
BUENALYN BELEN BELEN OTR, MS, CLT
Occupational Therapist
5236 W UNIVERSITY DR, BAYLOR INSTITUTE FOR REHABILITATION SUITE 3500
MCKINNEY, TX 75071
Collin County (469) 952-5082
SONY MATHEWS MD
Internal Medicine (Gastroenterology)
5236 W UNIVERSITY DR, SUITE 3300
MCKINNEY, TX 75071
Collin County (972) 562-4430

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 Rajesh Putcha's NPI number?

The NPI number for Rajesh Putcha is 1043296353. It was assigned to this individual provider in the NPPES registry on December 19, 2005.

Where is Rajesh Putcha located?

Rajesh Putcha practices at 5236 W University Dr #3300, Mckinney, TX 75071. The listed phone number is (972) 562-4430.

What is Rajesh Putcha's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Rajesh Putcha enrolled in Medicare?

Yes. Rajesh Putcha 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 Rajesh Putcha accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Rajesh Putcha 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 Rajesh Putcha affiliated with any hospitals?

According to CMS data, Rajesh Putcha is affiliated with Baylor Scott And White Medical Center Mckinney.

When was this NPI record last updated?

The NPPES record for Rajesh Putcha was last updated on May 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.