DR. SAMATA PATHIREDDY MD
NPI 1053549287
Hospitalist in Evansville, IN

Active since June 25, 2009PECOS EnrolledAccepts Medicare Assignment
79.52/100
CMS Quality Rating
600 MARY ST, EVANSVILLE, IN 47710(812) 450-7338(812) 450-2193 Get Directions Write a Review

NPPES record last updated: June 29, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Samata Pathireddy Md NPPES

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

DR. SAMATA PATHIREDDY MD (NPI 1053549287) is an individual hospitalist provider in Evansville, Indiana, licensed in Indiana (01076396A) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS, is affiliated with Deaconess Hospital Inc, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1053549287
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameDR. SAMATA PATHIREDDYCredential: MD
Location Address600 MARY STEvansville, IN 47710-1674
Mailing AddressPo Box 3407Evansville, IN 47733-3407 · (812) 450-7338 · Fax (812) 450-2193
Fax(812) 450-2193
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJune 25, 2009
Last NPPES UpdateJune 29, 2016
NPI 1053549287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in IN · 01076396A
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.

600 MARY ST, Evansville, IN 47710

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. Samata Pathireddy 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 ID4789829938
PECOS Enrollment IDI20160606002342
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 5

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.
254 services154 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.
152 services94 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.
128 services126 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.
49 services49 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
30 services22 patients

Hospital Affiliations CMS Care Compare

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

Deaconess Hospital Inc

Acute Care Hospitals · Evansville, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150082
Location600 Mary StEvansville, IN 47710 · Vanderburgh County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47710 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

79.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.16
Promoting Interoperability100
Improvement Activities40
Cost50.9

Referred Medical Equipment & Supplies CMS DME claims 4

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers21 claims21 services$20.14 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
3 suppliers19 claims19 services$6.66 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers45 claims45 services$113.52 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
2 suppliers24 claims24 services$36.61 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.

Dietitian, Registered
600 MARY ST
EVANSVILLE, IN 47710
Emergency Medicine
600 MARY ST
EVANSVILLE, IN 47710
Nurse Anesthetist, Certified Registered
600 MARY ST
EVANSVILLE, IN 47710
Family Medicine
600 MARY ST
EVANSVILLE, IN 47710
Nurse Anesthetist, Certified Registered
600 MARY ST
EVANSVILLE, IN 47710
Physical Medicine & Rehabilitation
600 MARY ST
EVANSVILLE, IN 47710
Internal Medicine
600 MARY ST
EVANSVILLE, IN 47710
Psychiatry & Neurology (Neurology)
600 MARY ST
EVANSVILLE, IN 47710

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 Samata Pathireddy's NPI number?

The NPI number for Samata Pathireddy is 1053549287. It was assigned to this individual provider in the NPPES registry on June 25, 2009.

Where is Samata Pathireddy located?

Samata Pathireddy practices at 600 Mary St, Evansville, IN 47710. The listed phone number is (812) 450-7338.

What is Samata Pathireddy's specialty?

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

Is Samata Pathireddy enrolled in Medicare?

Yes. Samata Pathireddy 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 Samata Pathireddy accept?

Health plans from CareSource list Samata Pathireddy 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 Samata Pathireddy affiliated with any hospitals?

According to CMS data, Samata Pathireddy is affiliated with Deaconess Hospital Inc.

When was this NPI record last updated?

The NPPES record for Samata Pathireddy was last updated on June 29, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.