DR. PALLAKI D RAVI M.D.
NPI 1053631804
Family Medicine in Danville, KY

Active since June 03, 2010PECOS EnrolledAccepts Medicare Assignment
86.86/100
CMS Quality Rating
124 DANIEL DR, DANVILLE, KY 40422(606) 303-4389(859) 209-4232 Get Directions Write a Review

NPPES record last updated: October 17, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Pallaki D Ravi M.d. NPPES

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

DR. PALLAKI D RAVI M.D. (NPI 1053631804) is an individual family medicine provider in Danville, Kentucky, licensed in Kentucky (46290) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Pikeville Medical Center, and maintains a secondary practice location in Lexington.

NPPES Registry Identity

NPI1053631804
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. PALLAKI D RAVICredential: M.D.
Location Address124 DANIEL DRDanville, KY 40422
Mailing Address124 Daniel DrDanville, KY 40422-2527 · (606) 303-4389 · Fax (859) 209-4232
Fax(859) 209-4232
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJune 3, 2010
Last NPPES UpdateOctober 17, 2019
NPI 1053631804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in KY · 46290
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
124 DANIEL DR, Danville, KY 40422

Secondary Practice Location 1

Location 1University Of Kentucky & Affiliates, 800 Rose St.Lexington, KY 40536-0001 · Phone (859) 323-5871

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. Pallaki D Ravi 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 ID3870735293
PECOS Enrollment IDI20130815000083
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 8

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 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.
271 services125 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
205 services41 patients
Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month 99491
Chronic care management services involve a healthcare professional personally providing care for patients with two or more chronic conditions. This service, offered monthly, focuses on the first 30 minutes of care, helping manage and coordinate the patient's health needs.
186 services48 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.
142 services38 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.
74 services71 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
36 services36 patients

Hospital Affiliations CMS Care Compare 3

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

Pikeville Medical Center

Acute Care Hospitals · Pikeville, KY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180044
Location911 Bypass RoadPikeville, KY 41501 · Pike County
Emergency services Birthing friendly

Tug Valley Arh Regional Medical Center

Acute Care Hospitals · South Williamson, KY
1/5 CMS rating
OwnershipProprietary
CMS Certification Number180069
Location260 Hospital DriveSouth Williamson, KY 41503 · Pike County
Emergency services

Paul B Hall Regional Medical Center

Acute Care Hospitals · Paintsville, KY
1/5 CMS rating
OwnershipProprietary
CMS Certification Number180078
Location625 James S Trimble BoulevardPaintsville, KY 41240 · Johnson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40422 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

86.86/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.39
Promoting Interoperability100
Improvement Activities40
Cost70.65

Reported Quality Measures

Appropriate Treatment for Upper Respiratory Infection (URI)
37%27 patients2/55-star benchmark: 100%
Breast Cancer Screening
5%168 patients1/55-star benchmark: 93%
Colorectal Cancer Screening
1%420 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
51%324 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
0%132 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
60%132 patients2/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
9%3,386 patients1/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%328 patients1/55-star benchmark: 100%
HIV Screening
0%530 patients1/55-star benchmark: 60%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
15%3,334 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 2% · 510 patients
1%510 patients
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
81%178 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 3% · 306 patients
Patients totalRate: 16% · 349 patients
15%349 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 21

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

Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314
DME-Orthotic Devices · category DF000N
1 supplier13 claims13 services$24.34 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier13 claims13 services$7.95 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
1 supplier12 claims240 services$6.00 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each A4425
DME-Orthotic Devices · category DF010N
1 supplier12 claims240 services$3.46 avg. paid by Medicare
Collagen based wound filler, dry form, sterile, per gram of collagen A6010
DME-Medical/Surgical Supplies · category DA023N
1 supplier18 claims660 services$29.90 avg. paid by Medicare
Collagen dressing, sterile, size 16 sq. in. or less, each A6021
DME-Medical/Surgical Supplies · category DA023N
1 supplier14 claims572 services$20.20 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 5

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

Nurse Practitioner (Obstetrics & Gynecology)
124 DANIEL DR
DANVILLE, KY 40422
Specialist
124 DANIEL DR
DANVILLE, KY 40422
Family Medicine
124 DANIEL DR
DANVILLE, KY 40422
Nurse Practitioner (Obstetrics & Gynecology)
124 DANIEL DR
DANVILLE, KY 40422
Radiology (Diagnostic Radiology)
124 DANIEL DR
DANVILLE, KY 40422

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 Pallaki Ravi's NPI number?

The NPI number for Pallaki Ravi is 1053631804. It was assigned to this individual provider in the NPPES registry on June 3, 2010.

Where is Pallaki Ravi located?

Pallaki Ravi practices at 124 Daniel Dr, Danville, KY 40422. The listed phone number is (606) 303-4389.

What is Pallaki Ravi's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Pallaki Ravi enrolled in Medicare?

Yes. Pallaki Ravi 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 Pallaki Ravi accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Pallaki Ravi 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 Pallaki Ravi affiliated with any hospitals?

According to CMS data, Pallaki Ravi is affiliated with Pikeville Medical Center, Tug Valley Arh Regional Medical Center and Paul B Hall Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Pallaki Ravi was last updated on October 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.