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NAVEEN C PANDARABOYINA MD
NPI 1073533485
Internal Medicine - Gastroenterology in Leominster, MA

Active since July 20, 2006PECOS EnrolledAccepts Medicare Assignment
97.02/100
CMS Quality Rating
50 MEMORIAL DRIVE, SUITE # 114, LEOMINSTER, MA 01453(978) 466-4980(978) 466-4022 Get Directions Write a Review

NPPES record last updated: January 23, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Naveen C Pandaraboyina Md NPPES

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

NAVEEN C PANDARABOYINA MD (NPI 1073533485) is an individual gastroenterology provider in Leominster, Massachusetts, licensed in Massachusetts (222879) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Umass Memorial Healthalliance Hospitals, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1073533485
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameNAVEEN C PANDARABOYINACredential: MD
Location Address50 MEMORIAL DRIVE, SUITE # 114Leominster, MA 01453
Mailing Address50 Memorial Dr Ste 114Leominster, MA 01453-2238 · (978) 466-4980 · Fax (978) 466-4022
Phone(978) 466-4980
Fax(978) 466-4022
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateJuly 20, 2006
Last NPPES UpdateJanuary 23, 2020
✔ NPI 1073533485 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 MA · 222879
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.
50 MEMORIAL DRIVE, Leominster, MA 01453
Open in Google Maps ↗

Other Identifiers 1

Medicaid2087103MA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Naveen C Pandaraboyina 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 ID941261762
PECOS Enrollment IDI20041025000376
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 13

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.

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.
237 services185 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
138 services138 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.
113 services50 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
91 services89 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
80 services80 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.
80 services70 patients

Hospital Affiliations CMS Care Compare 2

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

Umass Memorial Healthalliance Hospitals

Acute Care Hospitals · Leominster, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220001
Location60 Hospital RoadLeominster, MA 01453 · Worcester County
Emergency services

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220163
Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01453 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

97.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.09
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
96%452 patients4/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
12%1,045 patients1/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%2,827 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
84%290 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%652 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
45%501 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
85%1,652 patients4/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
88%880 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
95%501 patients4/55-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.

Other Providers at the Same Location NPPES 16

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

PAYAM AGHASSI MD
Internal Medicine (Pulmonary Disease)
50 MEMORIAL DRIVE, SUITE 113
LEOMINSTER, MA 01453
Worcester County (978) 466-2692
COORDINATED PRIMARY CARE
Psychiatry & Neurology (Neurology)
50 MEMORIAL DRIVE, SUITE 211
LEOMINSTER, MA 01453
Worcester County (978) 466-2411
ERIC P COTTER MD
Internal Medicine
50 MEMORIAL DRIVE, SUITE 214
LEOMINSTER, MA 01453
Worcester County (978) 534-6863
WACHUSETT MEDICAL ASSOCIATES
Internal Medicine
50 MEMORIAL DRIVE, SUITE 108
LEOMINSTER, MA 01453
Worcester County (978) 466-2277
ROBERT J FRASER M.D.
Internal Medicine
50 MEMORIAL DRIVE, SUITE 205
LEOMINSTER, MA 01453
Worcester County (978) 534-4241
SAMANTHA AUPPERLEE GOOD R.N/N.P
Nurse Practitioner (Family)
50 MEMORIAL DRIVE, SUITE 205
LEOMINSTER, MA 01453
Worcester County (978) 534-4241
DANIEL O'LEARY M.D.
Internal Medicine
50 MEMORIAL DRIVE, SUITE 205
LEOMINSTER, MA 01453
Worcester County (978) 534-4241
MS. SANDRINA RODRIGUES NP
Nurse Practitioner
50 MEMORIAL DRIVE, SUITE 214
LEOMINSTER, MA 01453
Worcester County (978) 534-6863

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 Naveen Pandaraboyina's NPI number?

The NPI number for Naveen Pandaraboyina is 1073533485. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Naveen Pandaraboyina located?

Naveen Pandaraboyina practices at 50 Memorial Drive Suite # 114, Leominster, MA 01453. The listed phone number is (978) 466-4980.

What is Naveen Pandaraboyina's specialty?

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

Is Naveen Pandaraboyina enrolled in Medicare?

Yes. Naveen Pandaraboyina 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 Naveen Pandaraboyina accept?

Health plans from Anthem Blue Cross and Blue Shield list Naveen Pandaraboyina 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 Naveen Pandaraboyina affiliated with any hospitals?

According to CMS data, Naveen Pandaraboyina is affiliated with Umass Memorial Healthalliance Hospitals and Umass Memorial Medical Center/University Campus.

When was this NPI record last updated?

The NPPES record for Naveen Pandaraboyina was last updated on January 23, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.