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KALPANA J RAGHAVAN MD
NPI 1073546487
Obstetrics & Gynecology in Smyrna, GA

Active since July 09, 2006PECOS Enrolled
3610 HIGHLANDS PKWY SE, BUILDING 2, SMYRNA, GA 30082(770) 444-9981(770) 444-9970 Get Directions Write a Review

NPPES record last updated: September 8, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kalpana J Raghavan Md NPPES

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

KALPANA J RAGHAVAN MD (NPI 1073546487) is an individual obstetrics & gynecology provider in Smyrna, Georgia, licensed in Georgia (038920) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Wellstar Paulding Medical Center, and is a graduate of Other (1977).

NPPES Registry Identity

NPI1073546487
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameKALPANA J RAGHAVANCredential: MD
Location Address3610 HIGHLANDS PKWY SE, BUILDING 2Smyrna, GA 30082-5184
Mailing Address3610 Highlands Pkwy Se, Building 2Smyrna, GA 30082-5184 · (770) 444-9981 · Fax (770) 444-9970
Phone(770) 444-9981
Fax(770) 444-9970
Sole ProprietorNo
Medical School CMSOtherGraduated 1977
Enumeration DateJuly 9, 2006
Last NPPES UpdateSeptember 8, 2010
✔ NPI 1073546487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in GA · 038920
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
3610 HIGHLANDS PKWY SE, Smyrna, GA 30082
Open in Google Maps ↗

Other Identifiers 5

Medicare PIN16BDTZRGA
Medicare PIN160055637
Medicaid000613808DGA
Medicare UPINF85838
Medicaid000613808EGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kalpana J Raghavan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648248401
PECOS Enrollment IDI20101011000123
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

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.

Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Wellstar Paulding Medical Center

Acute Care Hospitals · Hiram, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110042
Location2518 Jimmy Lee Smith ParkwayHiram, GA 30141 · Paulding County

Wellstar Cobb Medical Center

Acute Care Hospitals · Austell, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110143
Location3950 Austell RdAustell, GA 30106 · Cobb County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30082 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
34%174 patients2/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
47%1,268 patients
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%2,137 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.
68%440 patients1/55-star benchmark: 99%
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.
100%271 patients5/55-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.
72%449 patients3/55-star benchmark: 97%
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…
33%1,300 patients2/55-star benchmark: 97%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
10%1,417 patients1/55-star benchmark: 96%
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…
92%449 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
49%449 patients3/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
31%449 patients
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 2

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

WEST ATLANTA OB-GYN INC
Obstetrics & Gynecology (Gynecology)
3610 HIGHLANDS PKWY SE
SMYRNA, GA 30082
Cobb County (770) 444-9981
VININGS URGENT AND OCCUPATIONAL CARE LLC
Clinic/Center (Occupational Medicine)
3610 HIGHLANDS PKWY SE
SMYRNA, GA 30082
Cobb County (706) 662-2003

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 Kalpana Raghavan's NPI number?

The NPI number for Kalpana Raghavan is 1073546487. It was assigned to this individual provider in the NPPES registry on July 9, 2006.

Where is Kalpana Raghavan located?

Kalpana Raghavan practices at 3610 Highlands Pkwy SE Building 2, Smyrna, GA 30082. The listed phone number is (770) 444-9981.

What is Kalpana Raghavan's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Kalpana Raghavan enrolled in Medicare?

Yes. Kalpana Raghavan is registered in the Medicare PECOS enrollment system.

What insurance does Kalpana Raghavan accept?

Health plans from Alliant Health Plans, Inc. list Kalpana Raghavan 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 Kalpana Raghavan affiliated with any hospitals?

According to CMS data, Kalpana Raghavan is affiliated with Wellstar Paulding Medical Center and Wellstar Cobb Medical Center.

When was this NPI record last updated?

The NPPES record for Kalpana Raghavan was last updated on September 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.