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DR. SUDHIR DUVURU M.D.
NPI 1073742672
Hospitalist in Marshfield, WI

Active since July 06, 2009PECOS EnrolledAccepts Medicare Assignment
81.3/100
CMS Quality Rating
MARSHFIELD CLINIC 1000 N OAK AVE, MARSHFIELD, WI 54449(715) 387-5260(715) 387-5434 Get Directions Write a Review

NPPES record last updated: January 31, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 31, 2022, Jul 3, 2017 (2 updates tracked since 2017).

About Dr. Sudhir Duvuru M.d. NPPES

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

DR. SUDHIR DUVURU M.D. (NPI 1073742672) is an individual hospitalist provider in Marshfield, Wisconsin, licensed in Ohio (35.099532) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, is affiliated with Doctors Hospital, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1073742672
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. SUDHIR DUVURUCredential: M.D.
Location AddressMARSHFIELD CLINIC 1000 N OAK AVEMarshfield, WI 54449-5777
Mailing Address5400 Frantz Rd, Ste 250Dublin, OH 43016-4144 · (512) 788-3430
Phone(715) 387-5260
Fax(715) 387-5434
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJuly 6, 2009
Last NPPES UpdateJanuary 31, 20222 updates tracked since enumeration
✔ NPI 1073742672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in OH · 35.099532
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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
MARSHFIELD CLINIC 1000 N OAK AVE, Marshfield, WI 54449
Open in Google Maps ↗

Other Identifiers 1

Other390200000XWI · Marshfield Clinic

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.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. Sudhir Duvuru 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 ID3678729274
PECOS Enrollment IDI20120815000165
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 4

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.
146 services75 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.
70 services66 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.
58 services56 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.
42 services27 patients

Hospital Affiliations CMS Care Compare

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

Doctors Hospital

Acute Care Hospitals · Columbus, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360152
Location5100 West Broad StreetColumbus, OH 43228 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54449 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

81.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.58
Promoting Interoperability98
Improvement Activities40
Cost65.77

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.

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
3 suppliers13 claims14 services$74.50 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Sudhir Duvuru's NPI number?

The NPI number for Sudhir Duvuru is 1073742672. It was assigned to this individual provider in the NPPES registry on July 6, 2009.

Where is Sudhir Duvuru located?

Sudhir Duvuru practices at Marshfield Clinic 1000 N Oak Ave, Marshfield, WI 54449. The listed phone number is (715) 387-5260.

What is Sudhir Duvuru's specialty?

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

Is Sudhir Duvuru enrolled in Medicare?

Yes. Sudhir Duvuru 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 Sudhir Duvuru accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Sudhir Duvuru 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 Sudhir Duvuru affiliated with any hospitals?

According to CMS data, Sudhir Duvuru is affiliated with Doctors Hospital.

When was this NPI record last updated?

The NPPES record for Sudhir Duvuru was last updated on January 31, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.