GOPAL C RAO MD
NPI 1083655203
Internal Medicine - Cardiovascular Disease in Mcdonough, GA

Q: What is Gopal Rao's NPI number?

The NPI number for Gopal Rao is 1083655203. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Q: What is Gopal Rao's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Gopal Rao was last updated on February 22, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 09, 2006PECOS EnrolledAccepts Medicare Assignment

3333 JODECO ROAD, SUITE A, MCDONOUGH, GA 30253(770) 692-4000(770) 474-8510 Get Directions Write a Review

NPPES record last updated: February 22, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Gopal C Rao Md NPPES

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

GOPAL C RAO MD (NPI 1083655203) is an individual cardiovascular disease provider in Mcdonough, Georgia, licensed in Georgia (032892) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1978).

NPPES Registry Identity

NPI1083655203

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameGOPAL C RAOCredential: MD

Location Address3333 JODECO ROAD, SUITE AMcdonough, GA 30253

Mailing Address3333 Jodeco Road, Suite AMcdonough, GA 30253 · (770) 692-4000 · Fax (770) 474-8510

Phone(770) 692-4000

Fax(770) 474-8510

Sole ProprietorNo

Medical School CMSOtherGraduated 1978

Enumeration DateJune 9, 2006

Last NPPES UpdateFebruary 22, 2024

NPPES CertifiedSeptember 25, 2020

✔ NPI 1083655203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in GA · 032892

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

3333 JODECO ROAD, Mcdonough, GA 30253

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Other Identifiers 2

Medicaid000433881BGA

Medicaid00433881CGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.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

Gopal C Rao 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 ID8123929155

PECOS Enrollment IDI20060427000372

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 3

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.

Physician review, interpretation, and patient management of home inr testing for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; testing not occurring more frequent G0250

This service involves your doctor evaluating your home INR (a blood clotting test) results. It's for patients with a mechanical heart valve, chronic atrial fibrillation, or venous thromboembolism who meet specific criteria. It helps manage your treatment, but tests aren't conducted frequently.

252 services35 patients

Anticoagulant management of patient taking warfarin 93793

Anticoagulant management with warfarin involves monitoring and adjusting your medication to prevent blood clots while minimizing the risk of bleeding. Regular blood tests measure your response to warfarin, helping adjust your dose if necessary. It's crucial to maintain a consistent diet and promptly report any changes in your health.

66 services29 patients

Blood test, clotting time 85610

A clotting time blood test helps determine how quickly your blood forms clots, a process crucial to stop bleeding. During the test, a small blood sample is taken from your arm. The sample is then analyzed in a lab to see how long it takes for a clot to form.

26 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30253 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

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

44%500 patients2/55-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.

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Other Providers at the Same Location NPPES 11

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

JOHN DARRELL SMITH MD

Internal Medicine (Cardiovascular Disease)