DR. GAUTAM BHIMIDI REDDY M.D.
NPI 1083898365
Internal Medicine - Interventional Cardiology in Plano, TX

Q: What is Gautam Reddy's NPI number?

The NPI number for Gautam Reddy is 1083898365. It was assigned to this individual provider in the NPPES registry on December 22, 2007.

Q: What is Gautam Reddy's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Q: When was this NPI record last updated?

The NPPES record for Gautam Reddy was last updated on May 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since December 22, 2007PECOS EnrolledAccepts Medicare Assignment

83.89/100

CMS Quality Rating

3801 W 15TH ST, BLDG B, SUITE 320, PLANO, TX 75075(972) 985-8838(844) 292-1457 Get Directions Write a Review

NPPES record last updated: May 19, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 19, 2023, Sep 23, 2022 (2 updates tracked since 2022).

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About Dr. Gautam Bhimidi Reddy M.d. NPPES

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

DR. GAUTAM BHIMIDI REDDY M.D. (NPI 1083898365) is an individual interventional cardiology provider in Plano, Texas, licensed in Texas (P3064) and active in the NPI registry since December 2007. He is enrolled in Medicare PECOS, is affiliated with Medical City Plano, and is a graduate of University Of Connecticut School Of Medicine (2001).

NPPES Registry Identity

NPI1083898365

Entity TypeIndividualMale

Primary Taxonomy207RI0011X

Provider Legal NameDR. GAUTAM BHIMIDI REDDYCredential: M.D.

Location Address3801 W 15TH ST, BLDG B, SUITE 320Plano, TX 75075-4737

Mailing Address3801 W 15th St Ste 320Plano, TX 75075-7767 · (972) 985-8838 · Fax (844) 292-1457

Phone(972) 985-8838

Fax(844) 292-1457

Sole ProprietorNo

Medical School CMSUniversity Of Connecticut School Of MedicineGraduated 2001

Enumeration DateDecember 22, 2007

Last NPPES UpdateMay 19, 20232 updates tracked since enumeration

NPPES CertifiedMay 19, 2023

✔ NPI 1083898365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RI0011X

Licenses✔ Licensed in TX · P3064✔ Licensed in GA · 68545

Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 68545 (GA)

Also ListedNuclear Medicine · Nuclear CardiologyTaxonomy 207UN0901X · License P3064 (TX)

3801 W 15TH ST, Plano, TX 75075

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Other Identifiers 1

Medicaid334371701TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Oscar Insurance Company.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. Gautam Bhimidi Reddy 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 ID648427153

PECOS Enrollment IDI20140519000742

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 23

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.

561 services354 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

348 services327 patients

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.

189 services87 patients

Injection, regadenoson, 0.1 mg J2785

Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.

132 services33 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

130 services128 patients

Heart muscle strain imaging 93356

Heart muscle strain imaging is a non-invasive test that uses sound waves to create pictures of your heart. It helps doctors evaluate how well your heart muscle is working and detect any damage or disease. This can aid in diagnosing heart conditions and guiding treatment plans.

118 services117 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

81 services81 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.

63 services62 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician 93015

An exercise or drug-induced heart stress test with ECG is a procedure performed by a doctor to assess how your heart responds to exertion. It involves monitoring your heart's electrical activity while you exercise or after medication is given to mimic exercise effects.

47 services47 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.

47 services47 patients

Technetium tc-99m tetrofosmin, diagnostic, per study dose A9502

Technetium Tc-99m Tetrofosmin is a radiopharmaceutical used in diagnostic imaging. It helps highlight areas of concern in the heart by emitting signals captured by a special camera. This assists doctors in detecting heart conditions.

39 services36 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

37 services37 patients

Telephone, internet, or electronic health record assessment and management with written report by consulting physician, at least 5 minutes 99451

This service involves a consulting physician assessing your health condition via a phone or internet interaction. The doctor will spend at least 5 minutes discussing your health concerns. Afterwards, a written report summarizing the findings and recommendations will be provided for your reference.

37 services29 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

36 services33 patients

Ultrasound of both sides of head and neck blood flow 93880

An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.

25 services25 patients

Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458

This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.

24 services24 patients

Ultrasound study of arm or leg veins with compression and maneuvers 93970

An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.

19 services19 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.

18 services18 patients

Ultrasound of heart blood flow, valves and chambers 93320

An ultrasound of your heart, also known as an echocardiogram, is a test that uses sound waves to create detailed images of your heart. It helps doctors check the health of your heart's chambers, valves, and blood flow.

16 services16 patients

Ultrasound of heart with color-depicted blood flow, rate and valve function 93325

An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.

16 services16 patients

Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report 93351

This procedure involves using ultrasound technology to create images of your heart while you rest, exercise, or undergo drug-induced stress. An ECG continuously monitors your heart's electrical activity. It helps doctors assess heart health and function.

16 services16 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.

15 services15 patients

Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch 92928

This procedure involves placing a small, mesh tube (stent) in your coronary artery to keep it open. A balloon is used to expand the stent and artery, improving blood flow to your heart. It's typically done for a single artery or branch.

12 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Medical City Plano

Acute Care Hospitals · Plano, TX

3/5 CMS rating

OwnershipProprietary

CMS Certification Number450651

Location3901 W 15th StPlano, TX 75075 · Collin County

Emergency services Birthing friendly

Baylor Scott & White Medical Center Plano

Acute Care Hospitals · Plano, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number450890

Location4700 Alliance BoulevardPlano, TX 75093 · Collin County

Emergency services

Baylor Scott & White The Heart Hospital - Plano

Acute Care Hospitals · Plano, TX

5/5 CMS rating

OwnershipProprietary

CMS Certification Number670025

Location1100 Allied DrivePlano, TX 75093 · Collin County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75075 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

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

83.89/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

85.11

Promoting Interoperability

100

Improvement Activities

Cost

56.99

Reported Quality Measures

Advance Care Plan

50%991 patients3/55-star benchmark: 100%

Closing the Referral Loop: Receipt of Specialist Report

0%20 patients1/55-star benchmark: 87%

Controlling High Blood Pressure

76%778 patients4/55-star benchmark: 91%

Coronary Artery Disease (CAD): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy - Diabetes or Left Ventricular Systolic Dysfunction (LVEF <= 40%)

84%62 patients4/55-star benchmark: 100%

Coronary Artery Disease (CAD): Antiplatelet Therapy

83%482 patients4/55-star benchmark: 100%

Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <= 40%)

95%43 patients4/55-star benchmark: 99%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

99%141 patients1/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

90%2,119 patients4/55-star benchmark: 100%

e-Prescribing

99%601 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

0%771 patients1/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

29%1,244 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

24%679 patients2/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 80% · 520 patients

Patients screened: 84% · 520 patients

35%34 patients2/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

91%505 patients4/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

87%739 patients4/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 791 patients

Patients totalRate: 0% · 791 patients

0%791 patients5/55-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 20

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

WEST PLANO OB GYN SPECIALISTS

Obstetrics & Gynecology

3801 W 15TH ST, SUITE 270
PLANO, TX 75075

Collin County (972) 964-5514

FOLASHADE LESTER, M.D. PA

Family Medicine

3801 W 15TH ST, 350-B
PLANO, TX 75075

Collin County (972) 867-9300

BETH VANDERHOFF ANGLIN M.D.

Surgery (Surgical Oncology)

3801 W 15TH ST, BLDG A, SUITE 210
PLANO, TX 75075

Collin County (214) 501-5427

DR. RAJJIT ABROL MD

Internal Medicine (Clinical Cardiac Electrophysiology)

3801 W 15TH ST, BLDG B, SUITE 320
PLANO, TX 75075

Collin County (972) 985-8838

TRACY C. WOEHL CRNA, P.C.

Nurse Anesthetist, Certified Registered

3801 W 15TH ST, SUITE 150
PLANO, TX 75075

Collin County (972) 543-2477

DR. MARC S PIENIEK MD

Internal Medicine (Cardiovascular Disease)

3801 W 15TH ST, BLDG B, SUITE 320
PLANO, TX 75075

Collin County (972) 985-8838

DAVID R STAGER SR. M.D.

Ophthalmology

3801 W 15TH ST, A-110
PLANO, TX 75075

Collin County (214) 281-1878

DR. JOHN W DUNCAN MD

Internal Medicine (Cardiovascular Disease)

3801 W 15TH ST, BLDG B, SUITE 320
PLANO, TX 75075

Collin County (972) 985-8838

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 Gautam Reddy's NPI number?

The NPI number for Gautam Reddy is 1083898365. It was assigned to this individual provider in the NPPES registry on December 22, 2007.

Where is Gautam Reddy located?

Gautam Reddy practices at 3801 W 15th St Bldg B, Suite 320, Plano, TX 75075. The listed phone number is (972) 985-8838.

What is Gautam Reddy's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Gautam Reddy enrolled in Medicare?

Yes. Gautam Reddy 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 Gautam Reddy accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Gautam Reddy 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 Gautam Reddy affiliated with any hospitals?

According to CMS data, Gautam Reddy is affiliated with Medical City Plano, Baylor Scott & White Medical Center Plano and Baylor Scott & White The Heart Hospital - Plano.

When was this NPI record last updated?

The NPPES record for Gautam Reddy was last updated on May 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.