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RAJESH BANDERUDRAPPAGARI MD
NPI 1093094260
Internal Medicine - Hematology & Oncology in Springfield, MO

Active since August 05, 2011PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
3850 S NATIONAL AVE STE 520, SPRINGFIELD, MO 65807(417) 875-3000 Get Directions Write a Review

NPPES record last updated: December 28, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 28, 2020, May 26, 2020, Sep 26, 2019 and 1 more (4 updates tracked since 2017).

About Rajesh Banderudrappagari Md NPPES

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

RAJESH BANDERUDRAPPAGARI MD (NPI 1093094260) is an individual hematology & oncology provider in Springfield, Missouri, licensed in Illinois (036142066) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS, is affiliated with Cox Medical Centers, and maintains a secondary practice location in Springfield.

NPPES Registry Identity

NPI1093094260
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameRAJESH BANDERUDRAPPAGARICredential: MD
Location Address3850 S NATIONAL AVE STE 520Springfield, MO 65807-5230
Mailing AddressPo Box 9007Springfield, MO 65808-9007 · (417) 875-3000
Phone(417) 875-3000
Sole ProprietorYes
Medical School CMSOtherGraduated 2002
Enumeration DateAugust 5, 2011
Last NPPES UpdateDecember 28, 20204 updates tracked since enumeration
NPPES CertifiedDecember 21, 2020
✔ NPI 1093094260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in IL · 036142066
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
3850 S NATIONAL AVE STE 520, Springfield, MO 65807
Open in Google Maps ↗

Secondary Practice Location 1

Location 1800 E Carpenter StSpringfield, IL 62769-1041 · Phone (217) 528-7541

Other Identifiers 1

Medicaid200090386MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cox HealthPlans.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

Rajesh Banderudrappagari 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 ID3173849742
PECOS Enrollment IDI20201112002736
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 8

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.
465 services192 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
182 services46 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.
80 services63 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
39 services39 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.
35 services35 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.
24 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Cox Medical Centers

Acute Care Hospitals · Springfield, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260040
Location3801 South National AvenueSpringfield, MO 65807 · Greene County
Emergency services Birthing friendly

Cox Medical Center Branson

Acute Care Hospitals · Branson, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260094
Location525 Branson Landing Blvd, PO Box 650Branson, MO 65615 · Taney County
Emergency services Birthing friendly

Cox Monett Hospital

Critical Access Hospitals · Monett, MO
OwnershipVoluntary non-profit - Private
CMS Certification Number261329
Location1000 E Us Highway 60Monett, MO 65708 · Barry County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65807 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
$161.24 typical visit price
range $52.28 – $161.24
Typical copayment $40.31 (range $13.07 – $40.31)
Most-billed visit code 99205
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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.

LESTER E COX MEDICAL CENTERS
Internal Medicine (Hematology & Oncology)
3850 S NATIONAL AVE STE 520
SPRINGFIELD, MO 65807
Greene County (417) 875-3000
KARIM WELAYA M.D.
Internal Medicine (Hematology)
3850 S NATIONAL AVE STE 520
SPRINGFIELD, MO 65807
Greene County (417) 875-3000

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 Rajesh Banderudrappagari's NPI number?

The NPI number for Rajesh Banderudrappagari is 1093094260. It was assigned to this individual provider in the NPPES registry on August 5, 2011.

Where is Rajesh Banderudrappagari located?

Rajesh Banderudrappagari practices at 3850 S National Ave Ste 520, Springfield, MO 65807. The listed phone number is (417) 875-3000.

What is Rajesh Banderudrappagari's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Rajesh Banderudrappagari enrolled in Medicare?

Yes. Rajesh Banderudrappagari 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 Rajesh Banderudrappagari accept?

Health plans from Cox HealthPlans list Rajesh Banderudrappagari 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 Rajesh Banderudrappagari affiliated with any hospitals?

According to CMS data, Rajesh Banderudrappagari is affiliated with Cox Medical Centers, Cox Medical Center Branson and Cox Monett Hospital.

When was this NPI record last updated?

The NPPES record for Rajesh Banderudrappagari was last updated on December 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.