DR. GOWRAMMA SHIVASHANKAR M.D.
NPI 1093867079
Psychiatry & Neurology - Psychiatry in Middletown, NY

Q: What is Gowramma Shivashankar's NPI number?

The NPI number for Gowramma Shivashankar is 1093867079. It was assigned to this individual provider in the NPPES registry on January 18, 2007.

Q: What is Gowramma Shivashankar's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Active since January 18, 2007PECOS EnrolledAccepts Medicare Assignment

81.4/100

CMS Quality Rating

707 E MAIN ST, MIDDLETOWN, NY 10940(845) 333-2260(845) 333-2245 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Gowramma Shivashankar M.d. NPPES

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

DR. GOWRAMMA SHIVASHANKAR M.D. (NPI 1093867079) is an individual psychiatry provider in Middletown, New York, licensed in New York (172639-1) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, is affiliated with Garnet Health Medical Center, and is a graduate of Other (1976).

NPPES Registry Identity

NPI1093867079

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameDR. GOWRAMMA SHIVASHANKARCredential: M.D.

Location Address707 E MAIN STMiddletown, NY 10940-2650

Mailing Address707 E Main StMiddletown, NY 10940-2650 · (845) 333-2260 · Fax (845) 333-2245

Phone(845) 333-2260

Fax(845) 333-2245

Sole ProprietorNo

Medical School CMSOtherGraduated 1976

Enumeration DateJanuary 18, 2007

Last NPPES UpdateNovember 27, 2023

NPPES CertifiedSeptember 11, 2020

✔ NPI 1093867079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in NY · 172639-1

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

707 E MAIN ST, Middletown, NY 10940

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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. Gowramma Shivashankar 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 ID2264616572

PECOS Enrollment IDI20110412000267

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.

147 services31 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.

25 services22 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.

21 services21 patients

Smoking and tobacco use intensive counseling, 4-10 minutes 99406

This service provides brief, intensive counseling (4-10 minutes) to support you in quitting smoking or tobacco use. It involves discussing the risks of tobacco use, benefits of quitting, and strategies to help you stop. It's a critical step towards a healthier lifestyle.

13 services13 patients

Hospital Affiliations CMS Care Compare

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

Garnet Health Medical Center

Acute Care Hospitals · Middletown, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330126

Location707 East Main StreetMiddletown, NY 10940 · Orange County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10940 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

$187.05 typical visit price

range $61.88 – $187.05

Typical copayment $46.76 (range $15.47 – $46.76)

Most-billed visit code 99205

Established Patient

$76.88 typical visit price

range $19.92 – $151.94

Typical copayment $19.22 (range $4.98 – $37.98)

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.

81.4/100

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

Scored as part of a group practice

Quality

59.67

Promoting Interoperability

100

Improvement Activities

Cost

55.11

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.

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