AKSHAY AVULA M.D.
NPI 1104114776
Internal Medicine - Pulmonary Disease in Harrisburg, PA

Active since July 18, 2011PECOS EnrolledAccepts Medicare Assignment
82.54/100
CMS Quality Rating
111 S FRONT ST, HARRISBURG, PA 17101(717) 231-8772 Get Directions Write a Review

NPPES record last updated: January 26, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 26, 2023, Jun 8, 2021, May 5, 2021 (3 updates tracked since 2021).

About Akshay Avula M.d. NPPES

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

AKSHAY AVULA M.D. (NPI 1104114776) is an individual pulmonary disease provider in Harrisburg, Pennsylvania, licensed in Pennsylvania (MD452326) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS, is affiliated with Upmc Carlisle, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1104114776
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameAKSHAY AVULACredential: M.D.
Location Address111 S FRONT STHarrisburg, PA 17101-2010
Mailing Address111 S Front StHarrisburg, PA 17101-2010 · (717) 231-8772
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJuly 18, 2011
Last NPPES UpdateJanuary 26, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2023
NPI 1104114776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in PA · MD452326
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD452326 (PA)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License MD452326 (PA)
111 S FRONT ST, Harrisburg, PA 17101

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

Akshay Avula 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 ID8820241706
PECOS Enrollment IDI20140820002164
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 10

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
80 services29 patients
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.
62 services49 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.
57 services39 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
32 services32 patients
Test to determine lung volumes using gas dilution or washout 94727
This test measures lung volumes by either diluting or washing out a known amount of gas in your lungs. You'll breathe in a harmless gas, then exhale. The exhaled air is analyzed to assess your lung capacity and function.
23 services23 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.
21 services21 patients

Hospital Affiliations CMS Care Compare 2

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

Upmc Carlisle

Acute Care Hospitals · Carlisle, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390058
Location361 Alexander Spring RoadCarlisle, PA 17015 · Cumberland County
Emergency services Birthing friendly

Upmc Pinnacle Hospitals

Acute Care Hospitals · Harrisburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390067
Location409 South Second StreetHarrisburg, PA 17104 · Dauphin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17101 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

82.54/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.62
Promoting Interoperability100
Improvement Activities40
Cost65.18

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier11 claims11 services$50.19 avg. paid by Medicare
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
2 suppliers18 claims18 services$80.31 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Emergency Medicine
111 S FRONT ST
HARRISBURG, PA 17101
Family Medicine
111 S FRONT ST
HARRISBURG, PA 17101
Nurse Anesthetist, Certified Registered
111 S FRONT ST
HARRISBURG, PA 17101
Nurse Anesthetist, Certified Registered
111 S FRONT ST
HARRISBURG, PA 17101
Internal Medicine
111 S FRONT ST
HARRISBURG, PA 17101
Dietitian, Registered
111 S FRONT ST
HARRISBURG, PA 17101
Student in an Organized Health Care Education/Training Program
111 S FRONT ST
HARRISBURG, PA 17101
Nurse Practitioner (Family)
111 S FRONT ST
HARRISBURG, PA 17101

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 Akshay Avula's NPI number?

The NPI number for Akshay Avula is 1104114776. It was assigned to this individual provider in the NPPES registry on July 18, 2011.

Where is Akshay Avula located?

Akshay Avula practices at 111 S Front St, Harrisburg, PA 17101. The listed phone number is (717) 231-8772.

What is Akshay Avula's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Akshay Avula enrolled in Medicare?

Yes. Akshay Avula 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.

Is Akshay Avula affiliated with any hospitals?

According to CMS data, Akshay Avula is affiliated with Upmc Carlisle and Upmc Pinnacle Hospitals.

When was this NPI record last updated?

The NPPES record for Akshay Avula was last updated on January 26, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.