LAKSHMI PAVAN MANCHINENI M.D
NPI 1104123017
Hospitalist in Worcester, MA

Active since February 13, 2011PECOS EnrolledAccepts Medicare Assignment
119 BELMONT ST, HOSPITAL MEDICINE, WORCESTER, MA 01605(508) 334-8515(508) 334-6490 Get Directions Write a Review

NPPES record last updated: September 16, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lakshmi Pavan Manchineni M.d NPPES

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

LAKSHMI PAVAN MANCHINENI M.D (NPI 1104123017) is an individual hospitalist provider in Worcester, Massachusetts, licensed in California (C144266) and active in the NPI registry since February 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1104123017
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameLAKSHMI PAVAN MANCHINENICredential: M.D
Location Address119 BELMONT ST, HOSPITAL MEDICINEWorcester, MA 01605-2903
Mailing Address1350 N Capitol Ave Unit 2San Jose, CA 95132-2521 · (914) 414-6159
Fax(508) 334-6490
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateFebruary 13, 2011
Last NPPES UpdateSeptember 16, 2022
NPPES CertifiedSeptember 16, 2022
NPI 1104123017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in CA · C144266
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 247038 (MA)
119 BELMONT ST, Worcester, MA 01605

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

Lakshmi Pavan Manchineni 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 ID4789853219
PECOS Enrollment IDI20161213001957
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 6

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 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.
445 services204 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.
171 services161 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
162 services153 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.
134 services70 patients
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.
128 services60 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
18 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01605 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
79%38 patients4/55-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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers12 claims12 services$18.03 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
3 suppliers45 claims45 services$69.19 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier23 claims23 services$30.65 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.

Family Medicine
119 BELMONT ST
WORCESTER, MA 01605
Internal Medicine (Rheumatology)
119 BELMONT ST
WORCESTER, MA 01605
Nurse Practitioner (Neonatal, Critical Care)
119 BELMONT ST
WORCESTER, MA 01605
Obstetrics & Gynecology (Maternal & Fetal Medicine)
119 BELMONT ST
WORCESTER, MA 01605
Nurse Practitioner
119 BELMONT ST
WORCESTER, MA 01605
Social Worker
119 BELMONT ST
WORCESTER, MA 01605
Orthopaedic Surgery
119 BELMONT ST
WORCESTER, MA 01605
Physician Assistant
119 BELMONT ST
WORCESTER, MA 01605

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 Lakshmi Pavan Manchineni's NPI number?

The NPI number for Lakshmi Pavan Manchineni is 1104123017. It was assigned to this individual provider in the NPPES registry on February 13, 2011.

Where is Lakshmi Pavan Manchineni located?

Lakshmi Pavan Manchineni practices at 119 Belmont St Hospital Medicine, Worcester, MA 01605. The listed phone number is (508) 334-8515.

What is Lakshmi Pavan Manchineni's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Lakshmi Pavan Manchineni enrolled in Medicare?

Yes. Lakshmi Pavan Manchineni 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.

When was this NPI record last updated?

The NPPES record for Lakshmi Pavan Manchineni was last updated on September 16, 2022. 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.