DR. ARCHANA VENUMBAKA REDDY M.D.
NPI 1104814219
Ophthalmology in Tucson, AZ

Active since October 12, 2005PECOS EnrolledAccepts Medicare Assignment
75.99/100
CMS Quality Rating
5240 E KNIGHT DR, STE 104, TUCSON, AZ 85712(520) 888-6600 Get Directions Write a Review

NPPES record last updated: August 19, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 19, 2021, Jun 11, 2019, Oct 17, 2018 and 1 more (4 updates tracked since 2018).

About Dr. Archana Venumbaka Reddy M.d. NPPES

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

DR. ARCHANA VENUMBAKA REDDY M.D. (NPI 1104814219) is an individual ophthalmology provider in Tucson, Arizona, licensed in Texas (R7094) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (2000).

NPPES Registry Identity

NPI1104814219
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameDR. ARCHANA VENUMBAKA REDDYCredential: M.D.
Location Address5240 E KNIGHT DR, STE 104Tucson, AZ 85712-2183
Mailing Address5240 E Knight Dr, Ste 104Tucson, AZ 85712-2183 · (520) 888-6600
Sole ProprietorNo
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 2000
Enumeration DateOctober 12, 2005
Last NPPES UpdateAugust 19, 20214 updates tracked since enumeration
NPPES CertifiedAugust 10, 2020
NPI 1104814219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in TX · R7094
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedOphthalmology · Cornea and External Diseases SpecialistTaxonomy 207WX0120X · License R7094 (TX)
5240 E KNIGHT DR, Tucson, AZ 85712

Accepted 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. Archana Venumbaka 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 ID2567441249
PECOS Enrollment IDI20191007003706
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 17

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.
422 services387 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.
186 services133 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.
163 services163 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
128 services126 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
123 services110 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
121 services68 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85712 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

75.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost19.97

Reported Quality Measures

Complications After Cataract Surgery
Lower rates are better for this measure.
0%58 patients
Diabetes: Eye Exam
100%323 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
99%1,368 patients4/55-star benchmark: 100%
Glaucoma Intraocular Pressure Reduction
98%80 patients
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
100%80 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,413 patients
Patients totalRate: 0% · 1,413 patients
0%1,413 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.

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.

Internal Medicine (Infectious Disease)
5240 E KNIGHT DR, SUITE 114
TUCSON, AZ 85712
Internal Medicine (Infectious Disease)
5240 E KNIGHT DR, SUITE #114
TUCSON, AZ 85712
Ophthalmology
5240 E KNIGHT DR, STE 104
TUCSON, AZ 85712
Ophthalmology
5240 E KNIGHT DR, STE 104
TUCSON, AZ 85712
Obstetrics & Gynecology (Gynecology)
5240 E KNIGHT DR, SUITE 112
TUCSON, AZ 85712
Surgery (Vascular Surgery)
5240 E KNIGHT DR, SUITE 116
TUCSON, AZ 85712
General Practice
5240 E KNIGHT DR, SUITE 100
TUCSON, AZ 85712
Psychiatry & Neurology (Psychiatry)
5240 E KNIGHT DR, STE 120
TUCSON, AZ 85712

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 Archana Reddy's NPI number?

The NPI number for Archana Reddy is 1104814219. It was assigned to this individual provider in the NPPES registry on October 12, 2005.

Where is Archana Reddy located?

Archana Reddy practices at 5240 E Knight Dr Ste 104, Tucson, AZ 85712. The listed phone number is (520) 888-6600.

What is Archana Reddy's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Archana Reddy enrolled in Medicare?

Yes. Archana 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 Archana Reddy accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Archana 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.

When was this NPI record last updated?

The NPPES record for Archana Reddy was last updated on August 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.