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SWAPNA KODURU M.D.
NPI 1124262209
Internal Medicine - Rheumatology in Abilene, TX

Active since April 21, 2009PECOS EnrolledAccepts Medicare Assignment
73.1/100
CMS Quality Rating
1850 HICKORY ST, SUITE 200, ABILENE, TX 79601(325) 670-4590(325) 670-4587 Get Directions Write a Review

NPPES record last updated: September 11, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Swapna Koduru M.d. NPPES

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

SWAPNA KODURU M.D. (NPI 1124262209) is an individual rheumatology provider in Abilene, Texas, licensed in Texas (P2022) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS, is affiliated with Rolling Plains Memorial Hospital, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1124262209
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameSWAPNA KODURUCredential: M.D.
Location Address1850 HICKORY ST, SUITE 200Abilene, TX 79601-2325
Mailing AddressPo Box 1198Abilene, TX 79604-1198 · (325) 670-4220 · Fax (325) 670-4040
Phone(325) 670-4590
Fax(325) 670-4587
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateApril 21, 2009
Last NPPES UpdateSeptember 11, 2014
✔ NPI 1124262209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
Licenses✔ Licensed in TX · P2022✔ Licensed in VA · 0101249330
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
1850 HICKORY ST, Abilene, TX 79601
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas.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

Swapna Koduru 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 ID6204013246
PECOS Enrollment IDI20120625000666
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.

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.
1,140 services446 patients
Injection, ketorolac tromethamine, per 15 mg J1885
Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.
130 services29 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.
112 services112 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
101 services80 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
41 services37 patients
Injection, methylprednisolone acetate, 80 mg J1040
Methylprednisolone acetate is a strong anti-inflammatory medication. It is often given as an 80 mg injection to reduce inflammation and pain. It's commonly used for conditions like arthritis, allergic disorders, or other inflammatory diseases.
24 services24 patients

Hospital Affiliations CMS Care Compare 3

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

Rolling Plains Memorial Hospital

Acute Care Hospitals · Sweetwater, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450055
Location200 E ArizonaSweetwater, TX 79556 · Nolan County
Emergency services Birthing friendly

Hendrick Medical Center

Acute Care Hospitals · Abilene, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450229
Location1900 PineAbilene, TX 79601 · Taylor County
Emergency services Birthing friendly

Hendrick Medical Center Brownwood

Acute Care Hospitals · Brownwood, TX
1/5 CMS rating
OwnershipProprietary
CMS Certification Number450587
Location1501 Burnet DrBrownwood, TX 76801 · Brown County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79601 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

73.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.26
Promoting Interoperability100
Improvement Activities40
Cost47.09

Reported Quality Measures

Cervical Cancer Screening
25%680 patients2/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
29%438 patients2/55-star benchmark: 87%
Controlling High Blood Pressure
67%482 patients3/55-star benchmark: 91%
Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <= 40%)
90%30 patients4/55-star benchmark: 99%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
56%200 patients2/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
97%4,723 patients4/55-star benchmark: 100%
e-Prescribing
95%1,860 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
24%1,654 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
23%2,550 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 62% · 1,603 patients
Patients screened: 70% · 1,603 patients
31%170 patients2/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
89%991 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
78%508 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 726 patients
Patients totalRate: 19% · 740 patients
19%740 patients3/55-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.

AMEETA KAPU MD
Obstetrics & Gynecology
1850 HICKORY ST
ABILENE, TX 79601
Jones County (325) 670-3970
DR. ROBERT WILEY MD
Pediatrics
1850 HICKORY ST, SUITE #102
ABILENE, TX 79601
Jones County (325) 677-2801
DR. JESSICA ANN ORTOLANO M.D.
Obstetrics & Gynecology
1850 HICKORY ST, SUITE 200D
ABILENE, TX 79601
Jones County (325) 670-5385
DR. VIOLETA BADDOUR MD
Internal Medicine (Rheumatology)
1850 HICKORY ST, SUITE 200F
ABILENE, TX 79601
Jones County (325) 670-4590
STEVEN WALLACE BROWN, M.D., P.A.
Neurological Surgery
1850 HICKORY ST, SUITE 101
ABILENE, TX 79601
Jones County (325) 670-4730
PRESTON LEIGH PATE MD
Internal Medicine (Pulmonary Disease)
1850 HICKORY ST, STE 103
ABILENE, TX 79601
Jones County (325) 670-3800
VIOLETA BADDOUR MD, PA
Internal Medicine (Rheumatology)
1850 HICKORY ST
ABILENE, TX 79601
Jones County (325) 670-4590
DR. STEPHEN FAEHNLE MD
Pediatrics
1850 HICKORY ST, SUITE #102
ABILENE, TX 79601
Jones County (325) 677-2801

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 Swapna Koduru's NPI number?

The NPI number for Swapna Koduru is 1124262209. It was assigned to this individual provider in the NPPES registry on April 21, 2009.

Where is Swapna Koduru located?

Swapna Koduru practices at 1850 Hickory St Suite 200, Abilene, TX 79601. The listed phone number is (325) 670-4590.

What is Swapna Koduru's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Swapna Koduru enrolled in Medicare?

Yes. Swapna Koduru 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 Swapna Koduru accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Swapna Koduru 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 Swapna Koduru affiliated with any hospitals?

According to CMS data, Swapna Koduru is affiliated with Rolling Plains Memorial Hospital, Hendrick Medical Center and Hendrick Medical Center Brownwood.

When was this NPI record last updated?

The NPPES record for Swapna Koduru was last updated on September 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.