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DR. PREMA MADHURI PAMIREDDY M.D.
NPI 1144466079
Internal Medicine - Pulmonary Disease in Lynchburg, VA

Active since December 23, 2008PECOS EnrolledAccepts Medicare Assignment
94.07/100
CMS Quality Rating
2011 TATE SPRINGS RD, LYNCHBURG, VA 24501(434) 947-3963(434) 947-5935 Get Directions Write a Review

NPPES record last updated: October 28, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Prema Madhuri Pamireddy M.d. NPPES

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

DR. PREMA MADHURI PAMIREDDY M.D. (NPI 1144466079) is an individual pulmonary disease provider in Lynchburg, Virginia, licensed in Wisconsin (83127-20) and active in the NPI registry since December 2008. She is enrolled in Medicare PECOS, is affiliated with Bon Secours St Marys Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1144466079
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameDR. PREMA MADHURI PAMIREDDYCredential: M.D.
Location Address2011 TATE SPRINGS RDLynchburg, VA 24501-1111
Mailing Address2011 Tate Springs RdLynchburg, VA 24501-1111 · (434) 947-3963 · Fax (434) 947-5935
Phone(434) 947-3963
Fax(434) 947-5935
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateDecember 23, 2008
Last NPPES UpdateOctober 28, 2025
NPPES CertifiedOctober 28, 2025
✔ NPI 1144466079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses✔ Licensed in WI · 83127-20✔ Licensed in VA · 0101254288
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.
2011 TATE SPRINGS RD, Lynchburg, VA 24501
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11840 Amherst StWinchester, VA 22601-2808 · Phone (540) 536-8000 · Fax (540) 536-7780
Location 2190 Campus Blvd Ste 201Winchester, VA 22601-2872 · Phone (540) 536-5980 · Fax (540) 536-5979

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Prema Madhuri Pamireddy 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 ID6608017413
PECOS Enrollment IDI20130720000032, I20251202001544
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.

Medicare Billing Reassignments

6

Medicare enrollment records show Prema Madhuri Pamireddy reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Centra Health Professional Services,llc
0.1 mi
Neurological Surgery
2138 LANGHORNE RD
Lynchburg, VA 24501
  • Reassigned Medicare billing, Virginia enrollment
  • Medicare enrollment name: Centra Medical Group LLC
  • 757 clinicians in this Medicare group
NPI 1730483488 (434) 200-2900
Richmond Heart And Vascular Associates
100 mi
Interventional Cardiology
8160 PLEASANT GROVE ROAD, SUITE 101
Mechanicsville, VA 23116
  • Reassigned Medicare billing, Virginia enrollment
  • 31 clinicians in this Medicare group
NPI 1508519745 (804) 800-6600
Winchester Medical Center
132 mi
Family Medicine
230 COSTELLO DR STE B
Winchester, VA 22602
  • Reassigned Medicare billing, Virginia enrollment
  • 756 clinicians in this Medicare group
NPI 1356153415 (540) 536-5400
Valley Physician Enterprise, Inc.
132 mi
Endocrinology, Diabetes & Metabolism
519 W JUBAL EARLY DR STE 200
Winchester, VA 22601
  • Reassigned Medicare billing, Virginia enrollment
  • 386 clinicians in this Medicare group
NPI 1578307559 (540) 536-2110
Virginia Institute Of Lung Diseases LLC
153 mi
Pulmonary Disease
101 PICKETT PL
Yorktown, VA 23693
  • Reassigned Medicare billing, Virginia enrollment
  • 19 clinicians in this Medicare group
NPI 1144945353 (502) 244-9859
Bellin Memorial Hospital Inc
641 mi
Cardiovascular Disease
208 EAST REED STREET, SUITE B
Manitowoc, WI 54220
  • Reassigned Medicare billing, Wisconsin enrollment
  • 875 clinicians in this Medicare group
NPI 1710130216 (920) 264-2920

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.
35 services34 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.
34 services34 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.
11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Bon Secours St Marys Hospital

Acute Care Hospitals · Richmond, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number490059
Location5801 Bremo RdRichmond, VA 23226 · Richmond City County
Emergency services Birthing friendly

Bon Secours Memorial Regional Medical Center

Acute Care Hospitals · Mechanicsville, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number490069
Location8260 Atlee RoadMechanicsville, VA 23116 · Hanover County
Emergency services Birthing friendly

Cjw Medical Center

Acute Care Hospitals · Richmond, VA
4/5 CMS rating
OwnershipProprietary
CMS Certification Number490112
Location7101 Jahnke RoadRichmond, VA 23235 · Chesterfield County
Emergency services

Bellin Memorial Hospital

Acute Care Hospitals · Green Bay, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520049
Location744 S Webster AveGreen Bay, WI 54305 · Brown County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24501 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

94.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.44
Promoting Interoperability94
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 16

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
5 suppliers15 claims15 services$40.06 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers20 claims20 services$82.42 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers17 claims51 services$30.69 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers11 claims11 services$56.66 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
7 suppliers19 claims19 services$17.68 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
4 suppliers13 claims13 services$13.66 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 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. REBECCA BREWER FERGUSON PA-C
Physician Assistant
2011 TATE SPRINGS RD
LYNCHBURG, VA 24501
Campbell County (434) 947-3963
JOSEPH B KHOURY M.D.
Internal Medicine (Pulmonary Disease)
2011 TATE SPRINGS RD
LYNCHBURG, VA 24501
Campbell County (434) 947-3963
JAMIE WILLIAMS
Nurse Practitioner (Family)
2011 TATE SPRINGS RD
LYNCHBURG, VA 24501
Campbell County (434) 947-3963
SARAH C HELLEWELL M.D.
Internal Medicine (Pulmonary Disease)
2011 TATE SPRINGS RD
LYNCHBURG, VA 24501
Campbell County (434) 947-3963
BLAIR STEPHENS FORD FNP
Nurse Practitioner (Family)
2011 TATE SPRINGS RD
LYNCHBURG, VA 24501
Campbell County (434) 947-3963
JOHN F PLANKEEL M.D.
Internal Medicine (Pulmonary Disease)
2011 TATE SPRINGS RD
LYNCHBURG, VA 24501
Campbell County (434) 947-3963
CENTRA MEDICAL GROUP, LLC
Internal Medicine (Pulmonary Disease)
2011 TATE SPRINGS RD
LYNCHBURG, VA 24501
Campbell County (434) 947-3963
MICHAEL G. MILAM M.D.
Internal Medicine (Pulmonary Disease)
2011 TATE SPRINGS RD
LYNCHBURG, VA 24501
Campbell County (434) 947-3963

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 Prema Madhuri Pamireddy's NPI number?

The NPI number for Prema Madhuri Pamireddy is 1144466079. It was assigned to this individual provider in the NPPES registry on December 23, 2008.

Where is Prema Madhuri Pamireddy located?

Prema Madhuri Pamireddy practices at 2011 Tate Springs Rd, Lynchburg, VA 24501. The listed phone number is (434) 947-3963.

What is Prema Madhuri Pamireddy's specialty?

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

Is Prema Madhuri Pamireddy enrolled in Medicare?

Yes. Prema Madhuri Pamireddy 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.

Which organizations bill Medicare for Prema Madhuri Pamireddy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Prema Madhuri Pamireddy reassigns Medicare benefits to 6 organizations: Centra Health Professional Services,llc (Lynchburg, VA), Richmond Heart And Vascular Associates (Mechanicsville, VA), Winchester Medical Center (Winchester, VA), Valley Physician Enterprise, Inc. (Winchester, VA), Virginia Institute Of Lung Diseases LLC (Yorktown, VA) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Prema Madhuri Pamireddy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Prema Madhuri Pamireddy accept?

Health plans from CareSource list Prema Madhuri Pamireddy 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 Prema Madhuri Pamireddy affiliated with any hospitals?

According to CMS data, Prema Madhuri Pamireddy is affiliated with Bon Secours St Marys Hospital, Bon Secours Memorial Regional Medical Center, Cjw Medical Center and Bellin Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Prema Madhuri Pamireddy was last updated on October 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.