DR. VAMSHIDHAR REDDY VOOTLA M.D.
NPI 1144485467
Internal Medicine - Gastroenterology in Hagerstown, MD

Active since July 25, 2008PECOS EnrolledAccepts Medicare Assignment
86.92/100
CMS Quality Rating
11110 MEDICAL CAMPUS RD STE 242, HAGERSTOWN, MD 21742(240) 513-7072 Get Directions Write a Review

NPPES record last updated: March 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 9, 2024, May 11, 2023, Aug 12, 2016 (3 updates tracked since 2016).

About Dr. Vamshidhar Reddy Vootla M.d. NPPES

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

DR. VAMSHIDHAR REDDY VOOTLA M.D. (NPI 1144485467) is an individual gastroenterology provider in Hagerstown, Maryland, licensed in Maryland (D813701) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Meritus Medical Center, and maintains a secondary practice location in Cumberland.

NPPES Registry Identity

NPI1144485467
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. VAMSHIDHAR REDDY VOOTLACredential: M.D.
Location Address11110 MEDICAL CAMPUS RD STE 242Hagerstown, MD 21742-6728
Mailing Address11110 Medical Campus Rd Ste 242Hagerstown, MD 21742-6728 · (240) 513-7072
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJuly 25, 2008
Last NPPES UpdateMarch 9, 20243 updates tracked since enumeration
NPPES CertifiedMarch 9, 2024
NPI 1144485467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in MD · D813701
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 004077 (NY)
11110 MEDICAL CAMPUS RD STE 242, Hagerstown, MD 21742

Secondary Practice Location 1

Location 112502 Willowbrook RdCumberland, MD 21502-6491 · Phone (240) 964-8717

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. Vamshidhar Reddy Vootla 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 ID3678720034
PECOS Enrollment IDI20160822000057
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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
188 services188 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.
170 services91 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.
160 services160 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
147 services143 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.
141 services120 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.
110 services106 patients

Hospital Affiliations CMS Care Compare 3

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

Meritus Medical Center

Acute Care Hospitals · Hagerstown, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210001
Location11116 Medical Campus RoadHagerstown, MD 21742 · Washington County
Emergency services Birthing friendly

Western Maryland Regional Medical Center

Acute Care Hospitals · Cumberland, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210027
Location12500 Willowbrook RoadCumberland, MD 21502 · Allegany County
Emergency services Birthing friendly

Valley Health War Memorial Hospital

Critical Access Hospitals · Berkeley Springs, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number511309
Location1 Healthy WayBerkeley Springs, WV 25411 · Morgan County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21742 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
$133.05 typical visit price
range $57.99 – $175.57
Typical copayment $33.26 (range $14.49 – $43.89)
Most-billed visit code 99204
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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.

86.92/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.08
Promoting Interoperability100
Improvement Activities40
Cost80.8

Other Providers at the Same Location NPPES 4

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

Clinic/Center (Ambulatory Surgical)
11110 MEDICAL CAMPUS RD STE 242
HAGERSTOWN, MD 21742
Internal Medicine (Gastroenterology)
11110 MEDICAL CAMPUS RD STE 242
HAGERSTOWN, MD 21742
Internal Medicine (Gastroenterology)
11110 MEDICAL CAMPUS RD STE 242
HAGERSTOWN, MD 21742
Internal Medicine (Gastroenterology)
11110 MEDICAL CAMPUS RD STE 242
HAGERSTOWN, MD 21742

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 Vamshidhar Vootla's NPI number?

The NPI number for Vamshidhar Vootla is 1144485467. It was assigned to this individual provider in the NPPES registry on July 25, 2008.

Where is Vamshidhar Vootla located?

Vamshidhar Vootla practices at 11110 Medical Campus Rd Ste 242, Hagerstown, MD 21742. The listed phone number is (240) 513-7072.

What is Vamshidhar Vootla's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Vamshidhar Vootla enrolled in Medicare?

Yes. Vamshidhar Vootla 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 Vamshidhar Vootla accept?

Health plans from CareSource list Vamshidhar Vootla 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 Vamshidhar Vootla affiliated with any hospitals?

According to CMS data, Vamshidhar Vootla is affiliated with Meritus Medical Center, Western Maryland Regional Medical Center and Valley Health War Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Vamshidhar Vootla was last updated on March 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.