MR. JANNA REDDY PATHI MD
NPI 1154309292
Surgery in Eldorado, IL

Active since January 09, 2006PECOS EnrolledAccepts Medicare Assignment
95.01/100
CMS Quality Rating
1201 PINE ST, ELDORADO, IL 62930(618) 273-3361 Get Directions Write a Review

NPPES record last updated: February 12, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Janna Reddy Pathi Md NPPES

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

MR. JANNA REDDY PATHI MD (NPI 1154309292) is an individual surgery provider in Eldorado, Illinois, licensed in Kentucky (31000) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Ferrell Hospital Community Foundations, and is a graduate of Other (1975).

NPPES Registry Identity

NPI1154309292
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameMR. JANNA REDDY PATHICredential: MD
Location Address1201 PINE STEldorado, IL 62930-1634
Mailing AddressPo Box 148Hartford, KY 42347-0148 · (270) 298-5417 · Fax (270) 298-5285
Sole ProprietorNo
Medical School CMSOtherGraduated 1975
Enumeration DateJanuary 9, 2006
Last NPPES UpdateFebruary 12, 2024
NPPES CertifiedFebruary 12, 2024
NPI 1154309292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses Licensed in KY · 31000 Licensed in IL · 036.140240
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1201 PINE ST, Eldorado, IL 62930

Other Identifiers 5

Other1065454KY · Passport
Medicaid64310006KY
Other000000042142Bcbs
Other000000538224KY · Anthem
Other020025142KY · Railroad Medicare

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

Mr. Janna Reddy Pathi Md 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 ID5597750216
PECOS Enrollment IDI20160114001995, I20160531001938
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 8

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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, 30-39 minutes 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.
82 services36 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
81 services36 patients
New patient office or other outpatient visit, 45-59 minutes 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.
31 services31 patients
Established patient office or other outpatient visit, 10-19 minutes 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
15 services12 patients
New patient office or other outpatient visit, 30-44 minutes 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.
11 services11 patients
Melanoma (skin cancer) excision NAN03
Melanoma excision is a procedure where a surgeon removes melanoma, a type of skin cancer, and some surrounding healthy tissue. Local anesthesia is applied to numb the area. The goal is to completely remove the cancer and prevent its spread. Healing time varies.
0 services1 patient

Hospital Affiliations CMS Care Compare

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

Ferrell Hospital Community Foundations

Critical Access Hospitals · Eldorado, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141324
Location1201 Pine StreetEldorado, IL 62930 · Saline County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62930 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

95.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Quality80.02
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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

Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
1 supplier25 claims946 services$6.64 avg. paid by Medicare
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard A6446
DME-Medical/Surgical Supplies · category DA023N
1 supplier12 claims1,240 services$0.35 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.

Pharmacist
1201 PINE ST
ELDORADO, IL 62930
Occupational Therapist
1201 PINE ST
ELDORADO, IL 62930
Physical Therapist
1201 PINE ST
ELDORADO, IL 62930
Emergency Medicine
1201 PINE ST
ELDORADO, IL 62930
Family Medicine
1201 PINE ST
ELDORADO, IL 62930
Counselor (Professional)
1201 PINE ST
ELDORADO, IL 62930
Social Worker (Clinical)
1201 PINE ST
ELDORADO, IL 62930
Internal Medicine
1201 PINE ST
ELDORADO, IL 62930

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154309292, enumerated as an "individual" on January 09, 2006.

The provider is located at 1201 PINE ST ELDORADO, IL 62930 and the phone number is (618) 273-3361.

Surgery with taxonomy code 208600000X.

The provider might be accepting Accepts: CareSource, Medicare, Medicaid, Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.

Janna Pathi is affiliated with: FERRELL HOSPITAL COMMUNITY FOUNDATIONS.