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DR. RAVISHANKAR E. RAO M.D.
NPI 1154617306
Family Medicine - Sports Medicine in La Mesa, CA

Active since June 27, 2011PECOS EnrolledAccepts Medicare Assignment
71.78/100
CMS Quality Rating
8851 CENTER DR STE 500, LA MESA, CA 91942(619) 740-5757 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Ravishankar E. Rao M.d. NPPES

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

DR. RAVISHANKAR E. RAO M.D. (NPI 1154617306) is an individual sports medicine provider in La Mesa, California, licensed in California (C202218) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Geisinger-lewistown Hospital, and is a graduate of Pennsylvania State University College Of Medicine (2011).

NPPES Registry Identity

NPI1154617306
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameDR. RAVISHANKAR E. RAOCredential: M.D.
Location Address8851 CENTER DR STE 500La Mesa, CA 91942-3033
Mailing Address8851 Center Dr Ste 500La Mesa, CA 91942-3033 · (619) 740-5757
Phone(619) 740-5757
Sole ProprietorNo
Medical School CMSPennsylvania State University College Of MedicineGraduated 2011
Enumeration DateJune 27, 2011
Last NPPES UpdateOctober 21, 2025
NPPES CertifiedOctober 21, 2025
✔ NPI 1154617306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in CA · C202218
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
8851 CENTER DR STE 500, La Mesa, CA 91942
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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. Ravishankar E. Rao 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 ID3779899075
PECOS Enrollment IDI20251010001924
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

2

Medicare enrollment records show Ravishankar Rao reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sharpcare Medical Group, Apc
11 mi
Family Medicine
230 PROSPECT PLACE, SUITE 340-B
Coronado, CA 92118
  • Reassigned Medicare billing, California enrollment
  • 22 clinicians in this Medicare group
NPI 1730521568 (619) 522-4000
Milton S Hershey Medical Center Physicians Group
2,263 mi
Family Medicine
140 OLD WILLOW MILL RD
Mechanicsburg, PA 17050
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2,216 clinicians in this Medicare group
NPI 1235678939 (717) 766-4635

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 8

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
122 services81 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.
118 services86 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.
36 services29 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
15 services14 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
12 services12 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Geisinger-Lewistown Hospital

Acute Care Hospitals · Lewistown, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390048
Location400 Highland AvenueLewistown, PA 17044 · Mifflin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91942 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

71.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality48.32
Promoting Interoperability100
Improvement Activities40
Cost57.63

Other Providers at the Same Location NPPES 3

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

HIDEYUKI MURAKAMI MD
Family Medicine
8851 CENTER DR STE 500
LA MESA, CA 91942
San Diego County (619) 740-5757
ANDREW J BROWN MD
Family Medicine
8851 CENTER DR STE 500
LA MESA, CA 91942
San Diego County (619) 740-5757
KIM ANN VO DANG MD
Family Medicine (Hospice and Palliative Medicine)
8851 CENTER DR STE 500
LA MESA, CA 91942
San Diego County (619) 740-5757

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 Ravishankar Rao's NPI number?

The NPI number for Ravishankar Rao is 1154617306. It was assigned to this individual provider in the NPPES registry on June 27, 2011.

Where is Ravishankar Rao located?

Ravishankar Rao practices at 8851 Center Dr Ste 500, La Mesa, CA 91942. The listed phone number is (619) 740-5757.

What is Ravishankar Rao's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Ravishankar Rao enrolled in Medicare?

Yes. Ravishankar Rao 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 Ravishankar Rao's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ravishankar Rao reassigns Medicare benefits to 2 organizations: Sharpcare Medical Group, Apc (Coronado, CA) and Milton S Hershey Medical Center Physicians Group (Mechanicsburg, PA). 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 Ravishankar Rao's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Ravishankar Rao affiliated with any hospitals?

According to CMS data, Ravishankar Rao is affiliated with Geisinger-Lewistown Hospital.

When was this NPI record last updated?

The NPPES record for Ravishankar Rao was last updated on October 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.