LAKSHMA R TIYYAGURA MD
NPI 1164527883
Internal Medicine - Gastroenterology in Stockton, CA

Active since September 14, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
420 W ACACIA ST, # 18, STOCKTON, CA 95203(209) 466-4685(209) 466-4695 Get Directions Write a Review

NPPES record last updated: May 11, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lakshma R Tiyyagura Md NPPES

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

LAKSHMA R TIYYAGURA MD (NPI 1164527883) is an individual gastroenterology provider in Stockton, California, licensed in California (A56285) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1990).

NPPES Registry Identity

NPI1164527883
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameLAKSHMA R TIYYAGURACredential: MD
Location Address420 W ACACIA ST, # 18Stockton, CA 95203-2441
Mailing AddressPo Box 7939Stockton, CA 95267-0939 · (209) 466-4685 · Fax (204) 466-4695
Fax(209) 466-4695
Sole ProprietorYes
Medical School CMSOtherGraduated 1990
Enumeration DateSeptember 14, 2006
Last NPPES UpdateMay 11, 2009
NPI 1164527883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in CA · A56285
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.
420 W ACACIA ST, Stockton, CA 95203

Other Identifiers 5

Medicare PIN00A562853CA
Medicare UPING43969
Medicaid00A562851CA
Medicaid00A562850CA
Medicare PIN00A562852CA

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

Lakshma R Tiyyagura 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 ID8729989207
PECOS Enrollment IDI20040116000974
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 14

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 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.
516 services271 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.
149 services149 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.
136 services55 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.
132 services125 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.
113 services112 patients
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.
101 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95203 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality95
Improvement Activities40
Cost95.24

Reported Quality Measures

Advance Care Plan
100%950 patients5/55-star benchmark: 100%
Appropriate Follow-Up Interval for Normal Colonoscopy in Average Risk Patients
100%95 patients
Colonoscopy Interval for Patients with a History of Adenomatous Polyps - Avoidance of Inappropriate Use
100%99 patients
Documentation of Current Medications in the Medical Record
100%4,650 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
100%1,860 patients5/55-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 12

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

Obstetrics & Gynecology
420 W ACACIA ST, SUITE 11
STOCKTON, CA 95203
Pharmacy (Community/Retail Pharmacy)
420 W ACACIA ST
STOCKTON, CA 95203
Thoracic Surgery (Cardiothoracic Vascular Surgery)
420 W ACACIA ST, SUITE 17
STOCKTON, CA 95203
Obstetrics & Gynecology
420 W ACACIA ST, SUITE 22
STOCKTON, CA 95203
Internal Medicine
420 W ACACIA ST, SUITE 1
STOCKTON, CA 95203
Surgery
420 W ACACIA ST
STOCKTON, CA 95203
Clinic/Center (Occupational Medicine)
420 W ACACIA ST
STOCKTON, CA 95203
Home Health
420 W ACACIA ST
STOCKTON, CA 95203

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 Lakshma Tiyyagura's NPI number?

The NPI number for Lakshma Tiyyagura is 1164527883. It was assigned to this individual provider in the NPPES registry on September 14, 2006.

Where is Lakshma Tiyyagura located?

Lakshma Tiyyagura practices at 420 W Acacia St # 18, Stockton, CA 95203. The listed phone number is (209) 466-4685.

What is Lakshma Tiyyagura's specialty?

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

Is Lakshma Tiyyagura enrolled in Medicare?

Yes. Lakshma Tiyyagura 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.

When was this NPI record last updated?

The NPPES record for Lakshma Tiyyagura was last updated on May 11, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.