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MRS. PRIYA SUSAN ALEX MD
NPI 1174185896
Family Medicine in Loogootee, IN

Active since July 02, 2019PECOS EnrolledAccepts Medicare Assignment
85.59/100
CMS Quality Rating
105 COOPER ST, LOOGOOTEE, IN 47553(812) 295-2812(812) 996-5426 Get Directions Write a Review

NPPES record last updated: August 19, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 19, 2022, Jul 2, 2019 (2 updates tracked since 2019).

About Mrs. Priya Susan Alex Md NPPES

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

MRS. PRIYA SUSAN ALEX MD (NPI 1174185896) is an individual family medicine provider in Loogootee, Indiana, licensed in Indiana (01088346A) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, is affiliated with Daviess Community Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1174185896
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMRS. PRIYA SUSAN ALEXCredential: MD
Location Address105 COOPER STLoogootee, IN 47553-2223
Mailing Address105 Cooper StLoogootee, IN 47553-2223 · (812) 295-2812 · Fax (812) 996-5426
Phone(812) 295-2812
Fax(812) 996-5426
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 2, 2019
Last NPPES UpdateAugust 19, 20222 updates tracked since enumeration
NPPES CertifiedAugust 17, 2022
✔ NPI 1174185896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IN · 01088346A
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
105 COOPER ST, Loogootee, IN 47553
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Mrs. Priya Susan Alex 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 ID8820323694
PECOS Enrollment IDI20220823003600
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 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.

Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
32 services25 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
26 services13 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Daviess Community Hospital

Acute Care Hospitals · Washington, IN
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150061
Location1314 E Walnut StWashington, IN 47501 · Daviess County
Emergency services Birthing friendly

Memorial Hospital And Health Care Center

Acute Care Hospitals · Jasper, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150115
Location800 W 9th StJasper, IN 47546 · Dubois County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47553 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

85.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.96
Promoting Interoperability100
Improvement Activities40
Cost69

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.

CYNTHIA L HOCK NP
Nurse Practitioner (Family)
105 COOPER ST
LOOGOOTEE, IN 47553
Martin County (812) 295-2812
DEACONESS MEMORIAL MEDICAL CENTER, INC
Family Medicine
105 COOPER ST
LOOGOOTEE, IN 47553
Martin County (812) 295-2812
JAMES P POIRIER M.D.
Family Medicine
105 COOPER ST
LOOGOOTEE, IN 47553
Martin County (812) 295-2812

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 Priya Alex's NPI number?

The NPI number for Priya Alex is 1174185896. It was assigned to this individual provider in the NPPES registry on July 2, 2019.

Where is Priya Alex located?

Priya Alex practices at 105 Cooper St, Loogootee, IN 47553. The listed phone number is (812) 295-2812.

What is Priya Alex's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Priya Alex enrolled in Medicare?

Yes. Priya Alex 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 Priya Alex accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Priya Alex 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 Priya Alex affiliated with any hospitals?

According to CMS data, Priya Alex is affiliated with Daviess Community Hospital and Memorial Hospital And Health Care Center.

When was this NPI record last updated?

The NPPES record for Priya Alex was last updated on August 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.