1. Home
  2. Directory
  3. Ohio
  4. Gallipolis
  5. Internal Medicine
  6. NPI Profile

AJAY K. KOTTAPALLI M.D.
NPI 1174560148
Internal Medicine in Gallipolis, OH

Active since May 31, 2006PECOS EnrolledAccepts Medicare Assignment
81.42/100
CMS Quality Rating
100 JACKSON PIKE, GALLIPOLIS, OH 45631(740) 446-5287(740) 446-5854 Get Directions Write a Review

NPPES record last updated: January 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ajay K. Kottapalli M.d. NPPES

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

AJAY K. KOTTAPALLI M.D. (NPI 1174560148) is an individual internal medicine provider in Gallipolis, Ohio, licensed in Ohio (35-07-4335) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Holzer Medical Center, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1174560148
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameAJAY K. KOTTAPALLICredential: M.D.
Location Address100 JACKSON PIKEGallipolis, OH 45631-1560
Mailing Address90 Jackson PikeGallipolis, OH 45631-1560 · (740) 446-5287 · Fax (740) 446-5854
Phone(740) 446-5287
Fax(740) 446-5854
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateMay 31, 2006
Last NPPES UpdateJanuary 21, 2021
NPPES CertifiedJanuary 21, 2021
✔ NPI 1174560148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in OH · 35-07-4335✔ Licensed in WV · 18873
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
100 JACKSON PIKE, Gallipolis, OH 45631
Open in Google Maps ↗

Other Identifiers 8

Other000000198554Anthem Bcbs
Medicaid0080104000WV
Other310917085049OH · Oh Medicaid Caresource
Other110192508Rr Medicare
Other000357167Mountain State Bcbs
Medicaid2088753OH
Other2088753OH · Molina Medicaid
Other000000185257OH · Unison Medicaid

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Ohio, Inc., CareSource, MedMutual.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

Ajay K. Kottapalli 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 ID3274502364
PECOS Enrollment IDI20040927000219, I20070731000360
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 5

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 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.
289 services244 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.
257 services220 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.
33 services33 patients
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.
30 services30 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Holzer Medical Center

Acute Care Hospitals · Gallipolis, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360054
Location100 Jackson PikeGallipolis, OH 45631 · Gallia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45631 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

81.42/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.28
Promoting Interoperability100
Improvement Activities40
Cost57.96

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.

EUGENIA KAY MCCOY CRNA, DMPNA
Nurse Anesthetist, Certified Registered
100 JACKSON PIKE
GALLIPOLIS, OH 45631
Gallia County (740) 441-1949
JOSEPH D. CRUM D.O.
Emergency Medicine
100 JACKSON PIKE
GALLIPOLIS, OH 45631
Gallia County (740) 446-5586
CHARLES BISHOP MD
Orthopaedic Surgery
100 JACKSON PIKE
GALLIPOLIS, OH 45631
Gallia County (855) 446-5937
KAYLA SHATO
Nurse Practitioner
100 JACKSON PIKE
GALLIPOLIS, OH 45631
Gallia County (855) 446-5937
KYLEE J DAILEY AU.D.
Audiologist
100 JACKSON PIKE
GALLIPOLIS, OH 45631
Gallia County (740) 446-5937
KERRY DILL
Nurse Practitioner (Family)
100 JACKSON PIKE
GALLIPOLIS, OH 45631
Gallia County (740) 446-5000
DR. CARLTON WAYNE HERALD DO
Internal Medicine
100 JACKSON PIKE
GALLIPOLIS, OH 45631
Gallia County (740) 446-5533
JON M. SULLIVAN M.D.
Pediatrics
100 JACKSON PIKE
GALLIPOLIS, OH 45631
Gallia County (740) 446-5371

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 Ajay Kottapalli's NPI number?

The NPI number for Ajay Kottapalli is 1174560148. It was assigned to this individual provider in the NPPES registry on May 31, 2006.

Where is Ajay Kottapalli located?

Ajay Kottapalli practices at 100 Jackson Pike, Gallipolis, OH 45631. The listed phone number is (740) 446-5287.

What is Ajay Kottapalli's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ajay Kottapalli enrolled in Medicare?

Yes. Ajay Kottapalli 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 Ajay Kottapalli accept?

Health plans from Antidote Health Plan of Ohio, Inc., CareSource and MedMutual list Ajay Kottapalli 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 Ajay Kottapalli affiliated with any hospitals?

According to CMS data, Ajay Kottapalli is affiliated with Holzer Medical Center.

When was this NPI record last updated?

The NPPES record for Ajay Kottapalli was last updated on January 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.