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ACHALA VAGAL MD
NPI 1174631170
Radiology - Diagnostic Radiology in Cincinnati, OH

Active since August 29, 2006PECOS EnrolledAccepts Medicare Assignment
78.78/100
CMS Quality Rating
234 GOODMAN ST, DEPARTMENT OF RADIOLOGY, CINCINNATI, OH 45267(513) 584-2146(513) 584-0431 Get Directions Write a Review

NPPES record last updated: February 21, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Achala Vagal Md NPPES

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

ACHALA VAGAL MD (NPI 1174631170) is an individual diagnostic radiology provider in Cincinnati, Ohio, licensed in Ohio (35-08-6532) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with University Of Cincinnati Medical Center, Llc, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1174631170
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameACHALA VAGALCredential: MD
Location Address234 GOODMAN ST, DEPARTMENT OF RADIOLOGYCincinnati, OH 45267-1000
Mailing AddressPo Box 636256 Central CredentialingCincinnati, OH 45263-6256 · (513) 245-3107 · Fax (513) 585-5511
Phone(513) 584-2146
Fax(513) 584-0431
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateAugust 29, 2006
Last NPPES UpdateFebruary 21, 2018
✔ NPI 1174631170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in OH · 35-08-6532
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
234 GOODMAN ST, Cincinnati, OH 45267
Open in Google Maps ↗

Other Identifiers 6

Medicaid7100018770KY
Other000000538779OH · Anthem
Other7163925OH · Aetna
Medicaid2732869OH
Other325886OH · Amerigroup
Medicaid200862250IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Insurance.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

Achala Vagal 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 ID4688772106
PECOS Enrollment IDI20140305002130
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 11

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.

Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
168 services157 patients
Mri scan of brain before and after contrast 70553
An MRI scan of the brain, both before and after contrast, helps visualize different brain structures. Initially, images are taken without a contrast agent. Then, a safe dye is injected which helps highlight certain areas, providing clearer, more detailed images.
58 services57 patients
Mri scan of brain without contrast 70551
An MRI scan of the brain without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your brain. It helps in detecting abnormalities like tumors, stroke, inflammation, or infection.
50 services49 patients
Ct scan of upper spine without contrast 72125
A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.
44 services44 patients
Ct scan of blood vessels of head with contrast 70496
A CT scan of the head's blood vessels with contrast is a diagnostic procedure. A special dye (contrast) is injected into your body to make the blood vessels visible on the scan. This helps identify issues like blockages or abnormalities in your head's blood vessels.
31 services30 patients
Ct scan of blood vessels of neck with contrast 70498
A CT scan of the neck's blood vessels with contrast is a diagnostic procedure. It uses X-rays and a special dye to create detailed images of your neck's blood vessels. This helps doctors detect issues such as blockages or abnormalities.
30 services30 patients

Hospital Affiliations CMS Care Compare 2

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

University Of Cincinnati Medical Center, LLC

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360003
Location3188 Bellevue AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

West Chester Hospital

Acute Care Hospitals · West Chester, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360354
Location7700 University DriveWest Chester, OH 45069 · Butler County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45267 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

78.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.42
Promoting Interoperability100
Improvement Activities40
Cost58.86

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.

AUSTIN WAND MD
Radiology (Diagnostic Radiology)
234 GOODMAN ST, DEPARTMENT OF RADIOLOGY
CINCINNATI, OH 45267
Hamilton County (513) 584-2146
KATHRYN KLEIN-SHUMRICK MD
Radiology (Diagnostic Radiology)
234 GOODMAN ST, DEPT. OF RADIOLOGY
CINCINNATI, OH 45267
Hamilton County (513) 584-2146
ALBERT ALAN CHAMBERS MD
Radiology (Diagnostic Radiology)
234 GOODMAN ST
CINCINNATI, OH 45267
Hamilton County (513) 584-7544
CATHERINE PEREZ MD
Radiology (Diagnostic Radiology)
234 GOODMAN ST
CINCINNATI, OH 45267
Hamilton County (513) 584-5335
DR. DAVID ANDREW ARENS JR. D.O.
Student in an Organized Health Care Education/Training Program
234 GOODMAN ST
CINCINNATI, OH 45267
Hamilton County (513) 584-4615
ROBERT LUKIN MD
Radiology (Diagnostic Radiology)
234 GOODMAN ST, DEPARTMENT OF RADIOLOGY
CINCINNATI, OH 45267
Hamilton County (513) 584-7544
DR. JEFFREY SUSSMAN MD
Surgery (Surgical Oncology)
234 GOODMAN ST, BARRETT CENTER, ML 0772
CINCINNATI, OH 45267
Hamilton County (513) 584-8900
CARMEN V. SCHATZMAN CNS, RN
Clinical Nurse Specialist
234 GOODMAN ST, DEPARTMENT OF RADIOLOGY
CINCINNATI, OH 45267
Hamilton County (513) 584-1009

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 Achala Vagal's NPI number?

The NPI number for Achala Vagal is 1174631170. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Where is Achala Vagal located?

Achala Vagal practices at 234 Goodman St Department Of Radiology, Cincinnati, OH 45267. The listed phone number is (513) 584-2146.

What is Achala Vagal's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Achala Vagal enrolled in Medicare?

Yes. Achala Vagal 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 Achala Vagal accept?

Health plans from Oscar Health Insurance list Achala Vagal 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 Achala Vagal affiliated with any hospitals?

According to CMS data, Achala Vagal is affiliated with University Of Cincinnati Medical Center, LLC and West Chester Hospital.

When was this NPI record last updated?

The NPPES record for Achala Vagal was last updated on February 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.