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DR. SAILAJA TUMMALA MD
NPI 1174690630
Family Medicine in Lebanon, MO

Active since November 29, 2006PECOS EnrolledAccepts Medicare Assignment
82.13/100
CMS Quality Rating
755 COWAN DRIVE, LEBANON, MO 65536(417) 532-2805(417) 532-2865 Get Directions Write a Review

NPPES record last updated: May 12, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 12, 2023, Oct 28, 2022, Dec 27, 2018 (3 updates tracked since 2018).

About Dr. Sailaja Tummala Md NPPES

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

DR. SAILAJA TUMMALA MD (NPI 1174690630) is an individual family medicine provider in Lebanon, Missouri, licensed in Missouri (2011022971) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, is affiliated with Lake Regional Health System, and maintains a secondary practice location in Springfield.

NPPES Registry Identity

NPI1174690630
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SAILAJA TUMMALACredential: MD
Location Address755 COWAN DRIVELebanon, MO 65536
Mailing Address1622 W Caleb CtSpringfield, MO 65810-1525
Phone(417) 532-2805
Fax(417) 532-2865
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateNovember 29, 2006
Last NPPES UpdateMay 12, 20233 updates tracked since enumeration
NPPES CertifiedMay 2, 2023
✔ NPI 1174690630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MO · 2011022971
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.
755 COWAN DRIVE, Lebanon, MO 65536
Open in Google Maps ↗

Secondary Practice Location 1

Location 11622 W Caleb CtSpringfield, MO 65810-1525 · Phone (417) 449-4154

Other Identifiers 2

Medicaid35322100WI
Medicaid206520504MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cox HealthPlans, Medica, UnitedHealthcare.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

Dr. Sailaja Tummala 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 ID5193819050
PECOS Enrollment IDI20110907000785
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.

Hospital Affiliations CMS Care Compare

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

Lake Regional Health System

Acute Care Hospitals · Osage Beach, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260186
Location54 Hospital DriveOsage Beach, MO 65065 · Camden County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65536 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

82.13/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.14
Promoting Interoperability100
Improvement Activities40
Cost61.46

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers12 claims30 services$5.28 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier21 claims21 services$4.84 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

LAKE REGIONAL HEALTH SYSTEM
Clinic/Center (Rural Health)
755 COWAN DRIVE
LEBANON, MO 65536
Laclede County (417) 532-2805
KATHERINE BECKER NP
Nurse Practitioner (Family)
755 COWAN DRIVE
LEBANON, MO 65536
Laclede County (417) 532-2805

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 Sailaja Tummala's NPI number?

The NPI number for Sailaja Tummala is 1174690630. It was assigned to this individual provider in the NPPES registry on November 29, 2006.

Where is Sailaja Tummala located?

Sailaja Tummala practices at 755 Cowan Drive, Lebanon, MO 65536. The listed phone number is (417) 532-2805.

What is Sailaja Tummala's specialty?

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

Is Sailaja Tummala enrolled in Medicare?

Yes. Sailaja Tummala 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 Sailaja Tummala accept?

Health plans from Cox HealthPlans, Medica and UnitedHealthcare list Sailaja Tummala 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 Sailaja Tummala affiliated with any hospitals?

According to CMS data, Sailaja Tummala is affiliated with Lake Regional Health System.

When was this NPI record last updated?

The NPPES record for Sailaja Tummala was last updated on May 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.