GOUTHAM K MALEMPATI M.D.
NPI 1174729891
Hospitalist in Utica, NY

Active since June 21, 2007PECOS EnrolledAccepts Medicare Assignment
78.7/100
CMS Quality Rating
1656 CHAMPLIN AVE, UTICA, NY 13502(315) 624-6467(315) 624-6469 Get Directions Write a Review

NPPES record last updated: May 31, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Goutham K Malempati M.d. NPPES

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

GOUTHAM K MALEMPATI M.D. (NPI 1174729891) is an individual hospitalist provider in Utica, New York, licensed in New York (002950) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Wynn Hospital, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1174729891
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameGOUTHAM K MALEMPATICredential: M.D.
Location Address1656 CHAMPLIN AVEUtica, NY 13502-4830
Mailing Address1656 Champlin AveUtica, NY 13502-4830 · (315) 624-6467 · Fax (315) 624-6469
Fax(315) 624-6469
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateJune 21, 2007
Last NPPES UpdateMay 31, 2016
NPI 1174729891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Licenses Licensed in NY · 002950 Licensed in VA · 0101258498
Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

1656 CHAMPLIN AVE, Utica, NY 13502

Other Identifiers 1

Medicare UPINJ400016655NY

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

Goutham K Malempati 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 ID7214015445
PECOS Enrollment IDI20080429000088
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 6

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Follow-up hospital inpatient care per day, typically 25 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.
391 services159 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
84 services80 patients
Follow-up hospital inpatient care per day, typically 35 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
69 services31 patients
Initial hospital inpatient care per day, typically 50 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
32 services32 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
27 services27 patients
Initial hospital inpatient care per day, typically 30 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
21 services21 patients

Hospital Affiliations CMS Care Compare

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

Wynn Hospital

Acute Care Hospitals · Utica, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330044
Location111 Hospital DriveUtica, NY 13502 · Oneida County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13502 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

78.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.73
Promoting Interoperability99
Improvement Activities40
Cost42.38

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers22 claims22 services$17.33 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers22 claims22 services$92.29 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 20

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

Surgery
1656 CHAMPLIN AVE, SUITE 203
UTICA, NY 13502
Pediatrics (Adolescent Medicine)
1656 CHAMPLIN AVE
UTICA, NY 13502
Neuromusculoskeletal Medicine, Sports Medicine
1656 CHAMPLIN AVE
UTICA, NY 13502
Internal Medicine
1656 CHAMPLIN AVE
UTICA, NY 13502
Pathology (Anatomic Pathology & Clinical Pathology)
1656 CHAMPLIN AVE, DEPARTMENT OF PATHOLOGY
UTICA, NY 13502
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1656 CHAMPLIN AVE, SUITE 338
UTICA, NY 13502
Radiology (Diagnostic Radiology)
1656 CHAMPLIN AVE, SUITE 229
UTICA, NY 13502
Internal Medicine
1656 CHAMPLIN AVE
UTICA, NY 13502

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174729891, enumerated as an "individual" on June 21, 2007.

The provider is located at 1656 CHAMPLIN AVE UTICA, NY 13502 and the phone number is (315) 624-6467.

Hospitalist with taxonomy code 208M00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.

Goutham Malempati is affiliated with: WYNN HOSPITAL.