DR. NAVEEN POKALA M.D.
NPI 1174780852
Urology in Columbia, MO

Active since May 20, 2008PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1 HOSPITAL DR, COLUMBIA, MO 65201(573) 884-8768(573) 884-7453 Get Directions Write a Review

NPPES record last updated: September 12, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 12, 2022, May 13, 2019 (2 updates tracked since 2019).

About Dr. Naveen Pokala M.d. NPPES

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

DR. NAVEEN POKALA M.D. (NPI 1174780852) is an individual urology provider in Columbia, Missouri, licensed in Missouri (2011015007) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with Bothwell Regional Health Center, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1174780852
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. NAVEEN POKALACredential: M.D.
Location Address1 HOSPITAL DRColumbia, MO 65201-5276
Mailing AddressPo Box 843966Kansas City, MO 64184-3966 · (573) 884-3300 · Fax (573) 884-0943
Fax(573) 884-7453
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateMay 20, 2008
Last NPPES UpdateSeptember 12, 20222 updates tracked since enumeration
NPI 1174780852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in MO · 2011015007
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
1 HOSPITAL DR, Columbia, MO 65201

Accepted 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. Naveen Pokala 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 ID8628246121
PECOS Enrollment IDI20110728000465
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 12

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.
156 services131 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.
97 services88 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.
59 services59 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
56 services36 patients
Biopsy of prostate gland 55700
A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.
26 services25 patients
Removal of lymph nodes of both sides of pelvis using an endoscope 38571
This procedure involves using a small camera (endoscope) to view and remove lymph nodes from both sides of your lower torso. Lymph nodes help filter harmful substances from the body. The procedure is done to prevent the spread of certain conditions.
21 services21 patients

Hospital Affiliations CMS Care Compare 2

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

Bothwell Regional Health Center

Acute Care Hospitals · Sedalia, MO
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number260009
Location601 E 14th StSedalia, MO 65302 · Pettis County
Emergency services Birthing friendly

University Of Missouri Health Care

Acute Care Hospitals · Columbia, MO
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number260141
LocationOne Hospital DriveColumbia, MO 65212 · Boone County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65201 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
$121.96 typical visit price
range $52.28 – $161.24
Typical copayment $30.49 (range $13.07 – $40.31)
Most-billed visit code 99204
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
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.

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

Referred Medical Equipment & Supplies CMS DME claims 5

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

Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
4 suppliers22 claims2,580 services$6.00 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
7 suppliers35 claims142 services$8.57 avg. paid by Medicare
Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity (1 piece), each A4393
DME-Orthotic Devices · category DF010N
3 suppliers14 claims460 services$8.02 avg. paid by Medicare
Adhesive remover, wipes, any type, each A4456
DME-Medical/Surgical Supplies · category DA000N
4 suppliers12 claims1,350 services$0.21 avg. paid by Medicare
Skin barrier, wipes or swabs, each A5120
DME-Orthotic Devices · category DF010N
5 suppliers14 claims646 services$0.21 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.

Dermatology
1 HOSPITAL DR
COLUMBIA, MO 65201
Anesthesiology
1 HOSPITAL DR
COLUMBIA, MO 65201
Internal Medicine
1 HOSPITAL DR
COLUMBIA, MO 65201
Family Medicine
1 HOSPITAL DR, DC018.00, MA101
COLUMBIA, MO 65201
Physician Assistant
1 HOSPITAL DR
COLUMBIA, MO 65201
Registered Nurse
1 HOSPITAL DR
COLUMBIA, MO 65201
Surgery
1 HOSPITAL DR
COLUMBIA, MO 65201
Pharmacist
1 HOSPITAL DR
COLUMBIA, MO 65201

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 Naveen Pokala's NPI number?

The NPI number for Naveen Pokala is 1174780852. It was assigned to this individual provider in the NPPES registry on May 20, 2008.

Where is Naveen Pokala located?

Naveen Pokala practices at 1 Hospital Dr, Columbia, MO 65201. The listed phone number is (573) 884-8768.

What is Naveen Pokala's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Naveen Pokala enrolled in Medicare?

Yes. Naveen Pokala 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 Naveen Pokala accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica and UnitedHealthcare list Naveen Pokala 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 Naveen Pokala affiliated with any hospitals?

According to CMS data, Naveen Pokala is affiliated with Bothwell Regional Health Center and University Of Missouri Health Care.

When was this NPI record last updated?

The NPPES record for Naveen Pokala was last updated on September 12, 2022. 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.