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SANKETH PRODDUTUR
NPI 1184037822
Family Medicine in Monessen, PA

Active since June 10, 2014PECOS EnrolledAccepts Medicare Assignment
78.53/100
CMS Quality Rating
2 EASTGATE AVE STE 101, UPMC ST MARGARET HOSPITAL, MONESSEN, PA 15062(724) 684-8999 Get Directions Write a Review

NPPES record last updated: May 24, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 24, 2021, Sep 17, 2018 (2 updates tracked since 2018).

About Sanketh Proddutur NPPES

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

SANKETH PRODDUTUR (NPI 1184037822) is an individual family medicine provider in Monessen, Pennsylvania, licensed in Pennsylvania (MD461835) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with Upmc St Margaret, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1184037822
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSANKETH PRODDUTUR
Location Address2 EASTGATE AVE STE 101, UPMC ST MARGARET HOSPITALMonessen, PA 15062-1392
Mailing Address2 Eastgate Ave Ste 101, Upmc St Margaret HospitalMonessen, PA 15062-1392
Phone(724) 684-8999
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJune 10, 2014
Last NPPES UpdateMay 24, 20212 updates tracked since enumeration
✔ NPI 1184037822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · MD461835
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.

2 EASTGATE AVE STE 101, Monessen, PA 15062
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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

Sanketh Proddutur 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 ID8628368164
PECOS Enrollment IDI20171003006364
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 3

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.
30 services19 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
26 services23 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.
17 services14 patients

Hospital Affiliations CMS Care Compare

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

Upmc St Margaret

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390102
Location815 Freeport RoadPittsburgh, PA 15215 · Allegheny County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15062 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

78.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.61
Promoting Interoperability100
Improvement Activities40
Cost53.82

Other Providers at the Same Location NPPES

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

MON VALLEY COMMUNITY HEALTH SERVICES, INC
Family Medicine
2 EASTGATE AVE STE 101
MONESSEN, PA 15062
Westmoreland County (724) 684-8999

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 Sanketh Proddutur's NPI number?

The NPI number for Sanketh Proddutur is 1184037822. It was assigned to this individual provider in the NPPES registry on June 10, 2014.

Where is Sanketh Proddutur located?

Sanketh Proddutur practices at 2 Eastgate Ave Ste 101 Upmc St Margaret Hospital, Monessen, PA 15062. The listed phone number is (724) 684-8999.

What is Sanketh Proddutur's specialty?

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

Is Sanketh Proddutur enrolled in Medicare?

Yes. Sanketh Proddutur 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.

Is Sanketh Proddutur affiliated with any hospitals?

According to CMS data, Sanketh Proddutur is affiliated with Upmc St Margaret.

When was this NPI record last updated?

The NPPES record for Sanketh Proddutur was last updated on May 24, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.