KARTHIK YARLAGADDA M.D.
NPI 1184150898
Internal Medicine in Indiana, PA

Q: What is Karthik Yarlagadda's NPI number?

The NPI number for Karthik Yarlagadda is 1184150898. It was assigned to this individual provider in the NPPES registry on May 2, 2017.

Q: What is Karthik Yarlagadda's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since May 02, 2017PECOS EnrolledAccepts Medicare Assignment

83.12/100

CMS Quality Rating

835 HOSPITAL RD, INDIANA, PA 15701(724) 357-7000 Get Directions Write a Review

NPPES record last updated: January 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 7, 2023, May 18, 2021, May 14, 2021 and 1 more (4 updates tracked since 2020).

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About Karthik Yarlagadda M.d. NPPES

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

KARTHIK YARLAGADDA M.D. (NPI 1184150898) is an individual internal medicine provider in Indiana, Pennsylvania, licensed in Colorado (DR.0068516) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1184150898

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameKARTHIK YARLAGADDACredential: M.D.

Location Address835 HOSPITAL RDIndiana, PA 15701-3629

Mailing Address835 Hospital RdIndiana, PA 15701-3629 · (724) 357-7000

Phone(724) 357-7000

Sole ProprietorYes

Medical School CMSOtherGraduated 2017

Enumeration DateMay 2, 2017

Last NPPES UpdateJanuary 8, 20244 updates tracked since enumeration

NPPES CertifiedJanuary 8, 2024

✔ NPI 1184150898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in CO · DR.0068516✔ Licensed in PA · MD471620

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedHospitalistTaxonomy 208M00000X · License DR.0068516 (CO)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

835 HOSPITAL RD, Indiana, PA 15701

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Secondary Practice Locations 2

Location 1740 East State StreetSharon, PA 16146 · Phone (724) 983-3911

Location 29395 Crown Crest BlvdParker, CO 80138-8573 · Phone (303) 269-4000 · Fax (303) 269-4070

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida, Oscar Insurance Company.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

Karthik Yarlagadda 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 ID547529364

PECOS Enrollment IDI20220621001175

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 14

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 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.

495 services233 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 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.

213 services110 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.

189 services187 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

106 services106 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

102 services41 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

59 services31 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

49 services30 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

48 services22 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

44 services25 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

32 services25 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

27 services24 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

24 services24 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

24 services24 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307

A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.

13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15701 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

$126.34 typical visit price

range $54.64 – $166.87

Typical copayment $31.58 (range $13.66 – $41.71)

Most-billed visit code 99204

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.

83.12/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

82.76

Improvement Activities

Cost

42.01

Referred Medical Equipment & Supplies CMS DME claims

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

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

3 suppliers19 claims19 services$92.85 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

DARLENE MARIE SHEPHARD OTR/L,CLT

Occupational Therapist

835 HOSPITAL RD
INDIANA, PA 15701

Indiana County (724) 357-7068

SHERRY SAGATH

Physician Assistant (Medical)

835 HOSPITAL RD
INDIANA, PA 15701

Indiana County (724) 357-7000

LETIZIA M COLLINI MS

Speech-Language Pathologist

835 HOSPITAL RD
INDIANA, PA 15701

Indiana County (724) 357-7000

JANICE MARY APPOLONIA MS,CCC-SLP

Speech-Language Pathologist

835 HOSPITAL RD, OUTPATIENT REHAB CENTER
INDIANA, PA 15701

Indiana County (724) 357-7068

MRS. JILL ELIZABETH FULTON CRNA

Nurse Anesthetist, Certified Registered

835 HOSPITAL RD, ANESTHESIOLOGY DEPARTMENT
INDIANA, PA 15701

Indiana County (724) 357-7218

CAYLA LYLE DO

Student in an Organized Health Care Education/Training Program

835 HOSPITAL RD
INDIANA, PA 15701

Indiana County (412) 862-1922

JOSEPH A MACCHIAROLI MD

Anesthesiology

835 HOSPITAL RD
INDIANA, PA 15701

Indiana County (724) 357-7000

CASSIDY JO FAIRMAN

Physician Assistant

835 HOSPITAL RD
INDIANA, PA 15701

Indiana County (724) 357-7000

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 Karthik Yarlagadda's NPI number?

The NPI number for Karthik Yarlagadda is 1184150898. It was assigned to this individual provider in the NPPES registry on May 2, 2017.

Where is Karthik Yarlagadda located?

Karthik Yarlagadda practices at 835 Hospital Rd, Indiana, PA 15701. The listed phone number is (724) 357-7000.

What is Karthik Yarlagadda's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Karthik Yarlagadda enrolled in Medicare?

Yes. Karthik Yarlagadda 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 Karthik Yarlagadda accept?

Health plans from Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Karthik Yarlagadda 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.

When was this NPI record last updated?

The NPPES record for Karthik Yarlagadda was last updated on January 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.