RAVINDRA BOLLU M.D.
NPI 1194716845
Internal Medicine - Nephrology in Allentown, PA

PECOS Enrollment and Medicare Participation Status

Ravindra Bollu is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

• Is the provider registered in PECOS? Yes

• PECOS PAC ID: 4789678145

  What is the PECOS Associate Control ID?
  A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

• PECOS Enrollment ID: I20101104000278

  What is the Provider Enrollment ID?
  The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

• Accepts Medicare Assignment? Yes

  What does it mean "accepts medicare assignment"?
  When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
  A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

• Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

• Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

• Eligible to Order or Refer a Home Health Agency (HHA): Yes

• Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Drugs and Nutritional Products

• Other drugs (O1E)

  Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg (HCPCS:J7503)

  7 DME suppliers used 67 Medicare Claims 9930 Services Paid

• Other drugs (O1E)

  Tacrolimus, immediate release, oral, 1 mg (HCPCS:J7507)

  31 DME suppliers used 422 Medicare Claims 32910 Services Paid

• Other drugs (O1E)

  Tacrolimus, extended release, (astagraf xl), oral, 0.1 mg (HCPCS:J7508)

  1 DME suppliers used 11 Medicare Claims 3300 Services Paid

• Other drugs (O1E)

  Prednisone, immediate release or delayed release, oral, 1 mg (HCPCS:J7512)

  4 DME suppliers used 31 Medicare Claims 4224 Services Paid

• Other drugs (O1E)

  Mycophenolate mofetil, oral, 250 mg (HCPCS:J7517)

  7 DME suppliers used 62 Medicare Claims 8340 Services Paid

• Other drugs (O1E)

  Mycophenolic acid, oral, 180 mg (HCPCS:J7518)

  19 DME suppliers used 271 Medicare Claims 41250 Services Paid

• Other drugs (O1E)

  Sirolimus, oral, 1 mg (HCPCS:J7520)

  2 DME suppliers used 29 Medicare Claims 690 Services Paid

• Other drugs (O1E)

  Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period (HCPCS:Q0511)

  37 DME suppliers used 390 Medicare Claims 390 Services Paid

• Other drugs (O1E)

  Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period (HCPCS:Q0512)

  35 DME suppliers used 515 Medicare Claims 542 Services Paid

Clinician Services

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2020. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.

• 347

  Dialysis services (4 or more physician visits per month), patient 20 years of age and older (HCPCS:90960)

• 102

  Home dialysis services per month, patient 20 years of age or older (HCPCS:90966)

• 86

  Dialysis services (2-3 physician visits per month), patient 20 years of age and older (HCPCS:90961)

• 72

  Hemodialysis procedure with one physician evaluation (HCPCS:90935)

• 28

  Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)

Hospital Affiliations

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Ravindra Bollu is affiliated with the following medical facilities:

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NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

The NPI number 1194716845 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

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The following 20 providers are registered at the same or nearby location.

Frequently Asked Questions