DR. R. G. KRISHNAN MD
NPI 1215923628
Internal Medicine - Cardiovascular Disease in Monongahela, PA

Active since September 21, 2005PECOS EnrolledAccepts Medicare Assignment
79.21/100
CMS Quality Rating
1025 COUNTRY CLUB RD, MONONGAHELA, PA 15063(724) 258-8040(724) 258-2410 Get Directions Write a Review

NPPES record last updated: July 5, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. R. G. Krishnan Md NPPES

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

DR. R. G. KRISHNAN MD (NPI 1215923628) is an individual cardiovascular disease provider in Monongahela, Pennsylvania, licensed in Pennsylvania (MD018642Y) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Penn Highlands Mon Valley, and is a graduate of Other (1970).

NPPES Registry Identity

NPI1215923628
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. R. G. KRISHNANCredential: MD
Location Address1025 COUNTRY CLUB RDMonongahela, PA 15063-1553
Mailing Address1025 Country Club RdMonongahela, PA 15063-1553 · (724) 258-8040 · Fax (724) 258-2410
Fax(724) 258-2410
Sole ProprietorNo
Medical School CMSOtherGraduated 1970
Enumeration DateSeptember 21, 2005
Last NPPES UpdateJuly 5, 2010
NPI 1215923628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in PA · MD018642Y
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
1025 COUNTRY CLUB RD, Monongahela, PA 15063

Other Identifiers 3

Medicare ID-Type UnspecifiedKR026409PA
Medicaid0884864PA
Medicare UPINC27851PA

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. R. G. Krishnan Md 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 ID5597776807
PECOS Enrollment IDI20060614000032
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 22

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.
385 services136 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
314 services228 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.
195 services37 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
170 services118 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
131 services120 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.
84 services43 patients

Hospital Affiliations CMS Care Compare

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

Penn Highlands Mon Valley

Acute Care Hospitals · Monongahela, PA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390147
Location1163 Country Club RoadMonongahela, PA 15063 · Washington County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15063 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
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

79.21/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality47.3
Promoting Interoperability88
Improvement Activities40
Cost87.96

Reported Quality Measures

Controlling High Blood Pressure
50%461 patients3/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
73%105 patients2/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
76%3,001 patients3/55-star benchmark: 100%
e-Prescribing
98%4,315 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
51%956 patients3/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 3% · 670 patients
Patients totalRate: 4% · 670 patients
3%670 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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
1 supplier22 claims22 services$12.90 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
3 suppliers39 claims39 services$64.18 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 3

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

Physical Therapist
1025 COUNTRY CLUB RD
MONONGAHELA, PA 15063
Occupational Therapist
1025 COUNTRY CLUB RD
MONONGAHELA, PA 15063
Internal Medicine
1025 COUNTRY CLUB RD
MONONGAHELA, PA 15063

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 R. Krishnan's NPI number?

The NPI number for R. Krishnan is 1215923628. It was assigned to this individual provider in the NPPES registry on September 21, 2005.

Where is R. Krishnan located?

R. Krishnan practices at 1025 Country Club Rd, Monongahela, PA 15063. The listed phone number is (724) 258-8040.

What is R. Krishnan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is R. Krishnan enrolled in Medicare?

Yes. R. Krishnan 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 R. Krishnan affiliated with any hospitals?

According to CMS data, R. Krishnan is affiliated with Penn Highlands Mon Valley.

When was this NPI record last updated?

The NPPES record for R. Krishnan was last updated on July 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.