ASHOK KOTA REDDY M.D.
NPI 1225028228
Ophthalmology in Albuquerque, NM

Active since October 21, 2005PECOS EnrolledAccepts Medicare Assignment
96.75/100
CMS Quality Rating
806 DR MARTIN LUTHER KING JR AVE NE, ALBUQUERQUE, NM 87102(505) 842-6575(505) 764-8796 Get Directions Write a Review

NPPES record last updated: April 25, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ashok Kota Reddy M.d. NPPES

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

ASHOK KOTA REDDY M.D. (NPI 1225028228) is an individual ophthalmology provider in Albuquerque, New Mexico, licensed in New Mexico (MD2005-0164) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Lovelace Medical Center, and is a graduate of Texas Tech University Health Science Center School Of Medicine (1999).

NPPES Registry Identity

NPI1225028228
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameASHOK KOTA REDDYCredential: M.D.
Location Address806 DR MARTIN LUTHER KING JR AVE NEAlbuquerque, NM 87102-3657
Mailing Address8801 Horizon Blvd Ne, Suite 360Albuquerque, NM 87113-1533 · (505) 828-4923 · Fax (505) 213-0103
Fax(505) 764-8796
Sole ProprietorNo
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 1999
Enumeration DateOctober 21, 2005
Last NPPES UpdateApril 25, 2008
NPI 1225028228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in NM · MD2005-0164
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
806 DR MARTIN LUTHER KING JR AVE NE, Albuquerque, NM 87102

Other Identifiers 6

Medicaid956724AZ
OtherNM009W34NM · Bc Bs Of Nm
Medicare UPINI00516NM
Medicare ID-Type Unspecified349526702NM
OtherP00241847NM · Rrb Medicare Railroad
Medicaid28353854NM

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

Ashok Kota Reddy 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 ID4880586262
PECOS Enrollment IDI20050924000126
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 20

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.

Injection, faricimab-svoa, 0.1 mg J2777
Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.
45,180 services303 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
1,731 services772 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
1,372 services287 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
1,355 services810 patients
Injection, ranibizumab, 0.1 mg J2778
Ranibizumab is a medication given via injection to treat certain eye conditions like age-related macular degeneration. It works by slowing vision loss and in some cases, improving vision by blocking abnormal blood vessel growth in the eye.
556 services49 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.
472 services396 patients

Hospital Affiliations CMS Care Compare

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

Lovelace Medical Center

Acute Care Hospitals · Albuquerque, NM
3/5 CMS rating
OwnershipProprietary
CMS Certification Number320009
Location601 Dr Martin Luther King Jr Ave NEAlbuquerque, NM 87102 · Bernalillo County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87102 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
$126.21 typical visit price
range $54.26 – $166.80
Typical copayment $31.55 (range $13.56 – $41.70)
Most-billed visit code 99204
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
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.

96.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability87
Improvement Activities40
Cost100

Other Providers at the Same Location NPPES 7

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

Social Worker
806 DR MARTIN LUTHER KING JR AVE NE
ALBUQUERQUE, NM 87102
Ophthalmology
806 DR MARTIN LUTHER KING JR AVE NE
ALBUQUERQUE, NM 87102
Optometrist
806 DR MARTIN LUTHER KING JR AVE NE
ALBUQUERQUE, NM 87102
Durable Medical Equipment & Medical Supplies
806 DR MARTIN LUTHER KING JR AVE NE
ALBUQUERQUE, NM 87102
Optometrist
806 DR MARTIN LUTHER KING JR AVE NE
ALBUQUERQUE, NM 87102
Ophthalmology
806 DR MARTIN LUTHER KING JR AVE NE
ALBUQUERQUE, NM 87102
Student in an Organized Health Care Education/Training Program
806 DR MARTIN LUTHER KING JR AVE NE
ALBUQUERQUE, NM 87102

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 Ashok Reddy's NPI number?

The NPI number for Ashok Reddy is 1225028228. It was assigned to this individual provider in the NPPES registry on October 21, 2005.

Where is Ashok Reddy located?

Ashok Reddy practices at 806 Dr Martin Luther King Jr Ave NE, Albuquerque, NM 87102. The listed phone number is (505) 842-6575.

What is Ashok Reddy's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Ashok Reddy enrolled in Medicare?

Yes. Ashok Reddy 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 Ashok Reddy accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Ashok Reddy 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 Ashok Reddy affiliated with any hospitals?

According to CMS data, Ashok Reddy is affiliated with Lovelace Medical Center.

When was this NPI record last updated?

The NPPES record for Ashok Reddy was last updated on April 25, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.