ANURADHA YARLAGADDA PRASAD MD
NPI 1225164049
Ophthalmology in West Bloomfield, MI

Active since February 26, 2007PECOS EnrolledAccepts Medicare Assignment
85.31/100
CMS Quality Rating
6530 FARMINGTON RD, WEST BLOOMFIELD, MI 48322(248) 661-5100 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Anuradha Yarlagadda Prasad Md NPPES

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

ANURADHA YARLAGADDA PRASAD MD (NPI 1225164049) is an individual ophthalmology provider in West Bloomfield, Michigan, licensed in Michigan (4301083373) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of University Of Chicago, Pritzker School Of Medicine (2002).

NPPES Registry Identity

NPI1225164049
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameANURADHA YARLAGADDA PRASADCredential: MD
Location Address6530 FARMINGTON RDWest Bloomfield, MI 48322-3216
Mailing Address1614 Lexington DrTroy, MI 48084-5707 · (248) 661-5100
Sole ProprietorNo
Medical School CMSUniversity Of Chicago, Pritzker School Of MedicineGraduated 2002
Enumeration DateFebruary 26, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1225164049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in MI · 4301083373
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.

6530 FARMINGTON RD, West Bloomfield, MI 48322

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

Anuradha Yarlagadda Prasad 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 ID6507831930
PECOS Enrollment IDI20040830000712
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 8

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.
199 services132 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
161 services158 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
100 services98 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.
99 services76 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
91 services88 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.
81 services74 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48322 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

85.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost42.4

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%66 patients5/55-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.

Other Providers at the Same Location NPPES 18

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

Optometrist
6530 FARMINGTON RD, SUITE 300
WEST BLOOMFIELD, MI 48322
Ophthalmology
6530 FARMINGTON RD, OPHTHALMOLOGY
WEST BLOOMFIELD, MI 48322
Internal Medicine
6530 FARMINGTON RD
WEST BLOOMFIELD, MI 48322
Optometrist
6530 FARMINGTON RD, STE 300
WEST BLOOMFIELD, MI 48322
Pharmacist
6530 FARMINGTON RD
WEST BLOOMFIELD, MI 48322
Pharmacy (Community/Retail Pharmacy)
6530 FARMINGTON RD
WEST BLOOMFIELD, MI 48322
Family Medicine
6530 FARMINGTON RD
WEST BLOOMFIELD, MI 48322
Pediatrics
6530 FARMINGTON RD
WEST BLOOMFIELD, MI 48322

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 Anuradha Prasad's NPI number?

The NPI number for Anuradha Prasad is 1225164049. It was assigned to this individual provider in the NPPES registry on February 26, 2007.

Where is Anuradha Prasad located?

Anuradha Prasad practices at 6530 Farmington Rd, West Bloomfield, MI 48322. The listed phone number is (248) 661-5100.

What is Anuradha Prasad's specialty?

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

Is Anuradha Prasad enrolled in Medicare?

Yes. Anuradha Prasad 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 Anuradha Prasad accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Anuradha Prasad 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 Anuradha Prasad was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.