DR. PAVAN K YERRAMSETTY M.D.
NPI 1245269513
Psychiatry & Neurology - Pain Medicine in Raleigh, NC

Active since June 30, 2006PECOS EnrolledAccepts Medicare Assignment
87.2/100
CMS Quality Rating
1540 SUNDAY DR, RALEIGH, NC 27607(919) 782-3456(919) 787-7552 Get Directions Write a Review

NPPES record last updated: April 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Pavan K Yerramsetty M.d. NPPES

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

DR. PAVAN K YERRAMSETTY M.D. (NPI 1245269513) is an individual pain medicine provider in Raleigh, North Carolina, licensed in North Carolina (200000677) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Wakemed, Raleigh Campus, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1245269513
Entity TypeIndividualMale
Primary Taxonomy2084P2900X
Provider Legal NameDR. PAVAN K YERRAMSETTYCredential: M.D.
Location Address1540 SUNDAY DRRaleigh, NC 27607-6000
Mailing Address1540 Sunday DrRaleigh, NC 27607-6000 · (919) 782-3456 · Fax (919) 787-7552
Fax(919) 787-7552
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateJune 30, 2006
Last NPPES UpdateApril 1, 2021
NPPES CertifiedApril 1, 2021
NPI 1245269513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2084P2900X
License Licensed in NC · 200000677
Definition
A neurologist, child neurologists or psychiatrist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License 2000-00677 (NC)
1540 SUNDAY DR, Raleigh, NC 27607

Other Identifiers 1

Medicaid89126RONC

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

Dr. Pavan K Yerramsetty 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 ID1254326069
PECOS Enrollment IDI20040419001751
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 33

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, natalizumab, 1 mg J2323
Natalizumab is a medication given through injection to manage certain neurological conditions like multiple sclerosis. It works by affecting your immune system to limit inflammation that can damage nerves in your brain and spinal cord.
11,401 services14 patients
Injection, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
8,000 services16 patients
Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg J1561
This is an injection of immune globulin, specifically Gamunex-C or Gammaked. It's a liquid form, not freeze-dried. Immune globulin is a blood product that helps your immune system to fight infections. It's given in a dose of 500 mg.
3,340 services17 patients
Injection, gadobutrol, 0.1 ml A9585
Gadobutrol is a contrast agent used during MRI scans to help provide clearer images. It's injected into your vein before the scan. This helps doctors to see certain areas more clearly for better diagnosis. It's generally safe with few side effects.
2,230 services26 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
738 services169 patients
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.
233 services176 patients

Hospital Affiliations CMS Care Compare 3

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

Wakemed, Raleigh Campus

Acute Care Hospitals · Raleigh, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340069
Location3000 New Bern AveRaleigh, NC 27610 · Wake County
Emergency services Birthing friendly

Rex Hospital

Acute Care Hospitals · Raleigh, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340114
Location4420 Lake Boone TrailRaleigh, NC 27607 · Wake County
Emergency services Birthing friendly

Wakemed, Cary Hospital

Acute Care Hospitals · Cary, NC
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340173
Location1900 Kildare Farm RoadCary, NC 27518 · Wake County
Emergency services Birthing friendly

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.

87.2/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.93
Promoting Interoperability100
Improvement Activities40
Cost93.42

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
37%353 patients2/55-star benchmark: 87%
Dementia: Cognitive Assessment
10%31 patients
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
94%33 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
93%2,492 patients4/55-star benchmark: 100%
e-Prescribing
98%1,533 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
1%688 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
23%1,730 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
1%1,772 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
24%2,370 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 26% · 1,072 patients
Patients screened: 28% · 1,072 patients
28%36 patients2/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
94%1,519 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
83%149 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 3% · 707 patients
Patients totalRate: 12% · 713 patients
9%713 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.

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.

Psychiatry & Neurology (Neurology)
1540 SUNDAY DR
RALEIGH, NC 27607
Physician Assistant
1540 SUNDAY DR
RALEIGH, NC 27607
Physical Therapist
1540 SUNDAY DR
RALEIGH, NC 27607
Psychiatry & Neurology (Neurology)
1540 SUNDAY DR
RALEIGH, NC 27607
Physical Therapist
1540 SUNDAY DR
RALEIGH, NC 27607
Psychiatry & Neurology (Neurology)
1540 SUNDAY DR
RALEIGH, NC 27607
Psychiatry & Neurology (Neurology)
1540 SUNDAY DR
RALEIGH, NC 27607
Nurse Practitioner (Family)
1540 SUNDAY DR
RALEIGH, NC 27607

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 Pavan Yerramsetty's NPI number?

The NPI number for Pavan Yerramsetty is 1245269513. It was assigned to this individual provider in the NPPES registry on June 30, 2006.

Where is Pavan Yerramsetty located?

Pavan Yerramsetty practices at 1540 Sunday Dr, Raleigh, NC 27607. The listed phone number is (919) 782-3456.

What is Pavan Yerramsetty's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Pain Medicine, with taxonomy code 2084P2900X.

Is Pavan Yerramsetty enrolled in Medicare?

Yes. Pavan Yerramsetty 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 Pavan Yerramsetty accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and UnitedHealthcare list Pavan Yerramsetty 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 Pavan Yerramsetty affiliated with any hospitals?

According to CMS data, Pavan Yerramsetty is affiliated with Wakemed, Raleigh Campus, Rex Hospital and Wakemed, Cary Hospital.

When was this NPI record last updated?

The NPPES record for Pavan Yerramsetty was last updated on April 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.