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CHAMALEE NAMAL WEERATUNGE M.D.
NPI 1245274026
Internal Medicine - Infectious Disease in New Braunfels, TX

Active since June 15, 2006PECOS EnrolledAccepts Medicare Assignment
72.52/100
CMS Quality Rating
598 N UNION AVE, STE. 350, NEW BRAUNFELS, TX 78130(830) 625-5103(512) 828-7984 Get Directions Write a Review

NPPES record last updated: June 19, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Chamalee Namal Weeratunge M.d. NPPES

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

CHAMALEE NAMAL WEERATUNGE M.D. (NPI 1245274026) is an individual infectious disease provider in New Braunfels, Texas, licensed in Texas (M3110) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Christus Santa Rosa Hospital-san Marcos, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1245274026
Entity TypeIndividualFemale
Primary Taxonomy207RI0200X
Provider Legal NameCHAMALEE NAMAL WEERATUNGECredential: M.D.
Location Address598 N UNION AVE, STE. 350New Braunfels, TX 78130
Mailing AddressPo Box 1090, Central Texas Infectious Disease, P.a.Manchaca, TX 78652-1090 · (210) 771-9147 · Fax (210) 771-9147
Phone(830) 625-5103
Fax(512) 828-7984
Sole ProprietorYes
Medical School CMSOtherGraduated 1995
Enumeration DateJune 15, 2006
Last NPPES UpdateJune 19, 2018
✔ NPI 1245274026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in TX · M3110
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
598 N UNION AVE, New Braunfels, TX 78130
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Other Identifiers 3

Other0093NSTX · Bcbs
OtherP00356308TX · Medicare Railroad
Medicaid182468201TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company, Sendero Health Plans, Local Nonprofit.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

Chamalee Namal Weeratunge 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 ID1850395856
PECOS Enrollment IDI20060906000144
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 9

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
162 services54 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
80 services46 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.
53 services33 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.
36 services20 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
35 services32 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.
32 services27 patients

Hospital Affiliations CMS Care Compare 2

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

Christus Santa Rosa Hospital-San Marcos

Acute Care Hospitals · San Marcos, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450272
Location1301 Wonder World DriveSan Marcos, TX 78666 · Hays County
Emergency services Birthing friendly

Ascension Seton Hays

Acute Care Hospitals · Kyle, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670056
Location6001 Kyle PkwyKyle, TX 78640 · Hays County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78130 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
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.

72.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality61.27
Promoting Interoperability100
Improvement Activities40
Cost47.12

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
31%48 patients2/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
11%47 patients
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
39%99 patients2/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%422 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
95%367 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%144 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
35%206 patients2/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
28%208 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 97% · 102 patients
84%102 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
78%206 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
29%206 patients2/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
41%206 patients
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 12

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

DAVID JONES FNP
Nurse Practitioner (Family)
598 N UNION AVE, STE 335
NEW BRAUNFELS, TX 78130
Guadalupe County (830) 643-6205
MELISSA H MISKELL DO
Obstetrics & Gynecology (Gynecology)
598 N UNION AVE, SUITE 300
NEW BRAUNFELS, TX 78130
Guadalupe County (830) 627-7979
KENDRA L. THORN, M.D., P.A.
Obstetrics & Gynecology
598 N UNION AVE, SUITE 320
NEW BRAUNFELS, TX 78130
Guadalupe County (830) 632-6857
KEELI STUMBO MD PA
Obstetrics & Gynecology
598 N UNION AVE, SUITE 300
NEW BRAUNFELS, TX 78130
Guadalupe County (830) 627-7979
CENTRAL TEXAS INFECTIOUS DISEASE PA
Internal Medicine (Infectious Disease)
598 N UNION AVE, STE.350
NEW BRAUNFELS, TX 78130
Guadalupe County (830) 625-5103
DR. MARK S HICKMAN MD
Surgery
598 N UNION AVE, SUITE 200
NEW BRAUNFELS, TX 78130
Guadalupe County (830) 625-6259
GMARCUS FRANKLIN M D & ASSOCIATES
Clinic/Center (Medical Specialty)
598 N UNION AVE, STE. 230
NEW BRAUNFELS, TX 78130
Guadalupe County (830) 627-3777
MR. SCOTT ALLEN COLTHARP PA-C
Physician Assistant
598 N UNION AVE
NEW BRAUNFELS, TX 78130
Guadalupe County (830) 643-6205

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 Chamalee Weeratunge's NPI number?

The NPI number for Chamalee Weeratunge is 1245274026. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Where is Chamalee Weeratunge located?

Chamalee Weeratunge practices at 598 N Union Ave Ste. 350, New Braunfels, TX 78130. The listed phone number is (830) 625-5103.

What is Chamalee Weeratunge's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Chamalee Weeratunge enrolled in Medicare?

Yes. Chamalee Weeratunge 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 Chamalee Weeratunge accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company and Sendero Health Plans, Local Nonprofit list Chamalee Weeratunge 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 Chamalee Weeratunge affiliated with any hospitals?

According to CMS data, Chamalee Weeratunge is affiliated with Christus Santa Rosa Hospital-San Marcos and Ascension Seton Hays.

When was this NPI record last updated?

The NPPES record for Chamalee Weeratunge was last updated on June 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.