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LAKSHMI PRATHIPATI M.D.
NPI 1245338490
Internal Medicine in San Diego, CA

Active since September 20, 2006PECOS EnrolledAccepts Medicare Assignment
94.24/100
CMS Quality Rating
4276 54TH PL STE B, SAN DIEGO, CA 92115(619) 286-3222(619) 286-3223 Get Directions Write a Review

NPPES record last updated: June 6, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lakshmi Prathipati M.d. NPPES

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

LAKSHMI PRATHIPATI M.D. (NPI 1245338490) is an individual internal medicine provider in San Diego, California, licensed in California (A47821) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1980).

NPPES Registry Identity

NPI1245338490
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameLAKSHMI PRATHIPATICredential: M.D.
Location Address4276 54TH PL STE BSan Diego, CA 92115-6011
Mailing Address4276 54th Pl Ste BSan Diego, CA 92115-6011 · (619) 286-3222 · Fax (619) 286-3223
Phone(619) 286-3222
Fax(619) 286-3223
Sole ProprietorNo
Medical School CMSOtherGraduated 1980
Enumeration DateSeptember 20, 2006
Last NPPES UpdateJune 6, 2016
✔ NPI 1245338490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A47821
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4276 54TH PL STE B, San Diego, CA 92115
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINE32933CA
Medicare OSCAR/certificationW13385CA

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

Lakshmi Prathipati 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 ID4183796287
PECOS Enrollment IDI20120125000430
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 6

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.
666 services198 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
595 services39 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
82 services82 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.
42 services32 patients
Assessment of and care planning for patient with impaired thought processing, typically 60 minutes 99483
This service involves a thorough evaluation of your thought processes, which may be impacting your daily life. In a typical 50-minute session, a healthcare professional will assess your cognitive abilities, identify any areas of concern, and develop a personalized care plan to help improve your mental function.
38 services37 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92115 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
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

94.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality92.19
Promoting Interoperability74
Improvement Activities40
Cost93.61

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
18%101 patients1/55-star benchmark: 87%
Colorectal Cancer Screening
51%502 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
60%525 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%2,171 patients5/55-star benchmark: 100%
e-Prescribing
75%233 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
79%930 patients4/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
85%842 patients4/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
35%279 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 87% · 801 patients
Patients screened: 87% · 801 patients
100%54 patients5/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
39%140 patients2/55-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

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers13 claims19 services$6.60 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

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

SOMMER ALIAVA LOVEJOY NP
Nurse Practitioner (Family)
4276 54TH PL STE B
SAN DIEGO, CA 92115
San Diego County (619) 668-8100

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 Lakshmi Prathipati's NPI number?

The NPI number for Lakshmi Prathipati is 1245338490. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Lakshmi Prathipati located?

Lakshmi Prathipati practices at 4276 54th Pl Ste B, San Diego, CA 92115. The listed phone number is (619) 286-3222.

What is Lakshmi Prathipati's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Lakshmi Prathipati enrolled in Medicare?

Yes. Lakshmi Prathipati 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.

When was this NPI record last updated?

The NPPES record for Lakshmi Prathipati was last updated on June 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.