PAVAN PYREDDY M.D.
NPI 1255450532
Internal Medicine - Geriatric Medicine in Burlington, NC

Q: What is Pavan Pyreddy's NPI number?

The NPI number for Pavan Pyreddy is 1255450532. It was assigned to this individual provider in the NPPES registry on March 28, 2007. The provider is also known as Pavan Pyreddy M.D..

Q: What is Pavan Pyreddy's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Q: When was this NPI record last updated?

The NPPES record for Pavan Pyreddy was last updated on February 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 28, 2007PECOS EnrolledAccepts Medicare Assignment

1240 HUFFMAN MILL RD, BURLINGTON, NC 27215(862) 262-2044 Get Directions Write a Review

NPPES record last updated: February 16, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Pavan Pyreddy M.d. NPPES

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

PAVAN PYREDDY M.D. (NPI 1255450532) is an individual geriatric medicine provider in Burlington, North Carolina, licensed in North Carolina (2007-00291) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Wakemed, Raleigh Campus, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1255450532

Entity TypeIndividualMale

Primary Taxonomy207RG0300X

Provider Legal NamePAVAN PYREDDYCredential: M.D.

Location Address1240 HUFFMAN MILL RDBurlington, NC 27215-8700

Mailing Address1240 Huffman Mill RdBurlington, NC 27215-8700 · (862) 262-2044

Phone(862) 262-2044

Sole ProprietorNo

Medical School CMSOtherGraduated 1997

Enumeration DateMarch 28, 2007

Last NPPES UpdateFebruary 16, 2024

NPPES CertifiedFebruary 16, 2024

✔ NPI 1255450532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RG0300X

License✔ Licensed in NC · 2007-00291

Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

Also ListedInternal MedicineTaxonomy 207R00000X · License 2007-00291 (NC)

1240 HUFFMAN MILL RD, Burlington, NC 27215

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Other Names 1

Other Name (5)Pavan Pyreddy M.d.

Secondary Practice Locations 2

Location 1426 Terrace RdBayport, NY 11705-1526 · Phone (862) 262-2044

Location 23000 New Bern AveRaleigh, NC 27610-1231 · Phone (919) 350-8000 · Fax (919) 350-7204

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Pavan Pyreddy 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 ID446343719

PECOS Enrollment IDI20070831000127

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.

Medicare Billing Reassignments

Medicare enrollment records show Pavan Pyreddy reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospitalist Medicine Physicians Of North Carolina PLLC

16 mi

Internal Medicine

1200 N ELM ST, 5TH FLOOR
Greensboro, NC 27401

Reassigned Medicare billing, North Carolina enrollment
254 clinicians in this Medicare group

NPI 1164724902 (336) 832-5777

Wakemed Specialists Group, LLC

44 mi

Obesity Medicine

160 MACGREGOR PINES DR
Cary, NC 27511

Reassigned Medicare billing, North Carolina enrollment
997 clinicians in this Medicare group

NPI 1013571587 (919) 234-4468

Granville Health System

44 mi

Rural Health

1614 NC HIGHWAY 56
Creedmoor, NC 27522

Reassigned Medicare billing, North Carolina enrollment
91 clinicians in this Medicare group

NPI 1265430854 (919) 575-6103

Apogee Medical Group, North Carolina, P.C.

90 mi

Hospitalist

1705 TARBORO ST SW
Wilson, NC 27893

Reassigned Medicare billing, North Carolina enrollment
Medicare enrollment name: Apogee Medical Group North Carolina
278 clinicians in this Medicare group

NPI 1043518228 (252) 399-7410

Cogent Healthcare Of North Carolina, PC

92 mi

Internal Medicine

2460 CURTIS ELLIS DR
Rocky Mount, NC 27804

Reassigned Medicare billing, North Carolina enrollment
393 clinicians in this Medicare group

NPI 1548207483 (828) 456-7311

24 On Physicians, P.C.

261 mi

Hospitalist

3990 E US 64 ALT
Murphy, NC 28906

Reassigned Medicare billing, North Carolina enrollment
Medicare enrollment name: 24 On Physicians PC
41 clinicians in this Medicare group

NPI 1912956780 (828) 837-5939

Hospital Physician Services - Southeast Professional Corporation

287 mi

Hospitalist

2151 W SPRING ST
Monroe, GA 30655

Reassigned Medicare billing, North Carolina enrollment
511 clinicians in this Medicare group

NPI 1760410385 (770) 267-8461

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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 moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

217 services137 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.

176 services105 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

170 services168 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

47 services46 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

26 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Unc Health Nash

Acute Care Hospitals · Rocky Mount, NC

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340147

Location2460 Curtis Ellis DriveRocky Mount, NC 27804 · Nash County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27215 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

$165.09 typical visit price

range $54.12 – $165.09

Typical copayment $41.27 (range $13.53 – $41.27)

Most-billed visit code 99205

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

100%23 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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers19 claims19 services$17.70 avg. paid by Medicare

Transport chair, adult size, patient weight capacity up to and including 300 pounds E1038

DME-Other DME · category DE000N

2 suppliers30 claims30 services$8.74 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers36 claims36 services$84.40 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

2 suppliers27 claims27 services$13.57 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 20

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

MR. BRYAN GRAY FNP-C

Nurse Practitioner (Family)