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NEELA RAO MD
NPI 1255673885
Otolaryngology in Rock Hill, SC

Active since March 21, 2013PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
200 S HERLONG AVE STE A, ROCK HILL, SC 29732(803) 328-1864 Get Directions Write a Review

NPPES record last updated: April 28, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 28, 2021, Jul 23, 2019, Apr 18, 2018 (3 updates tracked since 2018).

About Neela Rao Md NPPES

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

NEELA RAO MD (NPI 1255673885) is an individual otolaryngology provider in Rock Hill, South Carolina, licensed in South Carolina (82134) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS, is affiliated with Piedmont Medical Center, and is a graduate of Michigan State University College Of Human Medicine (2013).

NPPES Registry Identity

NPI1255673885
Entity TypeIndividualFemale
Primary Taxonomy207Y00000X
Provider Legal NameNEELA RAOCredential: MD
Location Address200 S HERLONG AVE STE ARock Hill, SC 29732-1182
Mailing Address200 S Herlong Ave Ste ARock Hill, SC 29732-1182 · (803) 328-1864
Phone(803) 328-1864
Sole ProprietorNo
Medical School CMSMichigan State University College Of Human MedicineGraduated 2013
Enumeration DateMarch 21, 2013
Last NPPES UpdateApril 28, 20213 updates tracked since enumeration
NPPES CertifiedApril 28, 2021
✔ NPI 1255673885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses✔ Licensed in SC · 82134✔ Licensed in IL · 125063550
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
200 S HERLONG AVE STE A, Rock Hill, SC 29732
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.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

Neela Rao 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 ID2860702123
PECOS Enrollment IDI20190823000045, I20190823000197
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 Reassignment

Medicare enrollment records show Neela Rao reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Charlotte Eye Ear Nose & Throat Associates, PA
13 mi
Ophthalmology
10405 CENTRUM PKWY
Pineville, NC 28134
  • Reassigned Medicare billing, North Carolina and South Carolina enrollments
  • Also billed through NPI 1043287469 (South Carolina)
  • 181 clinicians in this Medicare group
NPI 1396930442 (704) 295-3650

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 11

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.

Test for allergy using allergenic extract 95004
An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.
238 services11 patients
Test for allergy using allergenic extract injected into skin 95024
An allergy skin test involves injecting a small amount of allergenic extract into your skin. This test helps determine if you're allergic to specific substances. If allergic, a small red bump appears at the test site. It's safe and quick.
211 services11 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.
198 services159 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.
184 services150 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
98 services98 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
88 services77 patients

Hospital Affiliations CMS Care Compare

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

Piedmont Medical Center

Acute Care Hospitals · Rock Hill, SC
2/5 CMS rating
OwnershipProprietary
CMS Certification Number420002
Location1731 Frank Gaston BlvdRock Hill, SC 29732 · York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29732 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
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

DR. ROBYN ADELE BOGAN AU.D.
Audiologist
200 S HERLONG AVE STE A
ROCK HILL, SC 29732
York County (803) 328-1864
MARGARET BAURA PA-C
Physician Assistant
200 S HERLONG AVE STE A
ROCK HILL, SC 29732
York County (803) 328-1864
DR. GREGORY STOKES PARSONS MD
Otolaryngology (Otolaryngic Allergy)
200 S HERLONG AVE STE A
ROCK HILL, SC 29732
York County (803) 328-1864

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 Neela Rao's NPI number?

The NPI number for Neela Rao is 1255673885. It was assigned to this individual provider in the NPPES registry on March 21, 2013.

Where is Neela Rao located?

Neela Rao practices at 200 S Herlong Ave Ste A, Rock Hill, SC 29732. The listed phone number is (803) 328-1864.

What is Neela Rao's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Neela Rao enrolled in Medicare?

Yes. Neela Rao 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.

Which organization bills Medicare for Neela Rao's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Neela Rao reassigns Medicare benefits to Charlotte Eye Ear Nose & Throat Associates, PA (Pineville, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Neela Rao's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Neela Rao accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, AmeriHealth Caritas Next and BlueCross BlueShield of South Carolina and 4 other insurers list Neela Rao 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 Neela Rao affiliated with any hospitals?

According to CMS data, Neela Rao is affiliated with Piedmont Medical Center.

When was this NPI record last updated?

The NPPES record for Neela Rao was last updated on April 28, 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.