DR. PRASAD V KONDAPAVULURU MD
NPI 1265538581
Psychiatry & Neurology - Geriatric Psychiatry in Murfreesboro, TN

Active since September 15, 2006PECOS EnrolledAccepts Medicare Assignment
96.44/100
CMS Quality Rating
105 N MAPLE STREET, STE 4, MURFREESBORO, TN 37130(615) 716-8255(615) 893-9969 Get Directions Write a Review

NPPES record last updated: June 26, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Prasad V Kondapavuluru Md NPPES

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

DR. PRASAD V KONDAPAVULURU MD (NPI 1265538581) is an individual geriatric psychiatry provider in Murfreesboro, Tennessee, licensed in Tennessee (MD0000029704) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Murfreesboro, and is a graduate of Other (1983).

NPPES Registry Identity

NPI1265538581
Entity TypeIndividualMale
Primary Taxonomy2084P0805X
Provider Legal NameDR. PRASAD V KONDAPAVULURUCredential: MD
Location Address105 N MAPLE STREET, STE 4Murfreesboro, TN 37130-3524
Mailing Address105 N Maple Street, Ste 4Murfreesboro, TN 37130-3524 · (615) 716-8255 · Fax (615) 893-9969
Fax(615) 893-9969
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateSeptember 15, 2006
Last NPPES UpdateJune 26, 2026
NPPES CertifiedJune 26, 2026
✔ NPI 1265538581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Geriatric PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0805X
License✔ Licensed in TN · MD0000029704
Definition
Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients.
105 N MAPLE STREET, Murfreesboro, TN 37130

Secondary Practice Location 1

Location 13400 Lebanon RdMurfreesboro, TN 37129-1237 · Phone (615) 893-1360 ext. 3672 · Fax (615) 867-5796

Accepted 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

Dr. Prasad V Kondapavuluru 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 ID5991799306
PECOS Enrollment IDI20040409000033
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

3

Medicare enrollment records show Prasad Kondapavuluru reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Substance Abuse Rehabilitation Facility
2462 OLD FORT PKWY
Murfreesboro, TN 37128
  • Reassigned Medicare billing, Tennessee enrollment
  • 11 clinicians in this Medicare group
Psychiatry
2014 QUAIL HOLLOW CIR
Franklin, TN 37067
  • Reassigned Medicare billing, Tennessee enrollment
  • 29 clinicians in this Medicare group
Psychiatry
233 WINTON BLOUNT LOOP
Montgomery, AL 36117
  • Reassigned Medicare billing, Tennessee enrollment
  • 73 clinicians in this Medicare group

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

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.
71 services35 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37130 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
$160.89 typical visit price
range $52.64 – $160.89
Typical copayment $40.22 (range $13.16 – $40.22)
Most-billed visit code 99205
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

96.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.88
Improvement Activities40

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 Prasad Kondapavuluru's NPI number?

The NPI number for Prasad Kondapavuluru is 1265538581. It was assigned to this individual provider in the NPPES registry on September 15, 2006.

Where is Prasad Kondapavuluru located?

Prasad Kondapavuluru practices at 105 N Maple Street Ste 4, Murfreesboro, TN 37130. The listed phone number is (615) 716-8255.

What is Prasad Kondapavuluru's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Geriatric Psychiatry, with taxonomy code 2084P0805X.

Is Prasad Kondapavuluru enrolled in Medicare?

Yes. Prasad Kondapavuluru 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 organizations bill Medicare for Prasad Kondapavuluru's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Prasad Kondapavuluru reassigns Medicare benefits to 3 organizations: Shrinkty Medical Services, LLC (Murfreesboro, TN), Rolling Hills Hospital LLC (Franklin, TN) and River Region Psychiatry Associates LLC (Montgomery, AL). Each 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 Prasad Kondapavuluru's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Prasad Kondapavuluru accept?

Health plans from BlueCross BlueShield of Tennessee and Cigna Healthcare list Prasad Kondapavuluru 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.

When was this NPI record last updated?

The NPPES record for Prasad Kondapavuluru was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.