KARTHIKEYAN PONNUSAMY M.D.
NPI 1265722698
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery in Woodstock, GA

Active since April 19, 2011PECOS EnrolledAccepts Medicare Assignment
92.93/100
CMS Quality Rating
1505 STONE BRIDGE PKWY STE 200, WOODSTOCK, GA 30189(770) 926-9112(770) 926-8240 Get Directions Write a Review

NPPES record last updated: February 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 3, 2018, Feb 21, 2017, Jun 14, 2016 (3 updates tracked since 2016).

About Karthikeyan Ponnusamy M.d. NPPES

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

KARTHIKEYAN PONNUSAMY M.D. (NPI 1265722698) is an individual adult reconstructive orthopaedic surgery provider in Woodstock, Georgia, licensed in Georgia (77758) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Cherokee, and is a graduate of Stanford University School Of Medicine (2011).

NPPES Registry Identity

NPI1265722698
Entity TypeIndividualMale
Primary Taxonomy207XS0114X
Provider Legal NameKARTHIKEYAN PONNUSAMYCredential: M.D.
Location Address1505 STONE BRIDGE PKWY STE 200Woodstock, GA 30189-8282
Mailing Address1505 Stone Bridge Pkwy Ste 200Woodstock, GA 30189-8282 · (770) 926-9112 · Fax (770) 926-8240
Fax(770) 926-8240
Sole ProprietorNo
Medical School CMSStanford University School Of MedicineGraduated 2011
Enumeration DateApril 19, 2011
Last NPPES UpdateFebruary 15, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 15, 2024
NPI 1265722698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0114X
License Licensed in GA · 77758
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 27416 (WV), 110573 (ZZ)
1505 STONE BRIDGE PKWY STE 200, Woodstock, GA 30189

Accepted 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

Karthikeyan Ponnusamy 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 ID840448486
PECOS Enrollment IDI20171007000334
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 25

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.

Hyaluronan or derivative, triluron, for intra-articular injection, 1 mg J7332
Triluron is a treatment involving injections of a substance called hyaluronan into your joints. It helps to lubricate and cushion the joint, which can reduce pain and improve movement, especially in conditions like osteoarthritis. Each injection contains 1 mg of hyaluronan.
6,080 services72 patients
Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml Q9965
Low osmolar contrast material with 100-199 mg/ml iodine concentration is a type of dye used in medical imaging tests. It helps to clearly highlight certain areas in the body, improving the quality of images and aiding in accurate diagnosis. It's generally safe and well-tolerated.
3,061 services35 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
2,280 services278 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
1,265 services170 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.
765 services437 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
709 services311 patients

Hospital Affiliations CMS Care Compare 2

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

Northside Hospital Cherokee

Acute Care Hospitals · Canton, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110008
Location450 Northside Cherokee BoulevardCanton, GA 30115 · Cherokee County
Emergency services Birthing friendly

Wellstar Kennestone Regional Medical Center

Acute Care Hospitals · Marietta, GA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110035
Location677 Church StreetMarietta, GA 30060 · Cobb County
Emergency services Birthing friendly

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.

92.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.38
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
68%444 patients3/55-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 3

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

Continuous passive motion exercise device for use on knee only E0935
DME-Other DME · category DE000N
2 suppliers42 claims865 services$18.62 avg. paid by Medicare
Dynamic adjustable knee extension / flexion device, includes soft interface material E1810
DME-Other DME · category DE000N
1 supplier14 claims14 services$82.08 avg. paid by Medicare
Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$27.29 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 6

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

Occupational Therapist
1505 STONE BRIDGE PKWY STE 200
WOODSTOCK, GA 30189
Physical Therapist
1505 STONE BRIDGE PKWY STE 200
WOODSTOCK, GA 30189
Physical Therapist
1505 STONE BRIDGE PKWY STE 200
WOODSTOCK, GA 30189
Physical Therapist
1505 STONE BRIDGE PKWY STE 200
WOODSTOCK, GA 30189
Occupational Therapist
1505 STONE BRIDGE PKWY STE 200
WOODSTOCK, GA 30189
Physical Therapist
1505 STONE BRIDGE PKWY STE 200
WOODSTOCK, GA 30189

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 Karthikeyan Ponnusamy's NPI number?

The NPI number for Karthikeyan Ponnusamy is 1265722698. It was assigned to this individual provider in the NPPES registry on April 19, 2011.

Where is Karthikeyan Ponnusamy located?

Karthikeyan Ponnusamy practices at 1505 Stone Bridge Pkwy Ste 200, Woodstock, GA 30189. The listed phone number is (770) 926-9112.

What is Karthikeyan Ponnusamy's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

Is Karthikeyan Ponnusamy enrolled in Medicare?

Yes. Karthikeyan Ponnusamy 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 Karthikeyan Ponnusamy accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Karthikeyan Ponnusamy 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 Karthikeyan Ponnusamy affiliated with any hospitals?

According to CMS data, Karthikeyan Ponnusamy is affiliated with Northside Hospital Cherokee and Wellstar Kennestone Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Karthikeyan Ponnusamy was last updated on February 15, 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.