DR. SIVA PRASAD MARUBOYINA M.D
NPI 1265816409
Internal Medicine - Gastroenterology in Bridgeport, WV

Q: What is Siva Prasad Maruboyina's NPI number?

The NPI number for Siva Prasad Maruboyina is 1265816409. It was assigned to this individual provider in the NPPES registry on July 17, 2015.

Q: What is Siva Prasad Maruboyina's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Active since July 17, 2015PECOS EnrolledAccepts Medicare Assignment

94.1/100

CMS Quality Rating

527 MEDICAL PARK DR STE 402W, BRIDGEPORT, WV 26330(681) 342-3690(681) 342-3695 Get Directions Write a Review

NPPES record last updated: August 9, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 9, 2023, Sep 23, 2019, May 1, 2019 and 1 more (4 updates tracked since 2017).

On this page

About Dr. Siva Prasad Maruboyina M.d NPPES

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

DR. SIVA PRASAD MARUBOYINA M.D (NPI 1265816409) is an individual gastroenterology provider in Bridgeport, West Virginia, licensed in West Virginia (31030) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS, is affiliated with West Virginia University Hospitals, Inc, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1265816409

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. SIVA PRASAD MARUBOYINACredential: M.D

Location Address527 MEDICAL PARK DR STE 402WBridgeport, WV 26330-9010

Mailing Address527 Medical Park Dr Ste 402wBridgeport, WV 26330-9010 · (681) 342-3690 · Fax (681) 342-3695

Phone(681) 342-3690

Fax(681) 342-3695

Sole ProprietorYes

Medical School CMSOtherGraduated 2008

Enumeration DateJuly 17, 2015

Last NPPES UpdateAugust 9, 20234 updates tracked since enumeration

NPPES CertifiedAugust 9, 2023

✔ NPI 1265816409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

Licenses✔ Licensed in WV · 31030✔ Licensed in NJ · 25MA10445200

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

527 MEDICAL PARK DR STE 402W, Bridgeport, WV 26330

Open in Google Maps ↗

Secondary Practice Locations 2

Location 1111 Central AveNewark, NJ 07102-1909 · Phone (862) 763-1418 · Fax (973) 877-5767

Location 2703 Main StPaterson, NJ 07503-2621 · Phone (862) 763-1418

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.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

Dr. Siva Prasad Maruboyina 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 ID9133501604

PECOS Enrollment IDI20220729002518

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 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.

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.

170 services109 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

85 services77 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.

73 services66 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.

63 services63 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

48 services47 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

42 services41 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.

38 services29 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

17 services17 patients

Measurement of liver stiffness 91200

Measurement of liver stiffness is a non-invasive procedure that helps assess the health of your liver. It uses sound waves to detect the hardness of the liver tissue, which can indicate conditions like fibrosis or cirrhosis. It's a simple, painless test that provides valuable information about your liver's health.

15 services15 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

14 services14 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

West Virginia University Hospitals, Inc

Acute Care Hospitals · Morgantown, WV

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510001

Location1 Medical Center DriveMorgantown, WV 26506 · Monongalia County

Emergency services Birthing friendly

United Hospital Center, Inc

Acute Care Hospitals · Bridgeport, WV

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510006

Location327 Medical Park DriveBridgeport, WV 26330 · Harrison County

Emergency services Birthing friendly

Camden Clark Medical Center

Acute Care Hospitals · Parkersburg, WV

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510058

Location800 Garfield AveParkersburg, WV 26101 · Wood County

Emergency services Birthing friendly

Braxton County Memorial Hospital, Inc

Critical Access Hospitals · Gassaway, WV

OwnershipVoluntary non-profit - Private

CMS Certification Number511308

Location100 Hoylman DriveGassaway, WV 26624 · Braxton County

Emergency services

St Joseph's Hospital Of Buckhannon, Inc

Critical Access Hospitals · Buckhannon, WV

OwnershipVoluntary non-profit - Private

CMS Certification Number511321

Location1 Amalia DriveBuckhannon, WV 26201 · Upshur County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26330 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

$124.46 typical visit price

range $53.20 – $164.59

Typical copayment $31.11 (range $13.30 – $41.14)

Most-billed visit code 99204

Established Patient

$94.81 typical visit price

range $16.47 – $133.29

Typical copayment $23.70 (range $4.11 – $33.32)

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.

94.1/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

78.46

Promoting Interoperability

100

Improvement Activities

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 Siva Prasad Maruboyina's NPI number?

The NPI number for Siva Prasad Maruboyina is 1265816409. It was assigned to this individual provider in the NPPES registry on July 17, 2015.

Where is Siva Prasad Maruboyina located?

Siva Prasad Maruboyina practices at 527 Medical Park Dr Ste 402W, Bridgeport, WV 26330. The listed phone number is (681) 342-3690.

What is Siva Prasad Maruboyina's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Siva Prasad Maruboyina enrolled in Medicare?

Yes. Siva Prasad Maruboyina 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 Siva Prasad Maruboyina accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Siva Prasad Maruboyina 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 Siva Prasad Maruboyina affiliated with any hospitals?

According to CMS data, Siva Prasad Maruboyina is affiliated with West Virginia University Hospitals, Inc, United Hospital Center, Inc, Camden Clark Medical Center, Braxton County Memorial Hospital, Inc and St Joseph's Hospital Of Buckhannon, Inc.

When was this NPI record last updated?

The NPPES record for Siva Prasad Maruboyina was last updated on August 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.