DR. SWAPNA REDDY ALLAMREDDY M.D.
NPI 1275764235
Family Medicine in Springfield, IL

Active since August 06, 2009PECOS EnrolledAccepts Medicare Assignment
94.61/100
CMS Quality Rating
2901 OLD JACKSONVILLE RD, SPRINGFIELD, IL 62704(217) 698-9722(217) 698-8012 Get Directions Write a Review

NPPES record last updated: December 28, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Swapna Reddy Allamreddy M.d. NPPES

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

DR. SWAPNA REDDY ALLAMREDDY M.D. (NPI 1275764235) is an individual family medicine provider in Springfield, Illinois, licensed in Illinois (036129424) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS, is affiliated with St Johns Hospital, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1275764235
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SWAPNA REDDY ALLAMREDDYCredential: M.D.
Location Address2901 OLD JACKSONVILLE RDSpringfield, IL 62704-7437
Mailing Address2239 E Cook StSpringfield, IL 62703-1944 · (217) 788-2300 · Fax (217) 788-2341
Fax(217) 698-8012
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateAugust 6, 2009
Last NPPES UpdateDecember 28, 2021
NPPES CertifiedDecember 28, 2021
NPI 1275764235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IL · 036129424
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2901 OLD JACKSONVILLE RD, Springfield, IL 62704

Other Identifiers 1

Medicaid036129424IL

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

Dr. Swapna Reddy Allamreddy 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 ID648427534
PECOS Enrollment IDI20120828000821
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 2024 & 2026 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, 30-39 minutes 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.
412 services154 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
302 services136 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
66 services47 patients
Established patient office or other outpatient visit, 40-54 minutes 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
59 services45 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
46 services45 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
45 services44 patients

Hospital Affiliations CMS Care Compare 2

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

St Johns Hospital

Acute Care Hospitals · Springfield, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140053
Location800 E Carpenter StSpringfield, IL 62769 · Sangamon County
Emergency services Birthing friendly

St Marys Hospital

Acute Care Hospitals · Decatur, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140166
Location1800 E Lake Shore DrDecatur, IL 62521 · Macon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62704 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

94.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.17
Promoting Interoperability100
Improvement Activities40

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers20 claims39 services$4.46 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
3 suppliers21 claims1,740 services$0.08 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
3 suppliers21 claims21 services$21.03 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.

Surgery
2901 OLD JACKSONVILLE RD, SUITE B3
SPRINGFIELD, IL 62704
Family Medicine
2901 OLD JACKSONVILLE RD
SPRINGFIELD, IL 62704
Internal Medicine (Rheumatology)
2901 OLD JACKSONVILLE RD
SPRINGFIELD, IL 62704
Specialist
2901 OLD JACKSONVILLE RD, SUITE B1
SPRINGFIELD, IL 62704
Surgery
2901 OLD JACKSONVILLE RD, SUITE B3
SPRINGFIELD, IL 62704
Physical Therapist (Orthopedic)
2901 OLD JACKSONVILLE RD, SUITE C
SPRINGFIELD, IL 62704
Family Medicine
2901 OLD JACKSONVILLE RD, SUITE B4
SPRINGFIELD, IL 62704
Internal Medicine
2901 OLD JACKSONVILLE RD
SPRINGFIELD, IL 62704

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275764235, enumerated as an "individual" on August 06, 2009.

The provider is located at 2901 OLD JACKSONVILLE RD SPRINGFIELD, IL 62704 and the phone number is (217) 698-9722.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter Health,. Please consult your insurance carrier or call the provider to verify.

Swapna Reddy Allamreddy is affiliated with: ST JOHNS HOSPITAL and ST MARYS HOSPITAL.