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PRATHIBA KATTA M.D
NPI 1275814840
Internal Medicine in Scranton, PA

Active since September 08, 2011PECOS EnrolledAccepts Medicare Assignment
1801 TALL TREES DRIVE, SCRANTON, PA 18505(570) 468-4856 Get Directions Write a Review

NPPES record last updated: October 10, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Prathiba Katta M.d NPPES

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

PRATHIBA KATTA M.D (NPI 1275814840) is an individual internal medicine provider in Scranton, Pennsylvania, licensed in Pennsylvania (MD452316) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS, is affiliated with Texas Health Arlington Memorial Hospital, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1275814840
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NamePRATHIBA KATTACredential: M.D
Location Address1801 TALL TREES DRIVEScranton, PA 18505-2259
Mailing Address1801 Tall Trees DriveScranton, PA 18505-2259 · (570) 468-4856
Phone(570) 468-4856
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateSeptember 8, 2011
Last NPPES UpdateOctober 10, 2014
✔ NPI 1275814840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MD452316
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1801 TALL TREES DRIVE, Scranton, PA 18505
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Molina Healthcare, Oscar Insurance Company.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

Prathiba Katta 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 ID4688892250
PECOS Enrollment IDI20150428000167
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 Prathiba Katta reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cogent Healthcare Of Texas, PA
1,302 mi
Internal Medicine
8200 WALNUT HILL LN
Dallas, TX 75231
  • Reassigned Medicare billing, Texas enrollment
  • 1,208 clinicians in this Medicare group
NPI 1992722953 (214) 345-7585
Hospitalist Medicine Physicians Of Texas, PLLC
1,352 mi
Internal Medicine
18951 N MEMORIAL DR
Humble, TX 77338
  • Reassigned Medicare billing, Texas enrollment
  • 2,009 clinicians in this Medicare group
NPI 1629307095 (281) 540-7700
Apogee Medical Group Texas PA
2,049 mi
Internal Medicine
15059 N SCOTTSDALE, SUITE 600
Scottsdale, AZ 85254
  • Reassigned Medicare billing, Texas enrollment
  • 163 clinicians in this Medicare group
NPI 1558318071 (602) 778-3600

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 5

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 moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
317 services130 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.
188 services94 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
131 services116 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
54 services52 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
30 services30 patients

Hospital Affiliations CMS Care Compare 3

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

Texas Health Arlington Memorial Hospital

Acute Care Hospitals · Arlington, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450064
Location800 W Randol Mill RdArlington, TX 76012 · Tarrant County
Emergency services Birthing friendly

Texas Health Presbyterian Hospital Dallas

Acute Care Hospitals · Dallas, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450462
Location8200 Walnut Hill LaneDallas, TX 75231 · Dallas County
Emergency services Birthing friendly

Texas Health Heart & Vascular Hospital Arlington

Acute Care Hospitals · Arlington, TX
5/5 CMS rating
OwnershipProprietary
CMS Certification Number670071
Location811 Wright StreetArlington, TX 76012 · Tarrant County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18505 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
99%165 patients4/55-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 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier20 claims20 services$15.41 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers20 claims20 services$66.85 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Prathiba Katta's NPI number?

The NPI number for Prathiba Katta is 1275814840. It was assigned to this individual provider in the NPPES registry on September 8, 2011.

Where is Prathiba Katta located?

Prathiba Katta practices at 1801 Tall Trees Drive, Scranton, PA 18505. The listed phone number is (570) 468-4856.

What is Prathiba Katta's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Prathiba Katta enrolled in Medicare?

Yes. Prathiba Katta 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 Prathiba Katta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Prathiba Katta reassigns Medicare benefits to 3 organizations: Cogent Healthcare Of Texas, PA (Dallas, TX), Hospitalist Medicine Physicians Of Texas, PLLC (Humble, TX) and Apogee Medical Group Texas PA (Scottsdale, AZ). 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 Prathiba Katta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Prathiba Katta accept?

Health plans from Blue Cross and Blue Shield of Texas, Molina Healthcare and Oscar Insurance Company list Prathiba Katta 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 Prathiba Katta affiliated with any hospitals?

According to CMS data, Prathiba Katta is affiliated with Texas Health Arlington Memorial Hospital, Texas Health Presbyterian Hospital Dallas and Texas Health Heart & Vascular Hospital Arlington.

When was this NPI record last updated?

The NPPES record for Prathiba Katta was last updated on October 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.