SWETHA PRIYA CHAPARALA MD
NPI 1295398964
Internal Medicine in Athens, GA

Q: What is Swetha Priya Chaparala's NPI number?

The NPI number for Swetha Priya Chaparala is 1295398964. It was assigned to this individual provider in the NPPES registry on April 18, 2019.

Q: What is Swetha Priya Chaparala's specialty?

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

Active since April 18, 2019PECOS EnrolledAccepts Medicare Assignment

91.65/100

CMS Quality Rating

1199 PRINCE AVE, ATHENS, GA 30606(706) 475-5076 Get Directions Write a Review

NPPES record last updated: March 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 19, 2025, Sep 1, 2022, Aug 26, 2022 and 1 more (4 updates tracked since 2019).

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About Swetha Priya Chaparala Md NPPES

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

SWETHA PRIYA CHAPARALA MD (NPI 1295398964) is an individual internal medicine provider in Athens, Georgia, licensed in Georgia (91435) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Piedmont Athens Regional Medical Center, and maintains a secondary practice location in Athens.

NPPES Registry Identity

NPI1295398964

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameSWETHA PRIYA CHAPARALACredential: MD

Location Address1199 PRINCE AVEAthens, GA 30606-2797

Mailing Address1199 Prince Ave #70Athens, GA 30606

Phone(706) 475-5076

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateApril 18, 2019

Last NPPES UpdateMarch 19, 20254 updates tracked since enumeration

NPPES CertifiedMarch 19, 2025

✔ NPI 1295398964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in GA · 91435

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.

Also ListedHospitalistTaxonomy 208M00000X · License 91435 (GA)

1199 PRINCE AVE, Athens, GA 30606

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Secondary Practice Location 1

Location 11270 Prince Ave Suite 201Athens, GA 30606 · Phone (706) 475-7055

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..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

Swetha Priya Chaparala 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 ID7618352733

PECOS Enrollment IDI20220909002050

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 4

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.

348 services168 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

120 services119 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.

89 services89 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.

23 services13 patients

Hospital Affiliations CMS Care Compare

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

Piedmont Athens Regional Medical Center

Acute Care Hospitals · Athens, GA

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number110074

Location1199 Prince AvenueAthens, GA 30606 · Clarke County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30606 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

$124.10 typical visit price

range $53.31 – $164.04

Typical copayment $31.02 (range $13.32 – $41.01)

Most-billed visit code 99204

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

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.

91.65/100

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

Scored as part of a group practice

Promoting Interoperability

Improvement Activities

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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.

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