RAJESH AGRAWAL MD
NPI 1295712602
Internal Medicine - Pulmonary Disease in Pinellas Park, FL

Active since December 28, 2005PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
6223 66TH STREET NORTH, PINELLAS PARK, FL 33781(727) 528-4900(727) 528-8628 Get Directions Write a Review

NPPES record last updated: August 5, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rajesh Agrawal Md NPPES

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

RAJESH AGRAWAL MD (NPI 1295712602) is an individual pulmonary disease provider in Pinellas Park, Florida, licensed in Florida (ME68290) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Adventhealth North Pinellas, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1295712602
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameRAJESH AGRAWALCredential: MD
Location Address6223 66TH STREET NORTHPinellas Park, FL 33781-5025
Mailing Address6223 66th Street NorthPinellas Park, FL 33781-5025 · (727) 528-4900 · Fax (727) 528-8628
Fax(727) 528-8628
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateDecember 28, 2005
Last NPPES UpdateAugust 5, 2010
NPI 1295712602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in FL · ME68290
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
6223 66TH STREET NORTH, Pinellas Park, FL 33781

Other Identifiers 9

Other1467464990FL · Group Npi
Other6000/211534Avmed Provider Numbers
Medicaid261164300FL
Medicare PINK1630FL
Medicaid250206200FL
Other110200401FL · Medicare Railroad Individual
Medicare UPING07858FL
OtherCH2504FL · Medicare Railroad Group
Medicare PIN31972WFL

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

Rajesh Agrawal 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 ID1355313941
PECOS Enrollment IDI20100909000492
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 30

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 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.
834 services186 patients
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.
742 services241 patients
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.
629 services266 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.
370 services236 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.
333 services165 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.
259 services164 patients

Hospital Affiliations CMS Care Compare 5

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

Adventhealth North Pinellas

Acute Care Hospitals · Tarpon Springs, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number100055
Location1395 S Pinellas AveTarpon Springs, FL 34689 · Pinellas County
Emergency services

St Anthonys Hospital

Acute Care Hospitals · Saint Petersburg, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100067
Location1200 Seventh Ave NSaint Petersburg, FL 33705 · Pinellas County
Emergency services

Hca Florida Pasadena Hospital

Acute Care Hospitals · Saint Petersburg, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100126
Location1501 Pasadena Ave SSaint Petersburg, FL 33707 · Pinellas County
Emergency services

Hca Florida St Petersburg Hospital

Acute Care Hospitals · Saint Petersburg, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100180
Location6500 38th Ave NSaint Petersburg, FL 33710 · Pinellas County
Emergency services Birthing friendly

Hca Florida Northside Hospital

Acute Care Hospitals · Saint Petersburg, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100238
Location6000 49th St NSaint Petersburg, FL 33709 · Pinellas County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33781 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

Chronic Obstructive Pulmonary Disease (COPD): Long-Acting Inhaled Bronchodilator Therapy
Percentage of patients aged 18 years and older with a diagnosis of COPD (FEV1/FVC < 70%) and who have an FEV1 less than 60% predicted and have symptoms who were prescribed an long-acting inhaled bronchodilator
100%58 patients5/55-star benchmark: 100%
Chronic Obstructive Pulmonary Disease (COPD): Spirometry Evaluation
Percentage of patients aged 18 years and older with a diagnosis of COPD who had spirometry results documented
99%73 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%112 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
61%6,531 patients3/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
83%825 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
74%810 patients3/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
96%74 patients5/55-star benchmark: 95%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
99%99 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
54%600 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
54%600 patients3/55-star benchmark: 79%
Sleep Apnea: Assessment of Adherence to Positive Airway Pressure Therapy
Percentage of visits for patients aged 18 years and older with a diagnosis of obstructive sleep apnea who were prescribed positive airway pressure therapy who had documentation that adherence to positive airway pressure therapy was objectively measured
100%27 patients5/55-star benchmark: 100%
Sleep Apnea: Assessment of Sleep Symptoms
Percentage of visits for patients aged 18 years and older with a diagnosis of obstructive sleep apnea that includes documentation of an assessment of sleep symptoms, including presence or absence of snoring and daytime sleepiness
100%27 patients5/55-star benchmark: 100%
Sleep Apnea: Positive Airway Pressure Therapy Prescribed
Percentage of patients aged 18 years and older with a diagnosis of moderate or severe obstructive sleep apnea who were prescribed positive airway pressure therapy
100%27 patients
Sleep Apnea: Severity Assessment at Initial Diagnosis
Percentage of patients aged 18 years and older with a diagnosis of obstructive sleep apnea who had an apnea hypopnea index (AHI) or a respiratory disturbance index (RDI) measured at the time of initial diagnosis
100%27 patients5/55-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 30

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
12 suppliers93 claims93 services$32.63 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
6 suppliers22 claims50 services$1.17 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005
DME-Other DME · category DE000N
5 suppliers11 claims11 services$11.62 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
12 suppliers92 claims92 services$71.66 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
12 suppliers81 claims202 services$28.31 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
7 suppliers60 claims287 services$16.92 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

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

Internal Medicine (Pulmonary Disease)
6223 66TH STREET NORTH
PINELLAS PARK, FL 33781

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 Rajesh Agrawal's NPI number?

The NPI number for Rajesh Agrawal is 1295712602. It was assigned to this individual provider in the NPPES registry on December 28, 2005.

Where is Rajesh Agrawal located?

Rajesh Agrawal practices at 6223 66th Street North, Pinellas Park, FL 33781. The listed phone number is (727) 528-4900.

What is Rajesh Agrawal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Rajesh Agrawal enrolled in Medicare?

Yes. Rajesh Agrawal 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 Rajesh Agrawal accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and Oscar Health Maintenance Organization of Florida and 1 other insurer list Rajesh Agrawal 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 Rajesh Agrawal affiliated with any hospitals?

According to CMS data, Rajesh Agrawal is affiliated with Adventhealth North Pinellas, St Anthonys Hospital, Hca Florida Pasadena Hospital, Hca Florida St Petersburg Hospital and Hca Florida Northside Hospital.

When was this NPI record last updated?

The NPPES record for Rajesh Agrawal was last updated on August 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.