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DR. NANDITA GATLA M.D.
NPI 1306166632
Internal Medicine - Rheumatology in Portsmouth, OH

Active since June 09, 2010PECOS EnrolledAccepts Medicare Assignment
1711 27TH ST STE 401, PORTSMOUTH, OH 45662(740) 356-8811(740) 356-6312 Get Directions Write a Review

NPPES record last updated: May 6, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 6, 2024, Jul 5, 2018, Nov 21, 2017 and 1 more (4 updates tracked since 2017).

About Dr. Nandita Gatla M.d. NPPES

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

DR. NANDITA GATLA M.D. (NPI 1306166632) is an individual rheumatology provider in Portsmouth, Ohio, licensed in Ohio (35.150295) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS, is affiliated with Southern Ohio Medical Center, and is a graduate of Rush Medical College Of Rush University (2010).

NPPES Registry Identity

NPI1306166632
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameDR. NANDITA GATLACredential: M.D.
Location Address1711 27TH ST STE 401Portsmouth, OH 45662-2669
Mailing Address1735 27th St Ste B06Portsmouth, OH 45662-2681 · (740) 356-8681 · Fax (740) 356-1256
Phone(740) 356-8811
Fax(740) 356-6312
Sole ProprietorNo
Medical School CMSRush Medical College Of Rush UniversityGraduated 2010
Enumeration DateJune 9, 2010
Last NPPES UpdateMay 6, 20244 updates tracked since enumeration
NPPES CertifiedMay 6, 2024
✔ NPI 1306166632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
Licenses✔ Licensed in OH · 35.150295✔ Licensed in FL · ME132687
Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

1711 27TH ST STE 401, Portsmouth, OH 45662
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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. Nandita Gatla 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 ID8325321797
PECOS Enrollment IDI20240522003245
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 2

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.
196 services169 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.
42 services42 patients

Hospital Affiliations CMS Care Compare

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

Southern Ohio Medical Center

Acute Care Hospitals · Portsmouth, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360008
Location1805 27th StreetPortsmouth, OH 45662 · Scioto County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45662 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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

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.
91%1,727 patients3/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
15%391 patients1/55-star benchmark: 88%
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.
100%844 patients5/55-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.
57%900 patients3/55-star benchmark: 97%
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…
79%900 patients4/55-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…
31%900 patients2/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
52%900 patients
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.

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 Nandita Gatla's NPI number?

The NPI number for Nandita Gatla is 1306166632. It was assigned to this individual provider in the NPPES registry on June 9, 2010.

Where is Nandita Gatla located?

Nandita Gatla practices at 1711 27th St Ste 401, Portsmouth, OH 45662. The listed phone number is (740) 356-8811.

What is Nandita Gatla's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Nandita Gatla enrolled in Medicare?

Yes. Nandita Gatla 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 Nandita Gatla accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, AvMed and CareSource and 3 other insurers list Nandita Gatla 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 Nandita Gatla affiliated with any hospitals?

According to CMS data, Nandita Gatla is affiliated with Southern Ohio Medical Center.

When was this NPI record last updated?

The NPPES record for Nandita Gatla was last updated on May 6, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.