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PRAKASH PATLOLLA REDDY M.D.,
NPI 1376595223
Psychiatry & Neurology - Psychiatry in Rochester, NY

Active since May 17, 2006PECOS EnrolledAccepts Medicare Assignment
76.84/100
CMS Quality Rating
1597 RIDGE RD W, SUITE # 301, ROCHESTER, NY 14615(585) 314-7595(585) 368-0860 Get Directions Write a Review

NPPES record last updated: June 30, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Prakash Patlolla Reddy M.d., NPPES

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

PRAKASH PATLOLLA REDDY M.D., (NPI 1376595223) is an individual psychiatry provider in Rochester, New York, licensed in New York (182152) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Strong Memorial Hospital, and is a graduate of Other (1978).

NPPES Registry Identity

NPI1376595223
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NamePRAKASH PATLOLLA REDDYCredential: M.D.,
Location Address1597 RIDGE RD W, SUITE # 301Rochester, NY 14615-2513
Mailing Address835 W Main StRochester, NY 14611-2335 · (585) 368-6550 · Fax (585) 368-6540
Phone(585) 314-7595
Fax(585) 368-0860
Sole ProprietorNo
Medical School CMSOtherGraduated 1978
Enumeration DateMay 17, 2006
Last NPPES UpdateJune 30, 2023
✔ NPI 1376595223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in NY · 182152
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1597 RIDGE RD W, Rochester, NY 14615
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Other Identifiers 4

Medicaid00357497NY
Other0010182152NY · Blue Choice
OtherRC60182152Doctors Health Plan
OtherMDG569NY · Preferred Care

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

Prakash Patlolla Reddy 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 ID4385687383
PECOS Enrollment IDI20050609000643
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 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.
122 services43 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
60 services31 patients

Hospital Affiliations CMS Care Compare

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

Strong Memorial Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330285
Location601 Elmwood AveRochester, NY 14642 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14615 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
$166.88 typical visit price
range $54.87 – $166.88
Typical copayment $41.72 (range $13.71 – $41.72)
Most-billed visit code 99205
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
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.

76.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.2
Promoting Interoperability100
Improvement Activities40
Cost42.68

Other Providers at the Same Location NPPES 3

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

PROF. TERRANCE J. BELLNIER R.PH., MPA
Pharmacist (Psychiatric)
1597 RIDGE RD W, SUITE 302
ROCHESTER, NY 14615
Monroe County (585) 730-6113
DR. SUSAN VINOCOUR JD, PHD
Psychologist
1597 RIDGE RD W, SUITE 301
ROCHESTER, NY 14615
Monroe County (585) 746-4606
MELISSA A ECKMAN LMT
Massage Therapist
1597 RIDGE RD W, SUITE 101E
ROCHESTER, NY 14615
Monroe County (585) 576-0941

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 Prakash Reddy's NPI number?

The NPI number for Prakash Reddy is 1376595223. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Where is Prakash Reddy located?

Prakash Reddy practices at 1597 Ridge Rd W Suite # 301, Rochester, NY 14615. The listed phone number is (585) 314-7595.

What is Prakash Reddy's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Prakash Reddy enrolled in Medicare?

Yes. Prakash Reddy 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 Prakash Reddy accept?

Health plans from Providence Health Plan list Prakash Reddy 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 Prakash Reddy affiliated with any hospitals?

According to CMS data, Prakash Reddy is affiliated with Strong Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Prakash Reddy was last updated on June 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.