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DR. PRASAD POLISETTY M.D
NPI 1376711291
Internal Medicine in Johnson City, TN

Active since February 13, 2008PECOS Enrolled
1735 W STATE OF FRANKLIN RD STE 5, JOHNSON CITY, TN 37604(423) 646-1862 Get Directions Write a Review

NPPES record last updated: January 15, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 15, 2026, Oct 3, 2022, Dec 11, 2017 (3 updates tracked since 2017).

About Dr. Prasad Polisetty M.d NPPES

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

DR. PRASAD POLISETTY M.D (NPI 1376711291) is an individual internal medicine provider in Johnson City, Tennessee, licensed in Michigan (4301090287) and active in the NPI registry since February 2008. He is enrolled in Medicare PECOS, is affiliated with Carilion Medical Center, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1376711291
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. PRASAD POLISETTYCredential: M.D
Location Address1735 W STATE OF FRANKLIN RD STE 5Johnson City, TN 37604-6586
Mailing AddressPo Box 791825Baltimore, MD 21279-1825 · (248) 633-4262
Phone(423) 646-1862
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateFebruary 13, 2008
Last NPPES UpdateJanuary 15, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 15, 2026
✔ NPI 1376711291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MI · 4301090287
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.
1735 W STATE OF FRANKLIN RD STE 5, Johnson City, TN 37604
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Prasad Polisetty M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5799970398
PECOS Enrollment IDI20101109000688
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 Reassignment

Medicare enrollment records show Prasad Polisetty reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Prasad Polisetty MD PLLC
101 mi
Critical Care Medicine
120 12TH ST
Princeton, WV 24740
  • Reassigned Medicare billing, West Virginia enrollment
NPI 1649995382 (304) 487-8000

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 7

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.
5,553 services588 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.
673 services595 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.
651 services568 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.
278 services114 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
76 services25 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.
22 services21 patients

Hospital Affiliations CMS Care Compare 5

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

Carilion Medical Center

Acute Care Hospitals · Roanoke, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490024
Location1906 Belleview Avenue, SERoanoke, VA 24014 · Roanoke City County
Emergency services Birthing friendly

Charleston Area Medical Center

Acute Care Hospitals · Charleston, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510022
Location501 Morris StreetCharleston, WV 25301 · Kanawha County
Emergency services Birthing friendly

Princeton Community Hospital

Acute Care Hospitals · Princeton, WV
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number510046
Location122 12th StreetPrinceton, WV 24740 · Mercer County
Emergency services Birthing friendly

Beckley Arh Hospital

Acute Care Hospitals · Beckley, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510062
Location306 Stanaford RoadBeckley, WV 25801 · Raleigh County
Emergency services

Raleigh General Hospital

Acute Care Hospitals · Beckley, WV
1/5 CMS rating
OwnershipProprietary
CMS Certification Number510070
Location1710 Harper RoadBeckley, WV 25801 · Raleigh County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37604 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 16

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

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
6 suppliers36 claims36 services$56.19 avg. paid by Medicare
Commode chair, mobile or stationary, with fixed arms E0163
DME-Other DME · category DE000N
6 suppliers16 claims16 services$68.44 avg. paid by Medicare
Commode chair, mobile or stationary, with detachable arms E0165
DME-Other DME · category DE000N
3 suppliers20 claims20 services$11.28 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
4 suppliers23 claims23 services$56.47 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress E0261
DME-Hospital Beds · category DB000N
3 suppliers18 claims18 services$64.36 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
8 suppliers137 claims138 services$17.25 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.

MCKENZIE TODD HILL LPC
Counselor (Professional)
1735 W STATE OF FRANKLIN RD STE 5
JOHNSON CITY, TN 37604
Washington County (423) 534-9599

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 Prasad Polisetty's NPI number?

The NPI number for Prasad Polisetty is 1376711291. It was assigned to this individual provider in the NPPES registry on February 13, 2008.

Where is Prasad Polisetty located?

Prasad Polisetty practices at 1735 W State Of Franklin Rd Ste 5, Johnson City, TN 37604. The listed phone number is (423) 646-1862.

What is Prasad Polisetty's specialty?

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

Is Prasad Polisetty enrolled in Medicare?

Yes. Prasad Polisetty is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Prasad Polisetty's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Prasad Polisetty reassigns Medicare benefits to Prasad Polisetty MD PLLC (Princeton, WV). The 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 Prasad Polisetty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Prasad Polisetty accept?

Health plans from CareSource list Prasad Polisetty 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 Prasad Polisetty affiliated with any hospitals?

According to CMS data, Prasad Polisetty is affiliated with Carilion Medical Center, Charleston Area Medical Center, Princeton Community Hospital, Beckley Arh Hospital and Raleigh General Hospital.

When was this NPI record last updated?

The NPPES record for Prasad Polisetty was last updated on January 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.