RAGHUVEER PUTTAGUNTA M.D.
NPI 1427442334
Pediatrics in Danville, PA

Active since March 28, 2015PECOS EnrolledAccepts Medicare Assignment
100 N ACADEMY AVE, DANVILLE, PA 17822(570) 271-6164(570) 271-6141 Get Directions Write a Review

NPPES record last updated: January 31, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 31, 2020, Aug 19, 2020, Jun 20, 2019 (3 updates tracked since 2019).

About Raghuveer Puttagunta M.d. NPPES

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

RAGHUVEER PUTTAGUNTA M.D. (NPI 1427442334) is an individual pediatrics provider in Danville, Pennsylvania, licensed in Pennsylvania (MD467124) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS, is affiliated with Geisinger Medical Center, and is a graduate of Baylor College Of Medicine (2015).

NPPES Registry Identity

NPI1427442334
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameRAGHUVEER PUTTAGUNTACredential: M.D.
Location Address100 N ACADEMY AVEDanville, PA 17822-0001
Mailing Address3533 S Alameda StCorpus Christi, TX 78411-1721 · (361) 694-1684 · Fax (361) 808-2135
Fax(570) 271-6141
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 2015
Enumeration DateMarch 28, 2015
Last NPPES UpdateJanuary 31, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 31, 2024
NPI 1427442334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses Licensed in PA · MD467124 Licensed in TX · T9218
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD467124 (PA), T9218 (TX)
Also ListedPreventive Medicine · Clinical InformaticsTaxonomy 2083C0008X · License MD467124 (PA)
Also ListedHospitalistTaxonomy 208M00000X · License T9218 (TX), MD467124 (PA)
100 N ACADEMY AVE, Danville, PA 17822

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

Raghuveer Puttagunta 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 ID2668776949
PECOS Enrollment IDI20190603000825
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 3

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.
29 services13 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.
20 services12 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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Geisinger Medical Center

Acute Care Hospitals · Danville, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390006
Location100 North Academy AvenueDanville, PA 17822 · Montour County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17822 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers14 claims14 services$63.44 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 20

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

Surgery (Pediatric Surgery)
100 N ACADEMY AVE
DANVILLE, PA 17822
Dietitian, Registered
100 N ACADEMY AVE
DANVILLE, PA 17822
Emergency Medicine
100 N ACADEMY AVE
DANVILLE, PA 17822
Physician Assistant
100 N ACADEMY AVE
DANVILLE, PA 17822
Pediatrics
100 N ACADEMY AVE
DANVILLE, PA 17822
Surgery (Pediatric Surgery)
100 N ACADEMY AVE
DANVILLE, PA 17822
Pediatrics (Neonatal-Perinatal Medicine)
100 N ACADEMY AVE
DANVILLE, PA 17822
Nurse Anesthetist, Certified Registered
100 N ACADEMY AVE
DANVILLE, PA 17822

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 Raghuveer Puttagunta's NPI number?

The NPI number for Raghuveer Puttagunta is 1427442334. It was assigned to this individual provider in the NPPES registry on March 28, 2015.

Where is Raghuveer Puttagunta located?

Raghuveer Puttagunta practices at 100 N Academy Ave, Danville, PA 17822. The listed phone number is (570) 271-6164.

What is Raghuveer Puttagunta's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Raghuveer Puttagunta enrolled in Medicare?

Yes. Raghuveer Puttagunta 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 Raghuveer Puttagunta accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan and Blue Cross and Blue Shield of Texas list Raghuveer Puttagunta 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 Raghuveer Puttagunta affiliated with any hospitals?

According to CMS data, Raghuveer Puttagunta is affiliated with Geisinger Medical Center.

When was this NPI record last updated?

The NPPES record for Raghuveer Puttagunta was last updated on January 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.