DR. KUMARASWAMY GUTTALU KRISHNAMURTHY RAO MD, PHD
NPI 1427468784
Psychiatry & Neurology - Neurology in Raleigh, NC

Q: What is Kumaraswamy Guttalu Krishnamurthy Rao's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Active since May 07, 2014PECOS EnrolledAccepts Medicare Assignment

98.33/100

CMS Quality Rating

3400 WAKE FOREST RD, RALEIGH, NC 27609(919) 954-3000 Get Directions Write a Review

NPPES record last updated: February 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 12, 2022, Jun 23, 2021, Jul 31, 2019 (3 updates tracked since 2019).

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About Dr. Kumaraswamy Guttalu Krishnamurthy Rao Md, Phd NPPES

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

DR. KUMARASWAMY GUTTALU KRISHNAMURTHY RAO MD, PHD (NPI 1427468784) is an individual neurology provider in Raleigh, North Carolina, licensed in North Carolina (2019-00205) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and maintains a secondary practice location in Greenville.

NPPES Registry Identity

NPI1427468784

Entity TypeIndividualMale

Primary Taxonomy2084N0400X

Provider Legal NameDR. KUMARASWAMY GUTTALU KRISHNAMURTHY RAOCredential: MD, PHD

Location Address3400 WAKE FOREST RDRaleigh, NC 27609-7317

Mailing Address3705 Cancion StGreenville, NC 27858-6061 · (330) 990-0265

Phone(919) 954-3000

Sole ProprietorNo

Medical School CMSOtherGraduated 1999

Enumeration DateMay 7, 2014

Last NPPES UpdateFebruary 13, 20243 updates tracked since enumeration

NPPES CertifiedFebruary 13, 2024

✔ NPI 1427468784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

Licenses✔ Licensed in NC · 2019-00205✔ Licensed in SC · 36284

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Also ListedPsychiatry & Neurology · Vascular NeurologyTaxonomy 2084V0102X · License 2019-00205 (NC)

3400 WAKE FOREST RD, Raleigh, NC 27609

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Secondary Practice Location 1

Location 12100 Stantonsburg RdGreenville, NC 27834-2818 · Phone (252) 847-4100

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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. Kumaraswamy Guttalu Krishnamurthy Rao Md, Phd 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 ID2062736028

PECOS Enrollment IDI20190829000052

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 5

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.

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.

85 services81 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

46 services24 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.

30 services28 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.

18 services18 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.

17 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Duke University Hospital

Acute Care Hospitals · Durham, NC

5/5 CMS rating

OwnershipProprietary

CMS Certification Number340030

Location2100 Erwin RdDurham, NC 27705 · Durham County

Emergency services Birthing friendly

Ecu Health Medical Center

Acute Care Hospitals · Greenville, NC

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340040

Location2100 Stantonsburg RdGreenville, NC 27834 · Pitt County

Emergency services Birthing friendly

Vidant Edgecombe Hospital

Acute Care Hospitals · Tarboro, NC

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number340107

Location111 Hospital DrTarboro, NC 27886 · Edgecombe County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27609 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

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

98.33/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

82.93

Promoting Interoperability

100

Improvement Activities

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.

HERSHELL CASSELL MD

Emergency Medicine