Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ESIRI KARUNARATNE MD
NPI 1447230537
Radiology - Diagnostic Radiology in Altoona, PA

Active since January 17, 2006PECOS EnrolledAccepts Medicare Assignment
73.64/100
CMS Quality Rating
620 HOWARD AVE, ALTOONA, PA 16601(814) 946-2696 Get Directions Write a Review

NPPES record last updated: July 23, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 23, 2026, Dec 4, 2024 (2 updates tracked since 2024).

About Esiri Karunaratne Md NPPES

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

ESIRI KARUNARATNE MD (NPI 1447230537) is an individual diagnostic radiology provider in Altoona, Pennsylvania, licensed in Pennsylvania (MD034024L) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Upmc Altoona, and is a graduate of Other (1969).

NPPES Registry Identity

NPI1447230537
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameESIRI KARUNARATNECredential: MD
Location Address620 HOWARD AVEAltoona, PA 16601-4804
Mailing AddressPo Box 49Pittsburgh, PA 15230-0049 · (412) 937-5726 · Fax (412) 937-5706
Sole ProprietorYes
Medical School CMSOtherGraduated 1969
Enumeration DateJanuary 17, 2006
Last NPPES UpdateJuly 23, 20262 updates tracked since enumeration
NPPES CertifiedDecember 4, 2024
NPI 1447230537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses Licensed in PA · MD034024L Licensed in PR · MD034024L
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
620 HOWARD AVE, Altoona, PA 16601

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

Esiri Karunaratne Md 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 ID749242113
PECOS Enrollment IDI20090826000623
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 25

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.

Limited ultrasound scan of abdomen 76705
A limited ultrasound scan of the abdomen is a non-invasive imaging test. It uses sound waves to produce images of the abdominal organs such as the liver, gallbladder, spleen, pancreas, and kidneys. This helps to identify any abnormalities or issues.
210 services195 patients
Complete ultrasound scan behind abdominal cavity 76770
A complete ultrasound scan behind the abdominal cavity is a non-invasive imaging procedure. It uses sound waves to create pictures of the structures and organs located at the back of your abdomen. It helps in diagnosing health conditions and monitoring ongoing treatments.
194 services190 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
186 services143 patients
Ultrasound scan of head and neck soft tissue 76536
An ultrasound scan of the head and neck soft tissue is a non-invasive procedure that uses sound waves to create images of the soft tissues in these areas. It helps identify any abnormalities or issues, such as tumors, cysts, or infections. It's painless and doesn't involve radiation.
131 services129 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
78 services74 patients
Ct scan of abdomen and pelvis without contrast 74176
A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.
57 services57 patients

Hospital Affiliations CMS Care Compare 2

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

Upmc Altoona

Acute Care Hospitals · Altoona, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390073
Location620 Howard AvenueAltoona, PA 16601 · Blair County
Emergency services Birthing friendly

Upmc Bedford Memorial

Acute Care Hospitals · Everett, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390117
Location10455 Lincoln HighwayEverett, PA 15537 · Bedford County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16601 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
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

73.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.81
Promoting Interoperability100
Improvement Activities40
Cost42.34

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.

Physician Assistant (Medical)
620 HOWARD AVE
ALTOONA, PA 16601
Nurse Anesthetist, Certified Registered
620 HOWARD AVE
ALTOONA, PA 16601
Physician Assistant (Medical)
620 HOWARD AVE
ALTOONA, PA 16601
Nurse Anesthetist, Certified Registered
620 HOWARD AVE
ALTOONA, PA 16601
Dietitian, Registered
620 HOWARD AVE
ALTOONA, PA 16601
Physician Assistant
620 HOWARD AVE
ALTOONA, PA 16601
Psychiatry & Neurology (Psychiatry)
620 HOWARD AVE
ALTOONA, PA 16601
Physical Therapy Assistant
620 HOWARD AVE
ALTOONA, PA 16601

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 Esiri Karunaratne's NPI number?

The NPI number for Esiri Karunaratne is 1447230537. It was assigned to this individual provider in the NPPES registry on January 17, 2006.

Where is Esiri Karunaratne located?

Esiri Karunaratne practices at 620 Howard Ave, Altoona, PA 16601. The listed phone number is (814) 946-2696.

What is Esiri Karunaratne's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Esiri Karunaratne enrolled in Medicare?

Yes. Esiri Karunaratne 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.

Is Esiri Karunaratne affiliated with any hospitals?

According to CMS data, Esiri Karunaratne is affiliated with Upmc Altoona and Upmc Bedford Memorial.

When was this NPI record last updated?

The NPPES record for Esiri Karunaratne was last updated on July 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.