DR. MADHAVI REDDY MD
NPI 1457341570
Pain Medicine - Interventional Pain Medicine in Lancaster, PA
NPI Status: Active since October 28, 2005
Contact Information
2100 HARRISBURG PIKE
LANCASTER, PA
ZIP 17601
Phone: (717) 544-3197
Fax: (717) 544-3171
- Individual
- Female
- Years of Experience 32
- Pain Medicine
- Interventional Pain Medicine
- Accepts Medicare Approved Payment
- PECOS Enrolled
About MADHAVI REDDY
This page provides the complete NPI Profile along with additional information for Madhavi Reddy, a provider established in Lancaster, Pennsylvania with a medical specialization in Pain Medicine, focusing in interventional pain medicine and more than 32 years of experience. She graduated from Temple University School Of Medicine in 1994. The healthcare provider is registered in the NPI registry with number 1457341570 assigned on October 2005. The practitioner's primary taxonomy code is 208VP0014X with license number MD060336L (PA). The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1457341570
- Provider Name
- DR. MADHAVI REDDY MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2100 HARRISBURG PIKE LANCASTER, PA 17601
- Location Phone
- (717) 544-3197
- Location Fax
- (717) 544-3171
- Mailing Address
- 2100 HARRISBURG PIKE LANCASTER, PA 17601
- Mailing Phone
- (717) 544-3197
- Mailing Fax
- (717) 544-3171
- Medical School Name
- TEMPLE UNIVERSITY SCHOOL OF MEDICINE
- Graduation Year
- 1994
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-28-2005
- Last Update Date
- 07-21-2022
- Code Navigator
Location Map
Secondary Locations
- 133 E Frederick St
Lancaster, PA 17602
(717) 394-9821
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pain Medicine Interventional Pain Medicine
- Taxonomy Code
- 208VP0014X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD060336L
- License State
- PA
- Taxonomy Description
- Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
---|---|---|---|---|
1 | 207L00000X | Allopathic & Osteopathic Physicians | Anesthesiology | MD-060336-L (PA) |
2 | 207LP2900X | Allopathic & Osteopathic Physicians | Anesthesiology | MD-060336-L (PA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
001742756005 | MEDICAID (05) | PA |
Medicare Participation & PECOS Enrollment Status
Madhavi Reddy is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Madhavi Reddy is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 9931091048
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20040325000587
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint
Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
Established patient office or other outpatient visit, 40-54 minutes
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level
Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance
Injection of lower or sacral spine facet joint using imaging guidance, second level
Injection of lower or sacral spine facet joint using imaging guidance, single level
Injection of substance into lower spine canal using imaging guidance
Injection of substance into middle or upper spine canal using imaging guidance
Injection of trigger points, 1-2 muscles
Injection of upper or middle spine facet joint using imaging guidance, second level
Injection of upper or middle spine facet joint using imaging guidance, single level
Injection, triamcinolone acetonide, not otherwise specified, 10 mg
New patient office or other outpatient visit, 45-59 minutes
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes
This procedure involves using imaging technology to locate and treat nerves in your lower spine or sacral area that may be causing pain. Each additional facet joint refers to treating more than one spinal nerve. It's a non-invasive way to manage chronic back pain.
This service was performed 66 times for 29 patientsThis procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.
This service was performed 43 times for 32 patientsThis procedure involves the use of imaging technology to guide a needle to the nerves of a single facet joint in the upper or middle spine. The nerves are then treated to alleviate pain and improve mobility.
This service was performed 23 times for 14 patientsThis 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.
This service was performed 55 times for 45 patientsThis is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 115 times for 93 patientsThis service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
This service was performed 14 times for 12 patientsThis procedure involves injecting an anesthetic or steroid drug into the sacral spine nerve root. It's done under imaging guidance to ensure accuracy. The process can be repeated for each additional level of the spine to help manage pain or inflammation.
This service was performed 14 times for 11 patientsThis procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
This service was performed 70 times for 52 patientsThis procedure involves injecting medicine into the joint where your lower spine meets your hip bone. Using special imaging technology, the doctor ensures the medicine is delivered accurately. This can help reduce pain and inflammation in that area.
This service was performed 15 times for 14 patientsThis procedure involves injecting medication into the facet joints of your lower or sacral spine to manage pain. Imaging guidance ensures accurate placement. It's the second level, meaning it's done on two different joint levels.
This service was performed 56 times for 38 patientsThis procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.
This service was performed 65 times for 43 patientsThis procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.
This service was performed 92 times for 69 patientsThis procedure involves injecting a substance into your middle or upper spine canal. It's performed under imaging guidance to ensure accuracy. The substance can help diagnose or treat various conditions, providing relief from symptoms.
This service was performed 38 times for 27 patientsTrigger point injection is a procedure used to treat painful areas of muscle that contain trigger points, or knots of muscle that form when muscles do not relax. 1-2 muscles are typically treated in one session. The procedure involves injecting medications into these points to alleviate pain.
This service was performed 16 times for 15 patientsThis procedure involves injecting medication into the upper or middle spine facet joint, a small joint in your back. This is done under imaging guidance for precision. It's a second-level procedure, meaning it's done on two separate joints. It can help reduce pain and inflammation.
This service was performed 15 times for 11 patientsThis procedure involves injecting medication into a joint in your upper or middle spine. It's performed under imaging guidance for precision. The aim is to reduce inflammation and pain. It's a single-level process, meaning one joint is treated at a time.
This service was performed 25 times for 18 patientsTriamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
This service was performed 58 times for 13 patientsThis is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
This service was performed 63 times for 63 patientsThis procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
This service was performed 100 times for 63 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $31.58 for a new patient copayment and $24.2 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 17601 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $126.34
- Minimum New Patient Price $54.64
- Maximum New Patient Price $166.87
- Average New Patient Copayment $31.58
- Minimum New Patient Copayment $13.66
- Maximum New Patient Copayment $41.71
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $96.82
- Minimum Established Patient Price $17.33
- Maximum Established Patient Price $135.84
- Average Established Patient Copayment $24.2
- Minimum Established Patient Copayment $4.33
- Maximum Established Patient Copayment $33.96
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Madhavi Reddy is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
LANCASTER GENERAL HOSPITAL | 555 NORTH DUKE STREET LANCASTER, PA 17602 | (717) 544-5511 | Acute Care Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 4 | 5 | 7 | 3 | 4 | 1 | 5 | 7 | 0 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 4 | 10 | 7 | 6 | 4 | 2 | 5 | 14 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 4 + 1 + 0 + 7 + 6 + 4 + 2 + 5 + 1 + 4 + 24 = 60 | |||||||||
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
0 |
The NPI number 1457341570 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
DR. CLARK MCSPARREN M.D.
Pediatrics
2100 HARRISBURG PIKE
MEDICAL OFFICE BUILDING 2106 SUITE 1
LANCASTER, PA
ZIP 17601
JANINE CASTLE PH.D.
Psychologist
2100 HARRISBURG PIKE
LANCASTER, PA
ZIP 17601
LANCASTER GENERAL HOSPITAL
Clinic/Center
(End-Stage Renal Disease (ESRD) Treatment)
2100 HARRISBURG PIKE
LANCASTER, PA
ZIP 17601
MRS. BRENDA KAY GOULD MS, CCC/SLP
Speech-Language Pathologist
2100 HARRISBURG PIKE
A& PRC LANCASTER GENERAL HEALTH CAMPUS
LANCASTER, PA
ZIP 17601
DR. ROSEANN N. ROMITO M.D.
Radiology
(Radiation Oncology)
2100 HARRISBURG PIKE
LANCASTER, PA
ZIP 17601
JON E BENTZ PH.D.
Clinical Neuropsychologist
2100 HARRISBURG PIKE
LANCASTER, PA
ZIP 17601
JENNIFER M COLLINS PSYD
Psychologist
(Clinical)
2100 HARRISBURG PIKE
LANCASTER, PA
ZIP 17601
MRS. CHRISTA LYNNE COLEMAN PSY.D.
Psychologist
(Clinical)
2100 HARRISBURG PIKE
LANCASTER, PA
ZIP 17601
JESSICA L TEMPLE PSY.D.
Clinical Neuropsychologist
2100 HARRISBURG PIKE
LANCASTER, PA
ZIP 17601
EDWARD J PURZYCKI PH.D.
Psychologist
2100 HARRISBURG PIKE
LANCASTER, PA
ZIP 17601
TONY T TON-THAT MD
Physical Medicine & Rehabilitation
(Pain Medicine)
2100 HARRISBURG PIKE
LANCASTER, PA
ZIP 17601
PAMELA J BOIMEL MD
Radiology
(Radiation Oncology)
2100 HARRISBURG PIKE
LANCASTER, PA
ZIP 17601
DANIEL S SANDUSKY M.D.
Anesthesiology
2100 HARRISBURG PIKE
LANCASTER, PA
ZIP 17601
LANCASTER PET PARTNERSHIP, LLP
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
2100 HARRISBURG PIKE
LANCASTER, PA
ZIP 17601
PANKAJ GUPTA PA-C
Physician Assistant
(Medical)
2100 HARRISBURG PIKE
LANCASTER, PA
ZIP 17601
LANCASTER GENERAL HOSPITAL
Radiology
(Radiation Oncology)
2100 HARRISBURG PIKE
LANCASTER, PA
ZIP 17601
LANASTER GENERAL HOSPITAL
Anesthesiology
2100 HARRISBURG PIKE
LANCASTER, PA
ZIP 17601
LANCASTER GENERAL HOSPITAL
Anesthesiology
(Pain Medicine)
2100 HARRISBURG PIKE
LANCASTER, PA
ZIP 17601
ROBERT KINSEY
Nurse Practitioner
2100 HARRISBURG PIKE
LANCASTER, PA
ZIP 17601
KATHLEEN RENEE TIMALONIS
Massage Therapist
2100 HARRISBURG PIKE
LANCASTER, PA
ZIP 17601
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1457341570, enumerated as an "individual" on October 28, 2005.
The provider is located at 2100 HARRISBURG PIKE LANCASTER, PA 17601 and the phone number is (717) 544-3197.
Pain Medicine with taxonomy code 208VP0014X and a focus in Interventional Pain Medicine.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
Madhavi Reddy is affiliated with: LANCASTER GENERAL HOSPITAL.