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SRI DIVYA MUPPALA M.D.
NPI 1457557290
Internal Medicine in Hebron, KY

Active since June 26, 2007PECOS EnrolledAccepts Medicare Assignment
75.27/100
CMS Quality Rating
2091 N BEND RD, HEBRON, HEBRON, KY 41048(859) 586-2200(859) 586-4222 Get Directions Write a Review

NPPES record last updated: September 13, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sri Divya Muppala M.d. NPPES

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

SRI DIVYA MUPPALA M.D. (NPI 1457557290) is an individual internal medicine provider in Hebron, Kentucky, licensed in Kentucky (44863) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, is affiliated with Texoma Medical Center, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1457557290
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSRI DIVYA MUPPALACredential: M.D.
Location Address2091 N BEND RD, HEBRONHebron, KY 41048-9691
Mailing Address2300 Chamber Center Dr, Suite 200Lakeside Park, KY 41017-1673 · (859) 344-5555 · Fax (859) 344-5552
Phone(859) 586-2200
Fax(859) 586-4222
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJune 26, 2007
Last NPPES UpdateSeptember 13, 2013
✔ NPI 1457557290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in KY · 44863✔ Licensed in MO · 2007013992
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.
2091 N BEND RD, Hebron, KY 41048
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CareSource.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

Sri Divya Muppala 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 ID1052571460
PECOS Enrollment IDI20210105002175
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 4

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.
132 services72 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.
33 services33 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.
13 services13 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.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Texoma Medical Center

Acute Care Hospitals · Denison, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450324
Location5016 S Us Highway 75Denison, TX 75020 · Grayson County
Emergency services Birthing friendly

Texas Health Presbyterian Hospital Plano

Acute Care Hospitals · Plano, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450771
Location6200 W Parker RdPlano, TX 75093 · Collin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41048 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

75.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.07
Promoting Interoperability100
Improvement Activities40
Cost49.5

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%33 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 5

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

SUMMIT MEDICAL GROUP, INC
Internal Medicine
2091 N BEND RD
HEBRON, KY 41048
Boone County (859) 586-2200
COMMUNITY FIRST HEALTH, LLC.
Family Medicine
2091 N BEND RD, UNIT 100
HEBRON, KY 41048
Boone County (859) 817-1370
HEBRON MEDICAL CENTER LLC
General Practice
2091 N BEND RD
HEBRON, KY 41048
Boone County (859) 271-4730
MARQUEL TIPTON PA-C
Physician Assistant
2091 N BEND RD, SUITE 100
HEBRON, KY 41048
Boone County (859) 817-1370
MARK E FRANKLIN MD
Emergency Medicine
2091 N BEND RD
HEBRON, KY 41048
Boone County (859) 586-2200

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 Sri Divya Muppala's NPI number?

The NPI number for Sri Divya Muppala is 1457557290. It was assigned to this individual provider in the NPPES registry on June 26, 2007.

Where is Sri Divya Muppala located?

Sri Divya Muppala practices at 2091 N Bend Rd Hebron, Hebron, KY 41048. The listed phone number is (859) 586-2200.

What is Sri Divya Muppala's specialty?

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

Is Sri Divya Muppala enrolled in Medicare?

Yes. Sri Divya Muppala 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 Sri Divya Muppala accept?

Health plans from Blue Cross and Blue Shield of Texas and CareSource list Sri Divya Muppala 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 Sri Divya Muppala affiliated with any hospitals?

According to CMS data, Sri Divya Muppala is affiliated with Texoma Medical Center and Texas Health Presbyterian Hospital Plano.

When was this NPI record last updated?

The NPPES record for Sri Divya Muppala was last updated on September 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.