VIJAYA N. KOKA M.D.
NPI 1467436212
Internal Medicine - Cardiovascular Disease in Ocala, FL

Active since December 05, 2005PECOS EnrolledAccepts Medicare Assignment
92.78/100
CMS Quality Rating
2111 SW 20TH PL, OCALA, FL 34471(352) 622-4251(352) 622-0102 Get Directions Write a Review

NPPES record last updated: March 24, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Vijaya N. Koka M.d. NPPES

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

VIJAYA N. KOKA M.D. (NPI 1467436212) is an individual cardiovascular disease provider in Ocala, Florida, licensed in Florida (ME78160) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Marion Communtiy Hospital, and is a graduate of Other (1981).

NPPES Registry Identity

NPI1467436212
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameVIJAYA N. KOKACredential: M.D.
Location Address2111 SW 20TH PLOcala, FL 34471-7734
Mailing Address2111 Sw 20th PlOcala, FL 34471 · (352) 622-4251 · Fax (352) 622-0102
Fax(352) 622-0102
Sole ProprietorNo
Medical School CMSOtherGraduated 1981
Enumeration DateDecember 5, 2005
Last NPPES UpdateMarch 24, 2016
NPI 1467436212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in FL · ME78160
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
2111 SW 20TH PL, Ocala, FL 34471

Other Identifiers 4

Other46498Medicare Id
Medicaid269021700FL
Other46498YFL · Medicare
Medicare UPING20177

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

Vijaya N. Koka 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 ID749385128
PECOS Enrollment IDI20070412000626
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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This 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.
563 services433 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
289 services287 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.
279 services260 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.
277 services179 patients
Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
151 services150 patients
Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days 93296
This procedure involves remotely monitoring your pacemaker or implantable defibrillator system. Over a 90-day period, we check the device's performance and your heart's activity. This helps ensure the device is functioning properly and providing the best possible support for your heart health.
139 services49 patients

Hospital Affiliations CMS Care Compare

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

Marion Communtiy Hospital

Acute Care Hospitals · Ocala, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100212
Location1431 SW 1st AveOcala, FL 34471 · Marion County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34471 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

92.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality83.77
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Controlling High Blood Pressure
76%854 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
99%2,813 patients4/55-star benchmark: 100%
e-Prescribing
99%3,736 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
100%1,255 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
28%859 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 100% · 1,066 patients
Patients screened: 100% · 1,066 patients
100%51 patients5/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
98%1,656 patients4/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,278 patients
Patients totalRate: 0% · 1,278 patients
0%1,278 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 20

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

Physician Assistant (Medical)
2111 SW 20TH PL
OCALA, FL 34471
Physician Assistant (Medical)
2111 SW 20TH PL
OCALA, FL 34471
Nurse Practitioner
2111 SW 20TH PL
OCALA, FL 34471
Nurse Practitioner (Family)
2111 SW 20TH PL
OCALA, FL 34471
Internal Medicine (Cardiovascular Disease)
2111 SW 20TH PL
OCALA, FL 34471
Nurse Practitioner (Acute Care)
2111 SW 20TH PL
OCALA, FL 34471
Internal Medicine (Interventional Cardiology)
2111 SW 20TH PL
OCALA, FL 34471
Internal Medicine (Interventional Cardiology)
2111 SW 20TH PL
OCALA, FL 34471

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 Vijaya Koka's NPI number?

The NPI number for Vijaya Koka is 1467436212. It was assigned to this individual provider in the NPPES registry on December 5, 2005.

Where is Vijaya Koka located?

Vijaya Koka practices at 2111 SW 20th Pl, Ocala, FL 34471. The listed phone number is (352) 622-4251.

What is Vijaya Koka's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Vijaya Koka enrolled in Medicare?

Yes. Vijaya Koka 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 Vijaya Koka accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 2 other insurers list Vijaya Koka 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 Vijaya Koka affiliated with any hospitals?

According to CMS data, Vijaya Koka is affiliated with Marion Communtiy Hospital.

When was this NPI record last updated?

The NPPES record for Vijaya Koka was last updated on March 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.