DR. JYOTHY PUNNOOSE D.O.
NPI 1477968394
Hospitalist in Ephrata, PA

Active since June 30, 2014PECOS EnrolledAccepts Medicare Assignment
169 MARTIN AVE, EPHRATA, PA 17522(717) 721-4740(717) 738-6872 Get Directions Write a Review

NPPES record last updated: September 16, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 16, 2024, Feb 12, 2021 (2 updates tracked since 2021).

About Dr. Jyothy Punnoose D.o. NPPES

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

DR. JYOTHY PUNNOOSE D.O. (NPI 1477968394) is an individual hospitalist provider in Ephrata, Pennsylvania, licensed in Pennsylvania (OS0019040) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, is affiliated with Wellspan Ephrata Community Hospital, and is a graduate of University Of North Texas Hsc, College Of Osteopathic Med (2013).

NPPES Registry Identity

NPI1477968394
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameDR. JYOTHY PUNNOOSECredential: D.O.
Location Address169 MARTIN AVEEphrata, PA 17522-1724
Mailing Address601 Memory LnYork, PA 17402-2231 · (717) 851-1405 · Fax (717) 851-6969
Fax(717) 738-6872
Sole ProprietorNo
Medical School CMSUniversity Of North Texas Hsc, College Of Osteopathic MedGraduated 2013
Enumeration DateJune 30, 2014
Last NPPES UpdateSeptember 16, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2024
NPI 1477968394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in PA · OS0019040
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License OS0019040 (PA)
169 MARTIN AVE, Ephrata, PA 17522

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

Dr. Jyothy Punnoose D.o. 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 ID4981826872
PECOS Enrollment IDI20180126000355
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 2

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.
117 services57 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.
46 services45 patients

Hospital Affiliations CMS Care Compare

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

Wellspan Ephrata Community Hospital

Acute Care Hospitals · Ephrata, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390225
Location169 Martin AvenueEphrata, PA 17522 · Lancaster County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17522 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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…
99%205 patients4/55-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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier13 claims13 services$89.66 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Radiology (Diagnostic Radiology)
169 MARTIN AVE
EPHRATA, PA 17522
Nurse Anesthetist, Certified Registered
169 MARTIN AVE
EPHRATA, PA 17522
Hospitalist
169 MARTIN AVE
EPHRATA, PA 17522
Speech-Language Pathologist
169 MARTIN AVE
EPHRATA, PA 17522
Emergency Medicine
169 MARTIN AVE
EPHRATA, PA 17522
Student in an Organized Health Care Education/Training Program
169 MARTIN AVE
EPHRATA, PA 17522
Nurse Practitioner (Family)
169 MARTIN AVE
EPHRATA, PA 17522
Psychiatry & Neurology (Psychiatry)
169 MARTIN AVE
EPHRATA, PA 17522

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 Jyothy Punnoose's NPI number?

The NPI number for Jyothy Punnoose is 1477968394. It was assigned to this individual provider in the NPPES registry on June 30, 2014.

Where is Jyothy Punnoose located?

Jyothy Punnoose practices at 169 Martin Ave, Ephrata, PA 17522. The listed phone number is (717) 721-4740.

What is Jyothy Punnoose's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Jyothy Punnoose enrolled in Medicare?

Yes. Jyothy Punnoose 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 Jyothy Punnoose accept?

Health plans from Molina Healthcare list Jyothy Punnoose 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 Jyothy Punnoose affiliated with any hospitals?

According to CMS data, Jyothy Punnoose is affiliated with Wellspan Ephrata Community Hospital.

When was this NPI record last updated?

The NPPES record for Jyothy Punnoose was last updated on September 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.