SHANTI PRIYA SUBBARAO MD
NPI 1487910295
Hospitalist in Tuscola, IL
About Shanti Priya Subbarao Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANTI PRIYA SUBBARAO MD (NPI 1487910295) is an individual hospitalist provider in Tuscola, Illinois, licensed in Illinois (036.139178) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS, is affiliated with Blessing Hospital, and maintains a secondary practice location in Quincy.
NPPES Registry Identity
Specialties & Licenses 2
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.
Secondary Practice Location 1
Other Identifiers 1
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
Shanti Priya Subbarao 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.
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.
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
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.
This service was performed 92 times for 43 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $31.86 for a new patient copayment and $24.31 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 61953 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $127.46
- Minimum New Patient Price $54.8
- Maximum New Patient Price $168.44
- Average New Patient Copayment $31.86
- Minimum New Patient Copayment $13.7
- Maximum New Patient Copayment $42.11
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $97.25
- Minimum Established Patient Price $17.16
- Maximum Established Patient Price $136.56
- Average Established Patient Copayment $24.31
- Minimum Established Patient Copayment $4.29
- Maximum Established Patient Copayment $34.14
* 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.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Care Plan | 93% | 130 |
| 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 or provide an advance care plan | ||
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. Shanti Subbarao is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| BLESSING HOSPITAL | 1005 BROADWAY ST QUINCY, IL 62301 | (217) 223-1200 | Acute Care Hospitals | |
| SAINT FRANCIS MEDICAL CENTER | 530 NE GLEN OAK AVE PEORIA, IL 61637 | (309) 655-2000 | Acute Care Hospitals | |
| DECATUR MEMORIAL HOSPITAL | 2300 NORTH EDWARD STREET DECATUR, IL 62526 | (217) 876-8121 | Acute Care Hospitals | |
| HEARTLAND REGIONAL MEDICAL CENTER | 3333 W DEYOUNG MARION, IL 62959 | (618) 998-7000 | Acute Care Hospitals |
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TUSCOLA, IL 61953
TUSCOLA, IL 61953
TUSCOLA, IL 61953
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1487910295, enumerated as an "individual" on April 05, 2012.
The provider is located at 301 E SOUTHLINE RD TUSCOLA, IL 61953 and the phone number is (217) 253-5231.
Hospitalist with taxonomy code 208M00000X.
The provider might be accepting Accepts: CareSource, Medica, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
Shanti Subbarao is affiliated with: BLESSING HOSPITAL, SAINT FRANCIS MEDICAL CENTER, DECATUR MEMORIAL HOSPITAL and HEARTLAND REGIONAL MEDICAL CENTER.
