PRASHANTI RAJAGOPALAN D.O.
NPI 1518086115
Family Medicine in Nicholasville, KY

Q: What is Prashanti Rajagopalan's NPI number?

The NPI number for Prashanti Rajagopalan is 1518086115. It was assigned to this individual provider in the NPPES registry on March 28, 2007.

Q: What is Prashanti Rajagopalan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since March 28, 2007PECOS EnrolledAccepts Medicare Assignment

95.5/100

CMS Quality Rating

610 EAST BRANNON ROAD, NICHOLASVILLE, KY 40356(859) 260-5540(859) 260-5545 Get Directions Write a Review

NPPES record last updated: December 7, 2009. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Prashanti Rajagopalan D.o. NPPES

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

PRASHANTI RAJAGOPALAN D.O. (NPI 1518086115) is an individual family medicine provider in Nicholasville, Kentucky, licensed in Kentucky (03216) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Lexington, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1518086115

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NamePRASHANTI RAJAGOPALANCredential: D.O.

Location Address610 EAST BRANNON ROADNicholasville, KY 40356

Mailing Address4071 Tates Creek Centre Dr, Suite 202Lexington, KY 40517-3062 · (859) 260-4385 · Fax (859) 260-4386

Phone(859) 260-5540

Fax(859) 260-5545

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateMarch 28, 2007

Last NPPES UpdateDecember 7, 2009

✔ NPI 1518086115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in KY · 03216

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedPreventive Medicine · Occupational MedicineTaxonomy 2083X0100X · License OS012445 (PA)

610 EAST BRANNON ROAD, Nicholasville, KY 40356

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Other Identifiers 4

Medicare UPIN125488YJSPA

Medicare UPIN125488YJOPA

Medicare PIN125308YJOPA

Medicare PIN125184YJSPA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.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

Prashanti Rajagopalan 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 ID4385715366

PECOS Enrollment IDI20091028000450

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 8

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 moderate level of decision making, if using time, 30 minutes or more 99214

This 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.

68 services65 patients

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.

60 services59 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428

This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.

41 services40 patients

Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880

A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.

36 services35 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

28 services28 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

27 services26 patients

Hospital Affiliations CMS Care Compare

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

Baptist Health Lexington

Acute Care Hospitals · Lexington, KY

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number180103

Location1740 Nicholasville RoadLexington, KY 40503 · Fayette County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40356 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

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.

95.5/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

89.59

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES

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

BAPTIST URGENT CARE AT BRANNON CROSSING

Clinic/Center (Urgent Care)

610 EAST BRANNON ROAD
NICHOLASVILLE, KY 40356

Jessamine County (859) 260-5540

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 Prashanti Rajagopalan's NPI number?

The NPI number for Prashanti Rajagopalan is 1518086115. It was assigned to this individual provider in the NPPES registry on March 28, 2007.

Where is Prashanti Rajagopalan located?

Prashanti Rajagopalan practices at 610 East Brannon Road, Nicholasville, KY 40356. The listed phone number is (859) 260-5540.

What is Prashanti Rajagopalan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Prashanti Rajagopalan enrolled in Medicare?

Yes. Prashanti Rajagopalan 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 Prashanti Rajagopalan accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Prashanti Rajagopalan 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 Prashanti Rajagopalan affiliated with any hospitals?

According to CMS data, Prashanti Rajagopalan is affiliated with Baptist Health Lexington.

When was this NPI record last updated?

The NPPES record for Prashanti Rajagopalan was last updated on December 7, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.