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VARDHAN REDDY M.D.
NPI 1568450245
Surgery - Vascular Surgery in Weirton, WV

Active since October 07, 2005PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
651 COLLIERS WAY STE 408, WEIRTON, WV 26062(740) 266-3240(304) 266-3244 Get Directions Write a Review

NPPES record last updated: September 3, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Vardhan Reddy M.d. NPPES

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

VARDHAN REDDY M.D. (NPI 1568450245) is an individual vascular surgery provider in Weirton, West Virginia, licensed in Ohio (OH35079717) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Weirton Medical Center, Inc, and maintains a secondary practice location in East Liverpool.

NPPES Registry Identity

NPI1568450245
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameVARDHAN REDDYCredential: M.D.
Location Address651 COLLIERS WAY STE 408Weirton, WV 26062-5055
Mailing Address504 Greenbrier CtSteubenville, OH 43953-3335 · (740) 266-3240
Phone(740) 266-3240
Fax(304) 266-3244
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateOctober 7, 2005
Last NPPES UpdateSeptember 3, 2020
NPPES CertifiedSeptember 3, 2020
✔ NPI 1568450245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Licenses✔ Licensed in OH · OH35079717✔ Licensed in PA · MD417270
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
651 COLLIERS WAY STE 408, Weirton, WV 26062
Open in Google Maps ↗

Secondary Practice Location 1

Location 1332 W 6th StEast Liverpool, OH 43920-2812 · Phone (330) 368-0700 · Fax (330) 368-0937

Other Identifiers 2

Medicaid1840202000WV
Medicaid2461992OH

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Vardhan Reddy 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 ID6204878010
PECOS Enrollment IDI20050706000027
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.

Medicare Billing Reassignment

Medicare enrollment records show Vardhan Reddy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wmc Physician Practices LLC
3.2 mi
Internal Medicine
560 STEUBENVILLE PIKE
Burgettstown, PA 15021
  • Reassigned Medicare billing, West Virginia enrollment
  • 131 clinicians in this Medicare group
NPI 1518303288 (304) 797-6557

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 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.
87 services68 patients
Ultrasonic guidance for blood vessel access 76937
Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.
65 services51 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
52 services52 patients
Review by radiologist of abdominal aorta image 75625
This is a procedure where a radiologist, a doctor specialized in medical imaging, examines an image of your abdominal aorta. The abdominal aorta is the large blood vessel that carries blood to your lower body. The radiologist checks for any abnormalities to ensure your overall vascular health.
19 services17 patients
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.
19 services19 patients
Review by radiologist of both arms or legs arteries image 75716
This procedure involves a radiologist examining images of your arm or leg arteries. These images help identify any blockages or abnormalities in the blood vessels that could affect circulation. It's a vital step in diagnosing conditions related to blood flow.
18 services16 patients

Hospital Affiliations CMS Care Compare

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

Weirton Medical Center, Inc

Acute Care Hospitals · Weirton, WV
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number510023
Location601 Colliers WayWeirton, WV 26062 · Hancock County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26062 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%550 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
29%513 patients2/55-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.

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 Vardhan Reddy's NPI number?

The NPI number for Vardhan Reddy is 1568450245. It was assigned to this individual provider in the NPPES registry on October 7, 2005.

Where is Vardhan Reddy located?

Vardhan Reddy practices at 651 Colliers Way Ste 408, Weirton, WV 26062. The listed phone number is (740) 266-3240.

What is Vardhan Reddy's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Vardhan Reddy enrolled in Medicare?

Yes. Vardhan Reddy 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.

Which organization bills Medicare for Vardhan Reddy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vardhan Reddy reassigns Medicare benefits to Wmc Physician Practices LLC (Burgettstown, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Vardhan Reddy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vardhan Reddy accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Highmark Blue Cross Blue Shield West Virginia and 1 other insurer list Vardhan Reddy 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 Vardhan Reddy affiliated with any hospitals?

According to CMS data, Vardhan Reddy is affiliated with Weirton Medical Center, Inc.

When was this NPI record last updated?

The NPPES record for Vardhan Reddy was last updated on September 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.