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DR. KRISHNA POKALA MD
NPI 1578856399
Psychiatry & Neurology - Neurology in Austin, TX

Active since May 26, 2011PECOS EnrolledAccepts Medicare Assignment
72.52/100
CMS Quality Rating
1600 W 38TH ST, SUITE 308, AUSTIN, TX 78731(512) 324-3540 Get Directions Write a Review

NPPES record last updated: March 15, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 15, 2017, Nov 22, 2016 (2 updates tracked since 2016).

About Dr. Krishna Pokala Md NPPES

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

DR. KRISHNA POKALA MD (NPI 1578856399) is an individual neurology provider in Austin, Texas, licensed in Texas (Q9479) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS, is affiliated with Ascension Seton Medical Center Austin, and is a graduate of University Of Oklahoma College Of Medicine (2011).

NPPES Registry Identity

NPI1578856399
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. KRISHNA POKALACredential: MD
Location Address1600 W 38TH ST, SUITE 308Austin, TX 78731-6400
Mailing Address1600 W 38th St, Suite 308Austin, TX 78731-6400
Phone(512) 324-3540
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 2011
Enumeration DateMay 26, 2011
Last NPPES UpdateMarch 15, 20172 updates tracked since enumeration
✔ NPI 1578856399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in TX · Q9479
Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Also ListedPsychiatry & Neurology · Clinical NeurophysiologyTaxonomy 2084N0600X · License Q9479 (TX)
1600 W 38TH ST, Austin, TX 78731
Open in Google Maps ↗

Other Identifiers 4

Medicare PIN534185YMGJTX
Medicare PIN534185YL9XTX
Medicaid365781902TX
Medicaid365781901TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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

Dr. Krishna Pokala 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.

PECOS PAC ID3375831787
PECOS Enrollment IDI20161017002806
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 9

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.
93 services64 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
89 services61 patients
Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
59 services48 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
57 services57 patients
Needle measurement of electrical activity in arm or leg muscles, limited study 95885
This procedure, known as an electromyography (EMG), involves placing tiny needles into your arm or leg muscles to measure their electrical activity. It's a limited study, meaning only specific muscles are tested. This helps identify any muscle or nerve dysfunction.
25 services20 patients
Nerve conduction, 5-6 studies 95909
Nerve conduction studies involve testing the speed and strength of signals traveling through your nerves. This helps identify any nerve damage or dysfunction. For 5-6 studies, this means multiple nerves will be tested. Small electrodes are placed on your skin to send and receive signals, causing minimal discomfort.
24 services24 patients

Hospital Affiliations CMS Care Compare

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

Ascension Seton Medical Center Austin

Acute Care Hospitals · Austin, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450056
Location1201 W 38th StAustin, TX 78705 · Travis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78731 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
$131.95 typical visit price
range $57.88 – $174.00
Typical copayment $32.98 (range $14.47 – $43.50)
Most-billed visit code 99204
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
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.

72.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality61.27
Promoting Interoperability100
Improvement Activities40
Cost47.12

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
21%234 patients1/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
13%345 patients
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
27%417 patients2/55-star benchmark: 85%
Depression Utilization of the PHQ-9 Tool
The percentage of patients age 18 and older with the diagnosis of major depression or dysthymia who have a completed PHQ-9 during each applicable 4 month period in which there was a qualifying visit
Patients 4MonthsOfEnd: 10% · 21 patients
7%27 patients
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.
99%1,260 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
95%2,111 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
63%211 patients3/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%416 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
58%944 patients3/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 99% · 291 patients
Patients tobacco: 29% · 21 patients
92%291 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
81%944 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
44%944 patients2/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
49%944 patients
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.

DR. KRISTEN KATHERINE UDE D.C.
Chiropractor (Nutrition)
1600 W 38TH ST, SUITE 412
AUSTIN, TX 78731
Travis County (512) 970-8883
DR. JAMES ROBERT GAY PH.D.
Psychologist (Clinical)
1600 W 38TH ST, SUITE 428
AUSTIN, TX 78731
Travis County (512) 454-3685
PATRICK CLARK DC
Chiropractor
1600 W 38TH ST, SUITE 412
AUSTIN, TX 78731
Travis County (512) 451-8682
SAMUEL JOSHUA ESPINOZA
Physical Therapist
1600 W 38TH ST, STE 201
AUSTIN, TX 78731
Travis County (512) 206-0433
NEUROPSYCHOLOGY CLINIC, P.C.
Clinic/Center
1600 W 38TH ST, SUITE 421
AUSTIN, TX 78731
Travis County (512) 454-9429
DR. CONSTANCE ELAINE GEORGE M.D.
Psychiatry & Neurology (Psychiatry)
1600 W 38TH ST, SUITE 321
AUSTIN, TX 78731
Travis County (512) 454-5716
MR. LONNIE RAY HAZLEWOOD MSHP
Counselor (Mental Health)
1600 W 38TH ST, STE 424
AUSTIN, TX 78731
Travis County (512) 323-0666
MS. CHRISTINE C SPRINGER M.S., P.T.
Physical Therapist (Orthopedic)
1600 W 38TH ST, SUITE 201
AUSTIN, TX 78731
Travis County (512) 206-0433

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 Krishna Pokala's NPI number?

The NPI number for Krishna Pokala is 1578856399. It was assigned to this individual provider in the NPPES registry on May 26, 2011.

Where is Krishna Pokala located?

Krishna Pokala practices at 1600 W 38th St Suite 308, Austin, TX 78731. The listed phone number is (512) 324-3540.

What is Krishna Pokala's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Krishna Pokala enrolled in Medicare?

Yes. Krishna Pokala 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 Krishna Pokala accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Krishna Pokala 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 Krishna Pokala affiliated with any hospitals?

According to CMS data, Krishna Pokala is affiliated with Ascension Seton Medical Center Austin.

When was this NPI record last updated?

The NPPES record for Krishna Pokala was last updated on March 15, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.