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GADDUM DUEMANI REDDY M.D., PH.D.
NPI 1578894267
Neurological Surgery in Arlington, TX

Active since January 20, 2010PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
515 W MAYFIELD RD STE 407, ARLINGTON, TX 76014(713) 392-7289 Get Directions Write a Review

NPPES record last updated: December 2, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 2, 2021, Sep 20, 2021 (2 updates tracked since 2021).

About Gaddum Duemani Reddy M.d., Ph.d. NPPES

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

GADDUM DUEMANI REDDY M.D., PH.D. (NPI 1578894267) is an individual neurological surgery provider in Arlington, Texas, licensed in Texas (BP10034726) and active in the NPI registry since January 2010. He is enrolled in Medicare PECOS, is affiliated with Medical City Weatherford, and maintains a secondary practice location in Mansfield.

NPPES Registry Identity

NPI1578894267
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameGADDUM DUEMANI REDDYCredential: M.D., PH.D.
Location Address515 W MAYFIELD RD STE 407Arlington, TX 76014-2085
Mailing Address5024 Breezewind LnFort Worth, TX 76123-6009 · (713) 392-7289
Phone(713) 392-7289
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJanuary 20, 2010
Last NPPES UpdateDecember 2, 20212 updates tracked since enumeration
NPPES CertifiedDecember 2, 2021
✔ NPI 1578894267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License✔ Licensed in TX · BP10034726
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
515 W MAYFIELD RD STE 407, Arlington, TX 76014
Open in Google Maps ↗

Secondary Practice Location 1

Location 13141 E Broad St Ste 335Mansfield, TX 76063-6426 · Phone (682) 219-0357

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

Gaddum Duemani Reddy M.d., Ph.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 ID7810269107
PECOS Enrollment IDI20211019002755
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
117 services65 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
92 services45 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
52 services51 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.
37 services27 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.
26 services26 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.
18 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Medical City Weatherford

Acute Care Hospitals · Weatherford, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450203
Location713 E Anderson StWeatherford, TX 76086 · Parker County
Emergency services Birthing friendly

Medical City Arlington

Acute Care Hospitals · Arlington, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450675
Location3301 Matlock RoadArlington, TX 76015 · Tarrant County
Emergency services Birthing friendly

Ennis Regional Medical Center

Acute Care Hospitals · Ennis, TX
OwnershipProprietary
CMS Certification Number450833
Location2201 West Lampasas StreetEnnis, TX 75119 · Ellis County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76014 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
$129.63 typical visit price
range $56.47 – $171.07
Typical copayment $32.40 (range $14.11 – $42.76)
Most-billed visit code 99204
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

e-Prescribing
97%32 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
100%114 patients5/55-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.

Other Providers at the Same Location NPPES 3

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

NESTOR ENRIQUEZ TORRES
Nurse Practitioner
515 W MAYFIELD RD STE 407
ARLINGTON, TX 76014
Tarrant County (682) 219-0357
CLAY MADISON ELSWICK M.D.
Neurological Surgery
515 W MAYFIELD RD STE 407
ARLINGTON, TX 76014
Tarrant County (682) 219-0357
OSMAN MIR MD
Psychiatry & Neurology (Neurology)
515 W MAYFIELD RD STE 407
ARLINGTON, TX 76014
Tarrant County (972) 566-5412

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 Gaddum Reddy's NPI number?

The NPI number for Gaddum Reddy is 1578894267. It was assigned to this individual provider in the NPPES registry on January 20, 2010.

Where is Gaddum Reddy located?

Gaddum Reddy practices at 515 W Mayfield Rd Ste 407, Arlington, TX 76014. The listed phone number is (713) 392-7289.

What is Gaddum Reddy's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Gaddum Reddy enrolled in Medicare?

Yes. Gaddum 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.

What insurance does Gaddum Reddy accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 4 other insurers list Gaddum 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 Gaddum Reddy affiliated with any hospitals?

According to CMS data, Gaddum Reddy is affiliated with Medical City Weatherford, Medical City Arlington and Ennis Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Gaddum Reddy was last updated on December 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.