MAHESWARA REDDY KOPPULA MD
NPI 1588017305
Internal Medicine in Clarksville, TN

Active since July 16, 2016PECOS EnrolledAccepts Medicare Assignment
91.27/100
CMS Quality Rating
651 DUNLOP LN, CLARKSVILLE, TN 37040(931) 502-5090(931) 502-5081 Get Directions Write a Review

NPPES record last updated: July 2, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 2, 2025, Jun 5, 2025, Nov 8, 2019 and 3 more (6 updates tracked since 2016).

About Maheswara Reddy Koppula Md NPPES

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

MAHESWARA REDDY KOPPULA MD (NPI 1588017305) is an individual internal medicine provider in Clarksville, Tennessee, licensed in Tennessee (58980) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS, is affiliated with Geisinger-community Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1588017305
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMAHESWARA REDDY KOPPULACredential: MD
Location Address651 DUNLOP LNClarksville, TN 37040
Mailing Address501 S Washington Ave Ste 1000Scranton, PA 18505-3805 · (570) 343-2383
Fax(931) 502-5081
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 16, 2016
Last NPPES UpdateJuly 2, 20256 updates tracked since enumeration
NPPES CertifiedJuly 2, 2025
NPI 1588017305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in TN · 58980 Licensed in OH · 028172 Licensed in PA · MD477801 Licensed in DE · DR-0026718
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

651 DUNLOP LN, Clarksville, TN 37040

Secondary Practice Locations 2

Location 11001 Covington StYoungstown, OH 44510-1617 · Phone (330) 480-2616 · Fax (330) 480-7979
Location 2651 Dunlop LnClarksville, TN 37040 · Phone (931) 502-5090 · Fax (931) 502-5081

Other Identifiers 1

Medicaid7100626230KY

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

Maheswara Reddy Koppula 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 ID4486983475
PECOS Enrollment IDI20230309001621
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 5

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 35 minutes 99232
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.
598 services189 patients
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.
121 services60 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
94 services92 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
92 services86 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
33 services31 patients

Hospital Affiliations CMS Care Compare 2

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

Geisinger-Community Medical Center

Acute Care Hospitals · Scranton, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390001
Location1822 Mulberry StreetScranton, PA 18510 · Lackawanna County
Emergency services Birthing friendly

Wilkes-Barre General Hospital

Acute Care Hospitals · Wilkes-Barre, PA
1/5 CMS rating
OwnershipProprietary
CMS Certification Number390137
Location575 North River StreetWilkes-Barre, PA 18764 · Luzerne County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37040 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

91.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.6
Improvement Activities40
Cost85.96

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers17 claims17 services$14.88 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers21 claims21 services$71.00 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Anesthetist, Certified Registered
651 DUNLOP LN
CLARKSVILLE, TN 37040
Emergency Medicine
651 DUNLOP LN
CLARKSVILLE, TN 37040
Specialist
651 DUNLOP LN
CLARKSVILLE, TN 37040
Specialist
651 DUNLOP LN
CLARKSVILLE, TN 37040
Specialist
651 DUNLOP LN
CLARKSVILLE, TN 37040
Specialist
651 DUNLOP LN
CLARKSVILLE, TN 37040
Nurse Anesthetist, Certified Registered
651 DUNLOP LN
CLARKSVILLE, TN 37040
Nurse Anesthetist, Certified Registered
651 DUNLOP LN
CLARKSVILLE, TN 37040

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 Maheswara Reddy Koppula's NPI number?

The NPI number for Maheswara Reddy Koppula is 1588017305. It was assigned to this individual provider in the NPPES registry on July 16, 2016.

Where is Maheswara Reddy Koppula located?

Maheswara Reddy Koppula practices at 651 Dunlop Ln, Clarksville, TN 37040. The listed phone number is (931) 502-5090.

What is Maheswara Reddy Koppula's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Maheswara Reddy Koppula enrolled in Medicare?

Yes. Maheswara Reddy Koppula 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 Maheswara Reddy Koppula accept?

Health plans from CareSource list Maheswara Reddy Koppula 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 Maheswara Reddy Koppula affiliated with any hospitals?

According to CMS data, Maheswara Reddy Koppula is affiliated with Geisinger-Community Medical Center and Wilkes-Barre General Hospital.

When was this NPI record last updated?

The NPPES record for Maheswara Reddy Koppula was last updated on July 2, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.