PRATHEESH VISWANATHAN MD
NPI 1588655989
Internal Medicine in Lemoyne, PA

Active since November 03, 2005PECOS EnrolledAccepts Medicare Assignment
73.09/100
CMS Quality Rating
108 LOWTHER ST, INTERNISTS OF CENTRAL PA LTD, LEMOYNE, PA 17043(717) 774-1366(717) 774-4232 Get Directions Write a Review

NPPES record last updated: June 1, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pratheesh Viswanathan Md NPPES

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

PRATHEESH VISWANATHAN MD (NPI 1588655989) is an individual internal medicine provider in Lemoyne, Pennsylvania, licensed in Pennsylvania (MD424770) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Penn State Health Holy Spirit Medical Center, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1588655989
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NamePRATHEESH VISWANATHANCredential: MD
Location Address108 LOWTHER ST, INTERNISTS OF CENTRAL PA LTDLemoyne, PA 17043-2045
Mailing Address108 Lowther St, Internists Of Central Pa LtdLemoyne, PA 17043-2045 · (717) 774-1366 · Fax (717) 774-4232
Fax(717) 774-4232
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateNovember 3, 2005
Last NPPES UpdateJune 1, 2012
NPI 1588655989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in PA · MD424770
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.

108 LOWTHER ST, Lemoyne, PA 17043

Other Identifiers 3

Medicare ID-Type Unspecified078822
Medicaid0018617100001PA
Medicare UPINI06771

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

Pratheesh Viswanathan 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 ID2466437686
PECOS Enrollment IDI20040622000928
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 22

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
376 services193 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.
345 services192 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
325 services185 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
318 services182 patients
Blood test, thyroid stimulating hormone (tsh) 84443
A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.
302 services178 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
267 services162 patients

Hospital Affiliations CMS Care Compare 4

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

Penn State Health Holy Spirit Medical Center

Acute Care Hospitals · Camp Hill, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390004
Location503 North 21st StreetCamp Hill, PA 17011 · Cumberland County
Emergency services

Upmc Carlisle

Acute Care Hospitals · Carlisle, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390058
Location361 Alexander Spring RoadCarlisle, PA 17015 · Cumberland County
Emergency services Birthing friendly

Upmc Pinnacle Hospitals

Acute Care Hospitals · Harrisburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390067
Location409 South Second StreetHarrisburg, PA 17104 · Dauphin County
Emergency services Birthing friendly

Milton S Hershey Medical Center

Acute Care Hospitals · Hershey, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390256
Location500 University DriveHershey, PA 17033 · Dauphin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17043 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

73.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality63.15
Promoting Interoperability94
Improvement Activities40
Cost52.16

Reported Quality Measures

Breast Cancer Screening
67%267 patients3/55-star benchmark: 93%
Colorectal Cancer Screening
69%710 patients4/55-star benchmark: 88%
Controlling High Blood Pressure
69%521 patients4/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
27%180 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
1%2,809 patients1/55-star benchmark: 100%
e-Prescribing
92%8,271 patients2/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
54%554 patients3/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
79%1,176 patients4/55-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.

Referred Medical Equipment & Supplies CMS DME claims 20

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers16 claims41 services$6.58 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers13 claims13 services$32.86 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers17 claims17 services$91.35 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers13 claims38 services$32.03 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
4 suppliers14 claims14 services$16.30 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers28 claims136 services$2.03 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.

Internal Medicine
108 LOWTHER ST, INTERNISTS OF CENTRAL PA LTD
LEMOYNE, PA 17043
Internal Medicine
108 LOWTHER ST, INTERNISTS OF CENTRAL PA LTD
LEMOYNE, PA 17043
Non-Pharmacy Dispensing Site
108 LOWTHER ST, 2ND FLR
LEMOYNE, PA 17043
Internal Medicine
108 LOWTHER ST, INTERNISTS OF CENTRAL PA LTD
LEMOYNE, PA 17043
Physician Assistant (Medical)
108 LOWTHER ST
LEMOYNE, PA 17043
Physician Assistant (Medical)
108 LOWTHER ST, INTERNISTS OF CENTRAL PA LTD
LEMOYNE, PA 17043
Nurse Practitioner (Family)
108 LOWTHER ST, INTERNISTS OF CENTRAL PA
LEMOYNE, PA 17043
Nurse Practitioner (Family)
108 LOWTHER ST
LEMOYNE, PA 17043

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 Pratheesh Viswanathan's NPI number?

The NPI number for Pratheesh Viswanathan is 1588655989. It was assigned to this individual provider in the NPPES registry on November 3, 2005.

Where is Pratheesh Viswanathan located?

Pratheesh Viswanathan practices at 108 Lowther St Internists Of Central PA Ltd, Lemoyne, PA 17043. The listed phone number is (717) 774-1366.

What is Pratheesh Viswanathan's specialty?

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

Is Pratheesh Viswanathan enrolled in Medicare?

Yes. Pratheesh Viswanathan 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.

Is Pratheesh Viswanathan affiliated with any hospitals?

According to CMS data, Pratheesh Viswanathan is affiliated with Penn State Health Holy Spirit Medical Center, Upmc Carlisle, Upmc Pinnacle Hospitals and Milton S Hershey Medical Center.

When was this NPI record last updated?

The NPPES record for Pratheesh Viswanathan was last updated on June 1, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.