DR. PRASAD N. POLICHERLA
NPI 1619959665
Psychiatry & Neurology - Neurology in Defiance, OH

Active since November 16, 2005PECOS EnrolledAccepts Medicare Assignment
1400 E 2ND ST, DEFIANCE, OH 43512(419) 784-1414 Get Directions Write a Review

NPPES record last updated: April 14, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Prasad N. Policherla NPPES

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

DR. PRASAD N. POLICHERLA (NPI 1619959665) is an individual neurology provider in Defiance, Ohio, licensed in Ohio (35065457) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Mercy Health - Defiance Hospital, and is a graduate of Other (1978).

NPPES Registry Identity

NPI1619959665
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. PRASAD N. POLICHERLA
Location Address1400 E 2ND STDefiance, OH 43512-2440
Mailing Address1400 E 2nd StDefiance, OH 43512-2440 · (419) 784-1414
Sole ProprietorNo
Medical School CMSOtherGraduated 1978
Enumeration DateNovember 16, 2005
Last NPPES UpdateApril 14, 2010
NPI 1619959665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in OH · 35065457
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.
1400 E 2ND ST, Defiance, OH 43512

Other Identifiers 5

Other130020927OH · Railroad
Medicare UPING98104OH
Medicare PINPO0881961OH
Medicaid2123473OH
Medicare PIN0881962OH

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

Dr. Prasad N. Policherla 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 ID6204979016
PECOS Enrollment IDI20100202000503
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 10

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.
291 services191 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.
144 services117 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.
115 services57 patients
Measurement of brain wave activity (eeg), 61-119 minutes 95813
The procedure you're having is an EEG, which measures your brain's electrical activity. Electrodes placed on your scalp capture signals that are recorded for 61-119 minutes. This helps identify any irregularities, aiding in diagnosing conditions like epilepsy or sleep disorders.
91 services90 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.
73 services73 patients
Complete ultrasound of within the brain blood flow 93886
A complete ultrasound of brain blood flow, also known as a Transcranial Doppler, is a non-invasive procedure that uses sound waves to measure the speed and direction of blood flow in the brain. This helps detect any abnormalities or blockages.
58 services57 patients

Hospital Affiliations CMS Care Compare

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

Mercy Health - Defiance Hospital

Acute Care Hospitals · Defiance, OH
4/5 CMS rating
OwnershipProprietary
CMS Certification Number360270
Location1404 East Second StreetDefiance, OH 43512 · Defiance County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43512 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Walker, heavy duty, wheeled, rigid or folding, any type E0149
DME-Other DME · category DE000N
2 suppliers11 claims11 services$10.16 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
1400 E 2ND ST
DEFIANCE, OH 43512
Ophthalmology
1400 E 2ND ST
DEFIANCE, OH 43512
Durable Medical Equipment & Medical Supplies (Customized Equipment)
1400 E 2ND ST
DEFIANCE, OH 43512
Family Medicine
1400 E 2ND ST
DEFIANCE, OH 43512
Clinic/Center (Radiology, Mobile)
1400 E 2ND ST
DEFIANCE, OH 43512
Physician Assistant
1400 E 2ND ST
DEFIANCE, OH 43512
Occupational Therapist
1400 E 2ND ST
DEFIANCE, OH 43512
Family Medicine
1400 E 2ND ST
DEFIANCE, OH 43512

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 Prasad Policherla's NPI number?

The NPI number for Prasad Policherla is 1619959665. It was assigned to this individual provider in the NPPES registry on November 16, 2005.

Where is Prasad Policherla located?

Prasad Policherla practices at 1400 E 2nd St, Defiance, OH 43512. The listed phone number is (419) 784-1414.

What is Prasad Policherla's specialty?

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

Is Prasad Policherla enrolled in Medicare?

Yes. Prasad Policherla 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 Prasad Policherla accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, McLaren Health Plan Community, MedMutual and Molina Healthcare and 1 other insurer list Prasad Policherla 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 Prasad Policherla affiliated with any hospitals?

According to CMS data, Prasad Policherla is affiliated with Mercy Health - Defiance Hospital.

When was this NPI record last updated?

The NPPES record for Prasad Policherla was last updated on April 14, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.