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MRS. PADMA GANTA RAO M.D.
NPI 1629098033
Family Medicine in Georgetown, KY

Active since July 20, 2006PECOS EnrolledAccepts Medicare Assignment
105 WINDSOR PATH, STE: 2, PADMA RAO SCOTT COUNTY FAMILY PRACTICE, PLLC, GEORGETOWN, KY 40324(502) 863-4485(502) 863-4487 Get Directions Write a Review

NPPES record last updated: September 11, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Padma Ganta Rao M.d. NPPES

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

MRS. PADMA GANTA RAO M.D. (NPI 1629098033) is an individual family medicine provider in Georgetown, Kentucky, licensed in Kentucky (37079) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Georgetown Community Hospital, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1629098033
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMRS. PADMA GANTA RAOCredential: M.D.
Location Address105 WINDSOR PATH, STE: 2, PADMA RAO SCOTT COUNTY FAMILY PRACTICE, PLLCGeorgetown, KY 40324
Mailing Address105 Windsor Path, Ste: 2, Padma Rao Scott County Family Practice, PllcGeorgetown, KY 40324 · (502) 863-4485 · Fax (502) 863-4487
Phone(502) 863-4485
Fax(502) 863-4487
Sole ProprietorYes
Medical School CMSOtherGraduated 1993
Enumeration DateJuly 20, 2006
Last NPPES UpdateSeptember 11, 2013
✔ NPI 1629098033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in KY · 37079
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
105 WINDSOR PATH, STE: 2, Georgetown, KY 40324
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Other Identifiers 4

Medicare UPINH55971KY
Medicare PIN0910101KY
Other000000329732KY · Anthem Pin
Medicaid64045883KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health 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

Mrs. Padma Ganta Rao M.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 ID2365439502
PECOS Enrollment IDI20040428001448
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 2

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 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.
155 services50 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.
21 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Georgetown Community Hospital

Acute Care Hospitals · Georgetown, KY
OwnershipProprietary
CMS Certification Number180101
Location1140 Lexington RoadGeorgetown, KY 40324 · Scott County
Emergency services Birthing friendly

Baptist Health Lexington

Acute Care Hospitals · Lexington, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180103
Location1740 Nicholasville RoadLexington, KY 40503 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40324 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers12 claims30 services$6.16 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Padma Rao's NPI number?

The NPI number for Padma Rao is 1629098033. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Padma Rao located?

Padma Rao practices at 105 Windsor Path, Ste: 2 Padma Rao Scott County Family Practice, PLLC, Georgetown, KY 40324. The listed phone number is (502) 863-4485.

What is Padma Rao's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Padma Rao enrolled in Medicare?

Yes. Padma Rao 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 Padma Rao accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Padma Rao 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 Padma Rao affiliated with any hospitals?

According to CMS data, Padma Rao is affiliated with Georgetown Community Hospital and Baptist Health Lexington.

When was this NPI record last updated?

The NPPES record for Padma Rao was last updated on September 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.