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DR. RATNAKISHORE PALLAPOTHU MD
NPI 1629228549
Surgery in Columbia, SC

Active since September 27, 2008PECOS EnrolledAccepts Medicare Assignment
99.32/100
CMS Quality Rating
1850 LAUREL ST, COLUMBIA, SC 29201(803) 256-3400(803) 806-3549 Get Directions Write a Review

NPPES record last updated: September 19, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Sep 19, 2022, Mar 19, 2021 (2 updates tracked since 2021).

About Dr. Ratnakishore Pallapothu Md NPPES

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

DR. RATNAKISHORE PALLAPOTHU MD (NPI 1629228549) is an individual surgery provider in Columbia, South Carolina, licensed in South Carolina (88575) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS, is affiliated with Prisma Health Richland Hospital, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1629228549
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. RATNAKISHORE PALLAPOTHUCredential: MD
Location Address1850 LAUREL STColumbia, SC 29201-2627
Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (864) 522-8603
Phone(803) 256-3400
Fax(803) 806-3549
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateSeptember 27, 2008
Last NPPES UpdateSeptember 19, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2022
✔ NPI 1629228549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in SC · 88575✔ Licensed in NY · 258336✔ Licensed in MA · 239419
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1850 LAUREL ST, Columbia, SC 29201
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina.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. Ratnakishore Pallapothu 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 ID9032261169
PECOS Enrollment IDI20221003002754
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 4

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.
19 services12 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.
16 services16 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
13 services13 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.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Prisma Health Richland Hospital

Acute Care Hospitals · Columbia, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420018
Location5 Medical ParkColumbia, SC 29203 · Richland County
Emergency services Birthing friendly

Prisma Health Baptist

Acute Care Hospitals · Columbia, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420086
Location1330 Taylor At Marion StColumbia, SC 29220 · Richland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29201 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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.

99.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality90.59
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 13

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

DALTON SHULER PRICKETT M.D. F.A.C.S.
Surgery
1850 LAUREL ST
COLUMBIA, SC 29201
Richland County (803) 256-3400
DR. IGBAGBOYEMI TEMIDAYO OLATUNDE M.D
Internal Medicine
1850 LAUREL ST
COLUMBIA, SC 29201
Richland County (803) 376-5982
PALMETTO HEALTH
Surgery
1850 LAUREL ST
COLUMBIA, SC 29201
Richland County (803) 256-3400
JAMES BENJAMIN TRIBBLE M.D .F.A.C.S.
Surgery
1850 LAUREL ST
COLUMBIA, SC 29201
Richland County (803) 256-3400
CARL ALDEN SWEATMAN JR. MD, FACS
Surgery
1850 LAUREL ST
COLUMBIA, SC 29201
Richland County (803) 256-3400
PALMETTO HEALTH
Surgery
1850 LAUREL ST, SUITE 1A
COLUMBIA, SC 29201
Richland County (803) 296-7305
ROBERT HOLT BUNCH M.D., F.A.C.S.
Surgery
1850 LAUREL ST
COLUMBIA, SC 29201
Richland County (803) 256-3400
PALMETTO HEALTH - UNIVERSITY OF SOUTH CAROLINA MEDICAL GROUP
Surgery
1850 LAUREL ST
COLUMBIA, SC 29201
Richland County (803) 256-3400

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 Ratnakishore Pallapothu's NPI number?

The NPI number for Ratnakishore Pallapothu is 1629228549. It was assigned to this individual provider in the NPPES registry on September 27, 2008.

Where is Ratnakishore Pallapothu located?

Ratnakishore Pallapothu practices at 1850 Laurel St, Columbia, SC 29201. The listed phone number is (803) 256-3400.

What is Ratnakishore Pallapothu's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Ratnakishore Pallapothu enrolled in Medicare?

Yes. Ratnakishore Pallapothu 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 Ratnakishore Pallapothu accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and BlueCross BlueShield of South Carolina list Ratnakishore Pallapothu 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 Ratnakishore Pallapothu affiliated with any hospitals?

According to CMS data, Ratnakishore Pallapothu is affiliated with Prisma Health Richland Hospital and Prisma Health Baptist.

When was this NPI record last updated?

The NPPES record for Ratnakishore Pallapothu was last updated on September 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.