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SWARNA LATHA MASALA MD
NPI 1649839465
Family Medicine in Davenport, IA

Active since June 06, 2019PECOS EnrolledAccepts Medicare Assignment
28.55/100
CMS Quality Rating
1345 W CENTRAL PARK AVE, DAVENPORT, IA 52804(563) 421-4400 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 7, 2024, Apr 20, 2021, Nov 15, 2019 and 1 more (4 updates tracked since 2019).

About Swarna Latha Masala Md NPPES

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

SWARNA LATHA MASALA MD (NPI 1649839465) is an individual family medicine provider in Davenport, Iowa, licensed in Iowa (R-11460) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1649839465
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSWARNA LATHA MASALACredential: MD
Location Address1345 W CENTRAL PARK AVEDavenport, IA 52804-1844
Mailing Address1345 W Central Park AveDavenport, IA 52804-1844 · (563) 421-4400
Phone(563) 421-4400
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateJune 6, 2019
Last NPPES UpdateMay 7, 20244 updates tracked since enumeration
NPPES CertifiedApril 20, 2021
✔ NPI 1649839465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IA · R-11460
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.
1345 W CENTRAL PARK AVE, Davenport, IA 52804
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Oscar Insurance Company.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

Swarna Latha Masala 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 ID143559906
PECOS Enrollment IDI20240513000755
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 3

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.
78 services29 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.
17 services17 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.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52804 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $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.

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.

28.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality21.38
Improvement Activities0
Cost55.97

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.

DR. JESICAH ELISABETH AMBRISCO DO
Family Medicine
1345 W CENTRAL PARK AVE
DAVENPORT, IA 52804
Scott County (563) 421-4400
CAROLINE SIDLINGER DNP
Nurse Practitioner (Family)
1345 W CENTRAL PARK AVE
DAVENPORT, IA 52804
Scott County (563) 421-4400
THANG LUONG D.O.
Family Medicine
1345 W CENTRAL PARK AVE
DAVENPORT, IA 52804
Scott County (563) 421-4400
DAILEN MARIE FOLKEDAHL DO
Family Medicine
1345 W CENTRAL PARK AVE
DAVENPORT, IA 52804
Scott County (563) 421-4400
JOSHUA CARPENTER M.D.
Family Medicine
1345 W CENTRAL PARK AVE
DAVENPORT, IA 52804
Scott County (563) 421-4400
ROSS BURANDT
Student in an Organized Health Care Education/Training Program
1345 W CENTRAL PARK AVE
DAVENPORT, IA 52804
Scott County (563) 421-4400
STEPHANIE ANNE MCMILLAN DO
Student in an Organized Health Care Education/Training Program
1345 W CENTRAL PARK AVE
DAVENPORT, IA 52804
Scott County (563) 421-4400
DR. BRADLEY W JOHNSON D.O
Family Medicine
1345 W CENTRAL PARK AVE
DAVENPORT, IA 52804
Scott County (563) 421-4400

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 Swarna Masala's NPI number?

The NPI number for Swarna Masala is 1649839465. It was assigned to this individual provider in the NPPES registry on June 6, 2019.

Where is Swarna Masala located?

Swarna Masala practices at 1345 W Central Park Ave, Davenport, IA 52804. The listed phone number is (563) 421-4400.

What is Swarna Masala's specialty?

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

Is Swarna Masala enrolled in Medicare?

Yes. Swarna Masala 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 Swarna Masala accept?

Health plans from Medica and Oscar Insurance Company list Swarna Masala 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.

When was this NPI record last updated?

The NPPES record for Swarna Masala was last updated on May 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.