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ARCHANA P. REDDY M.D.
NPI 1679641104
Internal Medicine - Endocrinology, Diabetes & Metabolism in French Camp, CA

Active since December 01, 2006PECOS EnrolledAccepts Medicare Assignment
78.08/100
CMS Quality Rating
500 W HOSPITAL RD, FRENCH CAMP, CA 95231(209) 468-6820(209) 468-6103 Get Directions Write a Review

NPPES record last updated: October 27, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Archana P. Reddy M.d. NPPES

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

ARCHANA P. REDDY M.D. (NPI 1679641104) is an individual endocrinology, diabetes & metabolism provider in French Camp, California, licensed in California (C54793) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1679641104
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameARCHANA P. REDDYCredential: M.D.
Location Address500 W HOSPITAL RDFrench Camp, CA 95231-9693
Mailing Address6196 Tracel DrSan Jose, CA 95129-4761
Phone(209) 468-6820
Fax(209) 468-6103
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateDecember 1, 2006
Last NPPES UpdateOctober 27, 2020
NPPES CertifiedOctober 27, 2020
✔ NPI 1679641104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in CA · C54793
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Also ListedInternal MedicineTaxonomy 207R00000X · License 4301085553 (MI)
500 W HOSPITAL RD, French Camp, CA 95231
Open in Google Maps ↗

Other Identifiers 4

OtherAR085553Champus-champus
Other700H262220Blue Cross-blue Cross
OtherAR085553Commercial-commercial Number
Medicaid478704510MI

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

Archana P. Reddy 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 ID9830137009
PECOS Enrollment IDI20111122000588
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 9

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.
260 services119 patients
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.
57 services46 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
55 services24 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
49 services33 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.
34 services29 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.
24 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95231 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

78.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.65
Improvement Activities30
Cost52.58

Referred Medical Equipment & Supplies CMS DME claims 5

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
2 suppliers14 claims80 services$18.25 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
2 suppliers14 claims200 services$2.36 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers15 claims46 services$6.64 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
10 suppliers181 claims181 services$186.41 avg. paid by Medicare
Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system K0554
DME-Other DME · category DE017N
6 suppliers15 claims15 services$190.68 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.

MARIA MONTANEZ
Counselor (Addiction (Substance Use Disorder))
500 W HOSPITAL RD
FRENCH CAMP, CA 95231
San Joaquin County (209) 468-6208
HIBA ALAM MD
Student in an Organized Health Care Education/Training Program
500 W HOSPITAL RD
FRENCH CAMP, CA 95231
San Joaquin County (209) 468-6032
MR. TOMAS LAJIAS MORALES
Counselor (Addiction (Substance Use Disorder))
500 W HOSPITAL RD
FRENCHCAMP, CA 95231
San Joaquin County (209) 468-6129
ANH H. LE MD
Obstetrics & Gynecology
500 W HOSPITAL RD
FRENCH CAMP, CA 95231
San Joaquin County (209) 468-6820
MICHELLE JEAN ROWE D.O.
Family Medicine (Sports Medicine)
500 W HOSPITAL RD
FRENCH CAMP, CA 95231
San Joaquin County (209) 468-6820
ROBERT LEE LEWIS
Counselor (Addiction (Substance Use Disorder))
500 W HOSPITAL RD
FRENCH CAMP, CA 95231
San Joaquin County (209) 468-6857
NAVPREET SINGH
Student in an Organized Health Care Education/Training Program
500 W HOSPITAL RD
FRENCH CAMP, CA 95231
San Joaquin County (209) 468-6641
DR. PETER C. MEADE M.D.
Surgery
500 W HOSPITAL RD
FRENCH CAMP, CA 95231
San Joaquin County (209) 468-6000

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 Archana Reddy's NPI number?

The NPI number for Archana Reddy is 1679641104. It was assigned to this individual provider in the NPPES registry on December 1, 2006.

Where is Archana Reddy located?

Archana Reddy practices at 500 W Hospital Rd, French Camp, CA 95231. The listed phone number is (209) 468-6820.

What is Archana Reddy's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Archana Reddy enrolled in Medicare?

Yes. Archana Reddy 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.

When was this NPI record last updated?

The NPPES record for Archana Reddy was last updated on October 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.