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PRIYA SAXENA
NPI 1700864386
Internal Medicine in Verona, PA

Active since January 04, 2006PECOS EnrolledAccepts Medicare Assignment
78.53/100
CMS Quality Rating
6149 SALTSBURG RD, PENN COMMONS BUILDING, VERONA, PA 15147(412) 712-1077 Get Directions Write a Review

NPPES record last updated: March 25, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Priya Saxena NPPES

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

PRIYA SAXENA (NPI 1700864386) is an individual internal medicine provider in Verona, Pennsylvania, licensed in Pennsylvania (MD427748) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, is affiliated with Allegheny Valley Hospital, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1700864386
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NamePRIYA SAXENA
Location Address6149 SALTSBURG RD, PENN COMMONS BUILDINGVerona, PA 15147-3542
Mailing Address6149 Saltsburg Rd, Penn Commons BuildingVerona, PA 15147-3542
Phone(412) 712-1077
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateJanuary 4, 2006
Last NPPES UpdateMarch 25, 2021
✔ NPI 1700864386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MD427748
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
6149 SALTSBURG RD, Verona, PA 15147
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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

Priya Saxena 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 ID2567486624
PECOS Enrollment IDI20060117000707
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 11

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 nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
345 services55 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.
154 services77 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
109 services27 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
107 services46 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
81 services28 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
56 services40 patients

Hospital Affiliations CMS Care Compare 4

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

Allegheny Valley Hospital

Acute Care Hospitals · Natrona, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390032
Location1301 Carlisle StNatrona, PA 15065 · Allegheny County
Emergency services

West Penn Hospital

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390090
Location4800 Friendship AvenuePittsburgh, PA 15224 · Allegheny County
Emergency services Birthing friendly

Magee Womens Hospital Of Upmc Health System

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390114
Location300 Halket StreetPittsburgh, PA 15213 · Allegheny County
Emergency services Birthing friendly

Upmc Presbyterian Shadyside

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390164
Location200 Lothrop StreetPittsburgh, PA 15213 · Allegheny County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15147 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

78.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.61
Promoting Interoperability100
Improvement Activities40
Cost53.82

Reported Quality Measures

Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
100%69 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

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
6 suppliers18 claims51 services$5.39 avg. paid by Medicare
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims210 services$4.35 avg. paid by Medicare
Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4153
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims4,290 services$1.03 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 6

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

ALLEGHENY MEDICAL PRACTICE NETWORK
Internal Medicine
6149 SALTSBURG RD
VERONA, PA 15147
Allegheny County (412) 712-1077
PAULA TEACHER & ASSOCIATES, INC.
Community/Behavioral Health
6149 SALTSBURG RD, SUITE 4
VERONA, PA 15147
Allegheny County (412) 744-4073
DONIQUE WINT
Counselor (Mental Health)
6149 SALTSBURG RD
VERONA, PA 15147
Allegheny County (412) 832-7093
LORI GUNTER
Counselor (Mental Health)
6149 SALTSBURG RD
VERONA, PA 15147
Allegheny County (412) 832-7097
TAYLOR SOLOMON
Counselor (Mental Health)
6149 SALTSBURG RD
VERONA, PA 15147
Allegheny County (412) 228-0714
DR. WILLIAM JOHN GRAY D.M.D.
Dentist (Orthodontics and Dentofacial Orthopedics)
6149 SALTSBURG RD
VERONA, PA 15147
Allegheny County (412) 795-3333

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 Priya Saxena's NPI number?

The NPI number for Priya Saxena is 1700864386. It was assigned to this individual provider in the NPPES registry on January 4, 2006.

Where is Priya Saxena located?

Priya Saxena practices at 6149 Saltsburg Rd Penn Commons Building, Verona, PA 15147. The listed phone number is (412) 712-1077.

What is Priya Saxena's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Priya Saxena enrolled in Medicare?

Yes. Priya Saxena 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.

Is Priya Saxena affiliated with any hospitals?

According to CMS data, Priya Saxena is affiliated with Allegheny Valley Hospital, West Penn Hospital, Magee Womens Hospital Of Upmc Health System and Upmc Presbyterian Shadyside.

When was this NPI record last updated?

The NPPES record for Priya Saxena was last updated on March 25, 2021. 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.