DR. PRASHANTH VALLABHAJOSYULA MD, MS
NPI 1730167404
Thoracic Surgery (Cardiothoracic Vascular Surgery) in New Haven, CT

Active since January 04, 2006PECOS EnrolledAccepts Medicare Assignment
73.56/100
CMS Quality Rating
800 HOWARD AVE, NEW HAVEN, CT 06519(203) 785-5000 Get Directions Write a Review

NPPES record last updated: September 27, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Prashanth Vallabhajosyula Md, Ms NPPES

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

DR. PRASHANTH VALLABHAJOSYULA MD, MS (NPI 1730167404) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in New Haven, Connecticut, licensed in Connecticut (64282) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of Yale University School Of Medicine (2002).

NPPES Registry Identity

NPI1730167404
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameDR. PRASHANTH VALLABHAJOSYULACredential: MD, MS
Location Address800 HOWARD AVENew Haven, CT 06519-1369
Mailing Address330 Cedar StNew Haven, CT 06510-3218 · (203) 785-5000
Sole ProprietorNo
Medical School CMSYale University School Of MedicineGraduated 2002
Enumeration DateJanuary 4, 2006
Last NPPES UpdateSeptember 27, 2019
NPI 1730167404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
Licenses Licensed in CT · 64282 Licensed in PA · MD437562
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Also ListedGeneral PracticeTaxonomy 208D00000X · License 225173 (MA)
800 HOWARD AVE, New Haven, CT 06519

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. Prashanth Vallabhajosyula Md, Ms 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 ID6204082290
PECOS Enrollment IDI20191017001652
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 13

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.

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.
41 services41 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.
28 services27 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
25 services24 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
23 services22 patients
Replacement of aortic valve through the skin and femoral artery 33361
This procedure, known as Transcatheter Aortic Valve Replacement (TAVR), involves replacing a damaged aortic valve through a small incision in the leg. A catheter is inserted into the femoral artery and guided up to the heart. The new valve is then positioned and deployed, restoring normal blood flow.
19 services19 patients
Repair of aortic arch with graft 33866
Repair of the aortic arch with a graft is a surgical procedure to fix a damaged section of the main blood vessel, the aorta. A graft, which is a tube made of synthetic material, is used to replace the diseased part, helping to restore normal blood flow.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06519 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
$183.10 typical visit price
range $60.82 – $183.10
Typical copayment $45.77 (range $15.20 – $45.77)
Most-billed visit code 99205
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

73.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.84
Promoting Interoperability74
Improvement Activities40
Cost51.43

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.

Nurse Practitioner (Family)
800 HOWARD AVE
NEW HAVEN, CT 06519
Surgery
800 HOWARD AVE, YALE PHYSICIANS BLDG
NEW HAVEN, CT 06519
Nurse Practitioner
800 HOWARD AVE
NEW HAVEN, CT 06519
Internal Medicine (Medical Oncology)
800 HOWARD AVE, YALE PHYSICIANS BUILDING - 2ND FLOOR
NEW HAVEN, CT 06519
Clinical Nurse Specialist (Gerontology)
800 HOWARD AVE
NEW HAVEN, CT 06519
Physical Medicine & Rehabilitation
800 HOWARD AVE
NEW HAVEN, CT 06519
Psychologist (Clinical Child & Adolescent)
800 HOWARD AVE, YALE PHYSICIANS BLDG
NEW HAVEN, CT 06519
Psychiatry & Neurology (Neuromuscular Medicine)
800 HOWARD AVE
NEW HAVEN, CT 06519

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 Prashanth Vallabhajosyula's NPI number?

The NPI number for Prashanth Vallabhajosyula is 1730167404. It was assigned to this individual provider in the NPPES registry on January 4, 2006.

Where is Prashanth Vallabhajosyula located?

Prashanth Vallabhajosyula practices at 800 Howard Ave, New Haven, CT 06519. The listed phone number is (203) 785-5000.

What is Prashanth Vallabhajosyula's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Prashanth Vallabhajosyula enrolled in Medicare?

Yes. Prashanth Vallabhajosyula 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 Prashanth Vallabhajosyula was last updated on September 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.