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DR. SAIKIRAN RAGHAVAPURAM M.D.
NPI 1790065464
Internal Medicine - Gastroenterology in Frisco, TX

Active since August 25, 2011PECOS EnrolledAccepts Medicare Assignment
79.87/100
CMS Quality Rating
11330 LEGACY DR STE 205, FRISCO, TX 75033(469) 535-5070(214) 436-4798 Get Directions Write a Review

NPPES record last updated: April 2, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 2, 2024, Sep 13, 2021, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Dr. Saikiran Raghavapuram M.d. NPPES

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

DR. SAIKIRAN RAGHAVAPURAM M.D. (NPI 1790065464) is an individual gastroenterology provider in Frisco, Texas, licensed in Texas (T5005) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS, is affiliated with Texas Health Hospital Frisco, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1790065464
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. SAIKIRAN RAGHAVAPURAMCredential: M.D.
Location Address11330 LEGACY DR STE 205Frisco, TX 75033-1218
Mailing Address8267 Elmbrook Dr Ste 200Dallas, TX 75247-4078 · (214) 424-2200 · Fax (214) 231-2159
Phone(469) 535-5070
Fax(214) 436-4798
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateAugust 25, 2011
Last NPPES UpdateApril 2, 20244 updates tracked since enumeration
NPPES CertifiedJanuary 31, 2022
✔ NPI 1790065464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses✔ Licensed in TX · T5005✔ Licensed in AR · E-8427
Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Also ListedInternal MedicineTaxonomy 207R00000X · License 036142929 (IL), E-8427 (AR)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
11330 LEGACY DR STE 205, Frisco, TX 75033
Open in Google Maps ↗

Secondary Practice Locations 2

Location 14301 W Markham StLittle Rock, AR 72205-7101 · Phone (501) 686-5162
Location 22 Saint Anthonys WayAlton, IL 62002-4569 · Phone (618) 462-2226 · Fax (618) 462-4809

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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. Saikiran Raghavapuram 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 ID1153648464
PECOS Enrollment IDI20220617001753
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.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
49 services46 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
45 services45 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
42 services42 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.
39 services39 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.
25 services25 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.
25 services22 patients

Hospital Affiliations CMS Care Compare

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

Texas Health Hospital Frisco

Acute Care Hospitals · Frisco, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670260
Location12400 N Dallas ParkwayFrisco, TX 75033 · Denton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75033 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

79.87/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.55
Promoting Interoperability100
Improvement Activities40
Cost64.36

Other Providers at the Same Location NPPES

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

DR. MURALI M ALLOJU M.D.
Internal Medicine (Gastroenterology)
11330 LEGACY DR STE 205
FRISCO, TX 75033
Denton County (469) 535-5070

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 Saikiran Raghavapuram's NPI number?

The NPI number for Saikiran Raghavapuram is 1790065464. It was assigned to this individual provider in the NPPES registry on August 25, 2011.

Where is Saikiran Raghavapuram located?

Saikiran Raghavapuram practices at 11330 Legacy Dr Ste 205, Frisco, TX 75033. The listed phone number is (469) 535-5070.

What is Saikiran Raghavapuram's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Saikiran Raghavapuram enrolled in Medicare?

Yes. Saikiran Raghavapuram 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 Saikiran Raghavapuram accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Saikiran Raghavapuram 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 Saikiran Raghavapuram affiliated with any hospitals?

According to CMS data, Saikiran Raghavapuram is affiliated with Texas Health Hospital Frisco.

When was this NPI record last updated?

The NPPES record for Saikiran Raghavapuram was last updated on April 2, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.