DR. USHA BANGALORE KRISHNAPPA M.D.
NPI 1821300278
Internal Medicine in Cumming, GA

Q: What is Usha Bangalore Krishnappa's NPI number?

The NPI number for Usha Bangalore Krishnappa is 1821300278. It was assigned to this individual provider in the NPPES registry on July 13, 2010.

Q: What is Usha Bangalore Krishnappa's specialty?

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

Active since July 13, 2010PECOS EnrolledAccepts Medicare Assignment

98.31/100

CMS Quality Rating

1200 NORTHSIDE FORSYTH DR, CUMMING, GA 30041(404) 844-3200(404) 851-6325 Get Directions Write a Review

NPPES record last updated: March 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 19, 2017, Jan 10, 2017, Jan 21, 2016 (3 updates tracked since 2016).

On this page

About Dr. Usha Bangalore Krishnappa M.d. NPPES

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

DR. USHA BANGALORE KRISHNAPPA M.D. (NPI 1821300278) is an individual internal medicine provider in Cumming, Georgia, licensed in Texas (U2052) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS, is affiliated with Christus Shreveport-bossier Health System, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1821300278

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. USHA BANGALORE KRISHNAPPACredential: M.D.

Location Address1200 NORTHSIDE FORSYTH DRCumming, GA 30041-7659

Mailing Address1200 Northside Forsyth DrCumming, GA 30041-7659 · (404) 844-3200 · Fax (404) 851-6325

Phone(404) 844-3200

Fax(404) 851-6325

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateJuly 13, 2010

Last NPPES UpdateMarch 29, 20243 updates tracked since enumeration

NPPES CertifiedMarch 29, 2024

✔ NPI 1821300278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in TX · U2052

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.

Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License U2052 (TX)

Also ListedHospitalistTaxonomy 208M00000X · License U2052 (TX), 070042 (GA)

1200 NORTHSIDE FORSYTH DR, Cumming, GA 30041

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, HMO Louisiana 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. Usha Bangalore Krishnappa 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 ID8325282213

PECOS Enrollment IDI20231026000810, I20241018003529, I20250923002577

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.

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.

70 services70 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

55 services21 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

21 services21 patients

Hospital Affiliations CMS Care Compare 5

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

Christus Shreveport-Bossier Health System

Acute Care Hospitals · Shreveport, LA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number190041

Location1453 E Bert Kouns Industrial LoopShreveport, LA 71105 · Caddo County

Emergency services Birthing friendly

Christus Spohn Hospital Corpus Christi

Acute Care Hospitals · Corpus Christi, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450046

Location600 Elizabeth StreetCorpus Christi, TX 78404 · Nueces County

Emergency services Birthing friendly

Christus Jasper Memorial Hospital

Acute Care Hospitals · Jasper, TX

OwnershipVoluntary non-profit - Private

CMS Certification Number450573

Location1275 Marvin Hancock DriveJasper, TX 75951 · Jasper County

Emergency services

Texas Health Presbyterian Hospital Flower Mound

Acute Care Hospitals · Flower Mound, TX

5/5 CMS rating

OwnershipProprietary

CMS Certification Number670068

Location4400 Long Prairie RoadFlower Mound, TX 75028 · Denton County

Emergency services Birthing friendly

Texas Health Harris Methodist Hospital Alliance

Acute Care Hospitals · Fort Worth, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number670085

Location10864 Texas Health TrailFort Worth, TX 76244 · Tarrant County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30041 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

$130.64 typical visit price

range $56.84 – $172.43

Typical copayment $32.66 (range $14.21 – $43.10)

Most-billed visit code 99204

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

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.

98.31/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

97.88

Improvement Activities

Cost

84.56

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

95%172 patients4/55-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 4

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers37 claims37 services$13.70 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers16 claims16 services$2.72 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers57 claims57 services$58.10 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

2 suppliers11 claims11 services$32.44 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Leave this field empty

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.

SARAH GARVIN PHARMD

Pharmacist