DR. SAMARTH LAKSHMAIAH REDDY M.D.
NPI 1851389514
Internal Medicine - Medical Oncology in Boca Raton, FL

Active since October 07, 2005PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
21020 STATE ROAD 7 # 200C, BOCA RATON, FL 33428(561) 409-1071(833) 408-6200 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 4, 2026, May 4, 2023, Aug 24, 2018 and 2 more (5 updates tracked since 2016).

About Dr. Samarth Lakshmaiah Reddy M.d. NPPES

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

DR. SAMARTH LAKSHMAIAH REDDY M.D. (NPI 1851389514) is an individual medical oncology provider in Boca Raton, Florida, licensed in Florida (ME87684) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Boca Raton Regional Hospital, and maintains a secondary practice location in Delray Beach.

NPPES Registry Identity

NPI1851389514
Entity TypeIndividualMale
Primary Taxonomy207RX0202X
Provider Legal NameDR. SAMARTH LAKSHMAIAH REDDYCredential: M.D.
Location Address21020 STATE ROAD 7 # 200CBoca Raton, FL 33428-1320
Mailing AddressPo Box 102222Atlanta, GA 30368-2222 · (239) 274-8200
Fax(833) 408-6200
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 1996
Enumeration DateOctober 7, 2005
Last NPPES UpdateFebruary 4, 20265 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2026
NPI 1851389514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
License Licensed in FL · ME87684
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
21020 STATE ROAD 7 # 200C, Boca Raton, FL 33428

Secondary Practice Location 1

Location 15130 Linton Blvd Ste B4Delray Beach, FL 33484-6595 · Phone (561) 808-0098 · Fax (561) 496-0592

Other Identifiers 9

Other8728512FL · Cigna
OtherP01607918FL · Rr Medicare
Other295515FL · Avmed
Other10145FL · Dimension Health
OtherP971539FL · Optimum
Medicaid104698700FL
Other71687FL · Bcbs
Other7625445FL · Aetna
OtherP1035777FL · Freedom

Accepted 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. Samarth Lakshmaiah 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 ID3779585740
PECOS Enrollment IDI20070203000026
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 39

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.

Injection, pembrolizumab, 1 mg J9271
Pembrolizumab is a medication given via injection to help your body's immune system fight certain types of cancer. It's typically administered in a hospital or clinic by a healthcare professional.
34,400 services22 patients
Injection, epoetin alfa, (for non-esrd use), 1000 units J0885
Epoetin alfa is a medication injected to help your body produce more red blood cells, improving energy levels and reducing tiredness. It's often used for patients with certain types of anemia. Each injection contains 1000 units of the medicine.
14,301 services50 patients
Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
8,160 services24 patients
Injection, aprepitant, 1 mg J0185
Aprepitant injection is a medication used to prevent nausea and vomiting caused by chemotherapy. It works by blocking certain substances in the brain that trigger these symptoms. The dosage is based on your medical condition and response to treatment.
6,760 services12 patients
Injection, ferric derisomaltose, 10 mg J1437
Ferric derisomaltose is an iron replacement product. It's given as an injection to treat iron deficiency anemia, a condition where the body lacks enough iron. The injection helps increase iron in your body to healthy levels.
6,300 services56 patients
Injection, rituximab-arrx, biosimilar, (riabni), 10 mg Q5123
Rituximab-arrx (Riabni) is a biosimilar medicine administered via injection. It's used to treat certain autoimmune diseases and types of cancer. This therapy works by targeting specific cells, helping your body's immune system fight disease.
4,436 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Boca Raton Regional Hospital

Acute Care Hospitals · Boca Raton, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100168
Location800 Meadows RdBoca Raton, FL 33486 · Palm Beach County
Emergency services Birthing friendly

Delray Medical Center

Acute Care Hospitals · Delray Beach, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100258
Location5352 Linton BlvdDelray Beach, FL 33484 · Palm Beach County
Emergency services

West Boca Medical Center

Acute Care Hospitals · Boca Raton, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100268
Location21644 State Rd 7Boca Raton, FL 33428 · Palm Beach County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33428 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
$179.05 typical visit price
range $58.56 – $179.05
Typical copayment $44.76 (range $14.64 – $44.76)
Most-billed visit code 99205
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

Clinical Information Reconciliation
For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician performs clinical information reconciliation.
69%45 patients3/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
92%5,996 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
76%472 patients3/55-star benchmark: 100%
Oncology: Medical and Radiation - Pain Intensity Quantified
Percentage of patient visits, regardless of patient age, with a diagnosis of cancer currently receiving chemotherapy or radiation therapy in which pain intensity is quantified
98%1,214 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from certified EHR technology to identify patient-specific educational resources and provide electronic access to those materials to at least one unique patient seen by the MIPS eligible…
54%908 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
36%1,521 patients2/55-star benchmark: 97%
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
43%1,523 patients2/55-star benchmark: 96%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 95% · 1,190 patients
Patients tobacco: 94% · 1,190 patients
81%52 patients4/55-star benchmark: 98%
Provide Patient Access
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…
91%908 patients4/55-star benchmark: 100%
Request/Accept Summary of Care
For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician receives or retrieves and incorporates into the patient's record an…
60%30 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of certified EHR technology to the patient (or the patient-authorized representative), or in…
12%908 patients1/55-star benchmark: 77%
Send a Summary of Care
For at least one transition of care or referral, the MIPS eligible clinician that transitions or refers their patient to another setting of care or health care provider-(1) creates a summary of care record using certified EHR technology; and (2)…
92%26 patients4/55-star benchmark: 100%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 967 patients
2%967 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.

Other Providers at the Same Location NPPES 7

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

Internal Medicine (Medical Oncology)
21020 STATE ROAD 7 # 200C
BOCA RATON, FL 33428
Physician Assistant (Medical)
21020 STATE ROAD 7 # 200C
BOCA RATON, FL 33428
Physician Assistant
21020 STATE ROAD 7 # 200C
BOCA RATON, FL 33428
Clinical Nurse Specialist (Oncology)
21020 STATE ROAD 7 # 200C
BOCA RATON, FL 33428
Nurse Practitioner (Gerontology)
21020 STATE ROAD 7 # 200C
BOCA RATON, FL 33428
Physician Assistant
21020 STATE ROAD 7 # 200C
BOCA RATON, FL 33428
Nurse Practitioner (Family)
21020 STATE ROAD 7 # 200C
BOCA RATON, FL 33428

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 Samarth Reddy's NPI number?

The NPI number for Samarth Reddy is 1851389514. It was assigned to this individual provider in the NPPES registry on October 7, 2005.

Where is Samarth Reddy located?

Samarth Reddy practices at 21020 State Road 7 # 200C, Boca Raton, FL 33428. The listed phone number is (561) 409-1071.

What is Samarth Reddy's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Samarth Reddy enrolled in Medicare?

Yes. Samarth 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.

What insurance does Samarth Reddy accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and AvMed and 6 other insurers list Samarth Reddy 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 Samarth Reddy affiliated with any hospitals?

According to CMS data, Samarth Reddy is affiliated with Boca Raton Regional Hospital, Delray Medical Center and West Boca Medical Center.

When was this NPI record last updated?

The NPPES record for Samarth Reddy was last updated on February 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.