DR. SHOBHA C RAO M.D.
NPI 1861473613
Obstetrics & Gynecology in Stockbridge, GA

Active since November 09, 2005PECOS EnrolledAccepts Medicare Assignment
350 COUNTRY CLUB DR, SUITE D, STOCKBRIDGE, GA 30281(770) 474-1919(770) 474-7832 Get Directions Write a Review

NPPES record last updated: October 6, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Shobha C Rao M.d. NPPES

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

DR. SHOBHA C RAO M.D. (NPI 1861473613) is an individual obstetrics & gynecology provider in Stockbridge, Georgia, licensed in Georgia (032893) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS, is affiliated with Piedmont Henry Hospital, and is a graduate of Other (1981).

NPPES Registry Identity

NPI1861473613
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. SHOBHA C RAOCredential: M.D.
Location Address350 COUNTRY CLUB DR, SUITE DStockbridge, GA 30281-9084
Mailing Address350 Country Club Dr, Suite DStockbridge, GA 30281-9084 · (770) 474-1919 · Fax (770) 474-7832
Fax(770) 474-7832
Sole ProprietorNo
Medical School CMSOtherGraduated 1981
Enumeration DateNovember 9, 2005
Last NPPES UpdateOctober 6, 2011
NPI 1861473613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in GA · 032893
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
350 COUNTRY CLUB DR, Stockbridge, GA 30281

Other Identifiers 3

Medicare UPINE42396GA
Medicare ID-Type Unspecified16BDBPPGA · Medicare Provider Id
Medicaid00430185AGA

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. Shobha C Rao 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 ID2769495720
PECOS Enrollment IDI20151007001962
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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
90 services79 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
64 services64 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
64 services64 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
53 services53 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
41 services41 patients
Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
24 services24 patients

Hospital Affiliations CMS Care Compare

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

Piedmont Henry Hospital

Acute Care Hospitals · Stockbridge, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110191
Location1133 Eagle's Landing ParkwayStockbridge, GA 30281 · Henry County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30281 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
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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.

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
2%61 patients1/55-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…
100%136 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.

Other Providers at the Same Location NPPES 15

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

Obstetrics & Gynecology
350 COUNTRY CLUB DR, SUITE D
STOCKBRIDGE, GA 30281
Obstetrics & Gynecology
350 COUNTRY CLUB DR, SUITE D
STOCKBRIDGE, GA 30281
Obstetrics & Gynecology
350 COUNTRY CLUB DR, SUITE D
STOCKBRIDGE, GA 30281
Obstetrics & Gynecology
350 COUNTRY CLUB DR, SUITE D
STOCKBRIDGE, GA 30281
Obstetrics & Gynecology
350 COUNTRY CLUB DR, SUITE D
STOCKBRIDGE, GA 30281
Obstetrics & Gynecology
350 COUNTRY CLUB DR, SUITE-D
STOCKBRIDGE, GA 30281
Nurse Practitioner (Family)
350 COUNTRY CLUB DR
STOCKBRIDGE, GA 30281
Surgery (Vascular Surgery)
350 COUNTRY CLUB DR, SUITE A
STOCKBRIDGE, GA 30281

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 Shobha Rao's NPI number?

The NPI number for Shobha Rao is 1861473613. It was assigned to this individual provider in the NPPES registry on November 9, 2005.

Where is Shobha Rao located?

Shobha Rao practices at 350 Country Club Dr Suite D, Stockbridge, GA 30281. The listed phone number is (770) 474-1919.

What is Shobha Rao's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Shobha Rao enrolled in Medicare?

Yes. Shobha Rao 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 Shobha Rao accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Shobha Rao 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 Shobha Rao affiliated with any hospitals?

According to CMS data, Shobha Rao is affiliated with Piedmont Henry Hospital.

When was this NPI record last updated?

The NPPES record for Shobha Rao was last updated on October 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.