VISWANATHAN S IYER MD
NPI 1871718338
Internal Medicine - Nephrology in Camp Hill, PA

Active since April 17, 2007PECOS EnrolledAccepts Medicare Assignment
82.54/100
CMS Quality Rating
205 GRANDVIEW AVE STE 301, CAMP HILL, PA 17011(717) 695-0394(717) 695-0398 Get Directions Write a Review

NPPES record last updated: March 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 3, 2022, Feb 11, 2021 (2 updates tracked since 2021).

About Viswanathan S Iyer Md NPPES

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

VISWANATHAN S IYER MD (NPI 1871718338) is an individual nephrology provider in Camp Hill, Pennsylvania, licensed in Pennsylvania (MD431419) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Penn State Health Holy Spirit Medical Center, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1871718338
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameVISWANATHAN S IYERCredential: MD
Location Address205 GRANDVIEW AVE STE 301Camp Hill, PA 17011-1704
Mailing AddressPo Box 3877Joliet, IL 60434-3877 · (815) 714-7149
Fax(717) 695-0398
Sole ProprietorYes
Medical School CMSOtherGraduated 1990
Enumeration DateApril 17, 2007
Last NPPES UpdateMarch 3, 20222 updates tracked since enumeration
NPPES CertifiedMarch 3, 2022
NPI 1871718338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in PA · MD431419
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License MD431419 (PA)
Also ListedHospitalistTaxonomy 208M00000X · License MD431419 (PA)
205 GRANDVIEW AVE STE 301, Camp Hill, PA 17011

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

Viswanathan S Iyer Md 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 ID6002914041
PECOS Enrollment IDI20070614000292
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 20

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.

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.
468 services108 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.
429 services216 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
294 services61 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
168 services54 patients
Telehealth consultation, critical care, subsequent, physicians typically spend 50 minutes communicating with the patient and providers via telehealth G0509
A telehealth consultation for critical care is a virtual meeting with a doctor for ongoing critical health issues. It involves a 50-minute session where the physician connects with the patient and other healthcare providers to discuss and manage the patient's condition. This method ensures safe, convenient care.
136 services90 patients
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.
127 services90 patients

Hospital Affiliations CMS Care Compare 5

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

Penn State Health Holy Spirit Medical Center

Acute Care Hospitals · Camp Hill, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390004
Location503 North 21st StreetCamp Hill, PA 17011 · Cumberland County
Emergency services

Upmc Carlisle

Acute Care Hospitals · Carlisle, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390058
Location361 Alexander Spring RoadCarlisle, PA 17015 · Cumberland County
Emergency services Birthing friendly

Upmc Pinnacle Hospitals

Acute Care Hospitals · Harrisburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390067
Location409 South Second StreetHarrisburg, PA 17104 · Dauphin County
Emergency services Birthing friendly

Penn State Health Hampden Medical Center

Acute Care Hospitals · Enola, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390336
Location2200 Good Hope RoadEnola, PA 17025 · Cumberland County
Emergency services

Fulton County Medical Center

Critical Access Hospitals · Mcconnellsburg, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number391303
Location214 Peach Orchard RoadMcconnellsburg, PA 17233 · Fulton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17011 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

82.54/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.62
Promoting Interoperability100
Improvement Activities40
Cost65.18

Reported Quality Measures

Breast Cancer Screening
0%163 patients1/55-star benchmark: 93%
Cervical Cancer Screening
0%111 patients1/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
34%47 patients2/55-star benchmark: 87%
Controlling High Blood Pressure
67%446 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
0%190 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
98%190 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
73%2,411 patients3/55-star benchmark: 100%
e-Prescribing
98%259 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%573 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
19%772 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%799 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
18%991 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 1% · 601 patients
1%601 patients
Provide Patients Electronic Access to Their Health Information
21%442 patients1/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
91%331 patients5/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 591 patients
Patients totalRate: 0% · 591 patients
0%591 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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier11 claims11 services$45.12 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier11 claims2,640 services$0.93 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
1 supplier21 claims21 services$12.64 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

Internal Medicine (Nephrology)
205 GRANDVIEW AVE STE 301
CAMP HILL, PA 17011
Internal Medicine (Nephrology)
205 GRANDVIEW AVE STE 301
CAMP HILL, PA 17011

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 Viswanathan Iyer's NPI number?

The NPI number for Viswanathan Iyer is 1871718338. It was assigned to this individual provider in the NPPES registry on April 17, 2007.

Where is Viswanathan Iyer located?

Viswanathan Iyer practices at 205 Grandview Ave Ste 301, Camp Hill, PA 17011. The listed phone number is (717) 695-0394.

What is Viswanathan Iyer's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Viswanathan Iyer enrolled in Medicare?

Yes. Viswanathan Iyer 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 Viswanathan Iyer accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Blue Cross and Blue Shield of Texas and CareSource list Viswanathan Iyer 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 Viswanathan Iyer affiliated with any hospitals?

According to CMS data, Viswanathan Iyer is affiliated with Penn State Health Holy Spirit Medical Center, Upmc Carlisle, Upmc Pinnacle Hospitals, Penn State Health Hampden Medical Center and Fulton County Medical Center.

When was this NPI record last updated?

The NPPES record for Viswanathan Iyer was last updated on March 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.