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SIVA PRASAD REDDY PESALA
NPI 1891100368
Psychiatry & Neurology - Neurology in Parkersburg, WV

Active since June 24, 2014PECOS EnrolledAccepts Medicare Assignment
3803 EMERSON AVE, PARKERSBURG, WV 26104(304) 485-5041(304) 485-5678 Get Directions Write a Review

NPPES record last updated: September 17, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Siva Prasad Reddy Pesala NPPES

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

SIVA PRASAD REDDY PESALA (NPI 1891100368) is an individual neurology provider in Parkersburg, West Virginia, licensed in West Virginia (32764) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with Camden Clark Medical Center, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1891100368
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameSIVA PRASAD REDDY PESALA
Location Address3803 EMERSON AVEParkersburg, WV 26104-1116
Mailing Address3803 Emerson AveParkersburg, WV 26104-1116 · (304) 485-5041 · Fax (304) 485-5678
Phone(304) 485-5041
Fax(304) 485-5678
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateJune 24, 2014
Last NPPES UpdateSeptember 17, 2023
NPPES CertifiedSeptember 17, 2023
✔ NPI 1891100368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in WV · 32764
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
3803 EMERSON AVE, Parkersburg, WV 26104
Open in Google Maps ↗

Other Identifiers 1

Other2014019434MO · Missouri Temporary License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, Highmark Blue Cross Blue Shield West Virginia.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Siva Prasad Reddy Pesala 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 ID3173845310
PECOS Enrollment IDI20230908003499
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Siva Prasad Reddy Pesala reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

West Virginia University Medical Corporation
69 mi
Clinical Medical Laboratory
527 MEDICAL PARK DR, SUITE 108
Bridgeport, WV 26330
  • Reassigned Medicare billing, West Virginia enrollment
  • 2,471 clinicians in this Medicare group
NPI 1457605404 (304) 848-2152
Beaver Dam Community Hospitals Inc
469 mi
Family Medicine
420 W NORTH ST
Juneau, WI 53039
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,447 clinicians in this Medicare group
NPI 1831410521 (920) 386-8101
Mchs Hospitals, Inc.
545 mi
Mental Health (Including Community Mental Health Center)
2450 VINEYARD DR
Plover, WI 54467
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,476 clinicians in this Medicare group
NPI 1386249894 (715) 342-0290
Marshfield Clinic Inc
579 mi
Clinic/Center
1000 N OAK AVE
Marshfield, WI 54449
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,540 clinicians in this Medicare group
NPI 1952347981 (715) 387-5511

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

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 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.
117 services92 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.
86 services86 patients
Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
61 services44 patients
Nerve conduction, 5-6 studies 95909
Nerve conduction studies involve testing the speed and strength of signals traveling through your nerves. This helps identify any nerve damage or dysfunction. For 5-6 studies, this means multiple nerves will be tested. Small electrodes are placed on your skin to send and receive signals, causing minimal discomfort.
27 services27 patients
Nerve conduction, 9-10 studies 95911
Nerve conduction studies involve sending small electrical shocks through the skin to measure how quickly nerves transmit signals. This helps detect nerve damage. 9-10 studies mean this process will be repeated on different nerves to gather comprehensive data.
19 services19 patients
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.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Camden Clark Medical Center

Acute Care Hospitals · Parkersburg, WV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510058
Location800 Garfield AveParkersburg, WV 26101 · Wood County
Emergency services Birthing friendly

Roane General Hospital

Critical Access Hospitals · Spencer, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number511306
Location200 Hospital DriveSpencer, WV 25276 · Roane County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26104 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
$124.46 typical visit price
range $53.20 – $164.59
Typical copayment $31.11 (range $13.30 – $41.14)
Most-billed visit code 99204
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

Other Providers at the Same Location NPPES 5

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

PARKERSBURG NEUROLOGICAL ASSOCIATES INC
Psychiatry & Neurology (Neurology)
3803 EMERSON AVE
PARKERSBURG, WV 26104
Wood County (304) 485-5041
MICHAEL A MOREHEAD MD
Psychiatry & Neurology (Neurology)
3803 EMERSON AVE
PARKERSBURG, WV 26104
Wood County (304) 485-5041
EMILY BUTLER PA-C
Physician Assistant
3803 EMERSON AVE
PARKERSBURG, WV 26104
Wood County (304) 485-5041
CASEY LEGRAEN PA-C
Physician Assistant
3803 EMERSON AVE
PARKERSBURG, WV 26104
Wood County (304) 485-5041
MALCOLM BARRY LOUDEN MD
Psychiatry & Neurology (Neurology)
3803 EMERSON AVE
PARKERSBURG, WV 26104
Wood County (304) 485-5041

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 Siva Prasad Reddy Pesala's NPI number?

The NPI number for Siva Prasad Reddy Pesala is 1891100368. It was assigned to this individual provider in the NPPES registry on June 24, 2014.

Where is Siva Prasad Reddy Pesala located?

Siva Prasad Reddy Pesala practices at 3803 Emerson Ave, Parkersburg, WV 26104. The listed phone number is (304) 485-5041.

What is Siva Prasad Reddy Pesala's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Siva Prasad Reddy Pesala enrolled in Medicare?

Yes. Siva Prasad Reddy Pesala 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.

Which organizations bill Medicare for Siva Prasad Reddy Pesala's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Siva Prasad Reddy Pesala reassigns Medicare benefits to 4 organizations: West Virginia University Medical Corporation (Bridgeport, WV), Beaver Dam Community Hospitals Inc (Juneau, WI), Mchs Hospitals, Inc. (Plover, WI) and Marshfield Clinic Inc (Marshfield, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Siva Prasad Reddy Pesala's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Siva Prasad Reddy Pesala accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and Highmark Blue Cross Blue Shield West Virginia list Siva Prasad Reddy Pesala 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 Siva Prasad Reddy Pesala affiliated with any hospitals?

According to CMS data, Siva Prasad Reddy Pesala is affiliated with Camden Clark Medical Center and Roane General Hospital.

When was this NPI record last updated?

The NPPES record for Siva Prasad Reddy Pesala was last updated on September 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.