PRADEEP GIRIYAPPA M.D.
NPI 1891803862
Internal Medicine in Manitowoc, WI

Q: What is Pradeep Giriyappa's NPI number?

The NPI number for Pradeep Giriyappa is 1891803862. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Q: What is Pradeep Giriyappa's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Pradeep Giriyappa was last updated on June 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since August 29, 2006PECOS EnrolledAccepts Medicare Assignment

82.77/100

CMS Quality Rating

1900 WOODLAND DR, MANITOWOC, WI 54220(920) 320-6212(920) 684-5548 Get Directions Write a Review

NPPES record last updated: June 3, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Pradeep Giriyappa M.d. NPPES

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

PRADEEP GIRIYAPPA M.D. (NPI 1891803862) is an individual internal medicine provider in Manitowoc, Wisconsin, licensed in Wisconsin (31887) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Holy Family Memorial, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1891803862

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NamePRADEEP GIRIYAPPACredential: M.D.

Location Address1900 WOODLAND DRManitowoc, WI 54220-9662

Mailing AddressPo Box 2290Manitowoc, WI 54221-2290 · (920) 320-6212 · Fax (920) 684-5548

Phone(920) 320-6212

Fax(920) 684-5548

Sole ProprietorNo

Medical School CMSOtherGraduated 1986

Enumeration DateAugust 29, 2006

Last NPPES UpdateJune 3, 2008

✔ NPI 1891803862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in WI · 31887

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.

1900 WOODLAND DR, Manitowoc, WI 54220

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Other Identifiers 10

Other100003091WI · Wea

Other110176083WI · Railroad Medicare

OtherF25392WI · Cigna

Other10112WI · Network Health Plan

Other31887WI · Touchpoint

Medicare UPINF25392

Medicare ID-Type Unspecified38235-0008WI

Medicaid31802400WI

Other16860979WI · Wps

Other390806395002WI · Champus

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).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

Pradeep Giriyappa 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 ID6507802055

PECOS Enrollment IDI20050706000597

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

295 services114 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

105 services84 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

72 services34 patients

Hospital Affiliations CMS Care Compare

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

Holy Family Memorial

Acute Care Hospitals · Manitowoc, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number520107

Location2300 Western AveManitowoc, WI 54221 · Manitowoc County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54220 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

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

82.77/100

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

Scored as part of a group practice

Quality

85.36

Promoting Interoperability

100

Improvement Activities

Cost

57.23

Referred Medical Equipment & Supplies CMS DME claims 27

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

9 suppliers85 claims309 services$6.04 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

7 suppliers57 claims84 services$0.94 avg. paid by Medicare

Insertion tray without drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4311

DME-Orthotic Devices · category DF000N

1 supplier30 claims30 services$14.42 avg. paid by Medicare

Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314

DME-Orthotic Devices · category DF000N

2 suppliers39 claims39 services$23.02 avg. paid by Medicare

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357

DME-Orthotic Devices · category DF000N

2 suppliers43 claims43 services$9.23 avg. paid by Medicare

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

3 suppliers35 claims35 services$44.95 avg. paid by Medicare

Tracheostomy, inner cannula A4623

DME-Orthotic Devices · category DF000N

1 supplier40 claims600 services$6.36 avg. paid by Medicare

Tracheostomy care kit for established tracheostomy A4629

DME-Orthotic Devices · category DF000N

1 supplier41 claims1,230 services$4.51 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

2 suppliers21 claims21 services$105.90 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

2 suppliers20 claims54 services$40.62 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

2 suppliers18 claims90 services$24.64 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

3 suppliers26 claims26 services$70.41 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

3 suppliers34 claims34 services$23.26 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

2 suppliers12 claims12 services$20.67 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

3 suppliers45 claims225 services$2.54 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

3 suppliers22 claims22 services$13.42 avg. paid by Medicare

Tracheostomy tube collar/holder, each A7526

DME-Orthotic Devices · category DF000N

1 supplier41 claims164 services$3.29 avg. paid by Medicare

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035

Other-Enteral and Parenteral · category OB006N

2 suppliers29 claims533 services$7.69 avg. paid by Medicare

Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152

Other-Enteral and Parenteral · category OB006N

2 suppliers29 claims9,895 services$0.38 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

1 supplier37 claims37 services$18.28 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers13 claims13 services$7.42 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

1 supplier28 claims28 services$52.40 avg. paid by Medicare

Iv pole E0776

DME-Other DME · category DE000N

2 suppliers20 claims20 services$12.55 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

3 suppliers11 claims2,837 services$0.03 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

2 suppliers15 claims15 services$26.31 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

4 suppliers31 claims31 services$202.04 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

3 suppliers18 claims18 services$21.75 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 10

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

MARY A GOVIER M.D.

Internal Medicine

1900 WOODLAND DR
MANITOWOC, WI 54220

Manitowoc County (920) 320-6212

ASHLEY ELAINE HOLLY R.D.

Dietitian, Registered

1900 WOODLAND DR
MANITOWOC, WI 54220

Manitowoc County (920) 323-6890

MICHAEL E HIEBERT MD

Internal Medicine

1900 WOODLAND DR
MANITOWOC, WI 54220

Manitowoc County (920) 320-6212

ROBERT R CORNWELL MD

Internal Medicine

1900 WOODLAND DR
MANITOWOC, WI 54220

Manitowoc County (920) 320-6212

MICHAEL D HOFTIEZER M.D.

Internal Medicine

1900 WOODLAND DR
MANITOWOC, WI 54220

Manitowoc County (920) 320-6212

WILLIAM ALVAREZ M.D.

Internal Medicine (Gastroenterology)

1900 WOODLAND DR
MANITOWOC, WI 54220

Manitowoc County (920) 320-6212

ASHLEY MICKSCH APNP

Nurse Practitioner

1900 WOODLAND DR
MANITOWOC, WI 54220

Manitowoc County (920) 320-6212

ANNETTE M KAMINSKY APNP

Nurse Practitioner

1900 WOODLAND DR
MANITOWOC, WI 54220

Manitowoc County (920) 320-6212

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 Pradeep Giriyappa's NPI number?

The NPI number for Pradeep Giriyappa is 1891803862. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Where is Pradeep Giriyappa located?

Pradeep Giriyappa practices at 1900 Woodland Dr, Manitowoc, WI 54220. The listed phone number is (920) 320-6212.

What is Pradeep Giriyappa's specialty?

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

Is Pradeep Giriyappa enrolled in Medicare?

Yes. Pradeep Giriyappa 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 Pradeep Giriyappa accept?

Health plans from CareSource (Common Ground Healthcare) list Pradeep Giriyappa 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 Pradeep Giriyappa affiliated with any hospitals?

According to CMS data, Pradeep Giriyappa is affiliated with Holy Family Memorial.

When was this NPI record last updated?

The NPPES record for Pradeep Giriyappa was last updated on June 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.