DR. TEJASWINI POTLAPALLI M.D.
NPI 1922363837
Internal Medicine in Morgantown, WV

Q: What is Tejaswini Potlapalli's NPI number?

The NPI number for Tejaswini Potlapalli is 1922363837. It was assigned to this individual provider in the NPPES registry on July 6, 2012.

Q: What is Tejaswini Potlapalli's specialty?

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

Active since July 06, 2012PECOS EnrolledAccepts Medicare Assignment

419 MALLARD RUN, MORGANTOWN, WV 26508(336) 662-2499 Get Directions Write a Review

NPPES record last updated: November 30, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. Tejaswini Potlapalli M.d. NPPES

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

DR. TEJASWINI POTLAPALLI M.D. (NPI 1922363837) is an individual internal medicine provider in Morgantown, West Virginia, licensed in Tennessee (53982) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS, is affiliated with Williamson Medical Center, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1922363837

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. TEJASWINI POTLAPALLICredential: M.D.

Location Address419 MALLARD RUNMorgantown, WV 26508-7370

Mailing Address419 Mallard RunMorgantown, WV 26508-7370 · (336) 662-2499

Phone(336) 662-2499

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateJuly 6, 2012

Last NPPES UpdateNovember 30, 2016

✔ NPI 1922363837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in TN · 53982

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.

419 MALLARD RUN, Morgantown, WV 26508

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, Oscar Insurance Company.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

Dr. Tejaswini Potlapalli 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 ID8325341977

PECOS Enrollment IDI20160421001824

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

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

Havely Springs Physician Services, PC

441 mi

Hospitalist

1700 MEDICAL CENTER PKWY
Murfreesboro, TN 37129

Reassigned Medicare billing, Tennessee enrollment
116 clinicians in this Medicare group

NPI 1710494174 (615) 396-4100

Saint Thomas Medical Partners

446 mi

Clinical Neuropsychologist

2021 CHURCH ST, STE. 102
Nashville, TN 37203

Reassigned Medicare billing, Tennessee enrollment
1,304 clinicians in this Medicare group

NPI 1558506980 (615) 284-7555

Hospital Medicine Services Of Tn, LLC

446 mi

Hospitalist

2300 PATTERSON ST
Nashville, TN 37203

Reassigned Medicare billing, Tennessee enrollment
420 clinicians in this Medicare group

NPI 1982301065 (615) 342-1001

Williamson Hospitalist Program

456 mi

Hospitalist

4323 CAROTHERS PKWY STE 205
Franklin, TN 37067

Reassigned Medicare billing, Tennessee enrollment
54 clinicians in this Medicare group

NPI 1871057158 (615) 435-6700

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 6

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.

322 services147 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

105 services61 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

105 services105 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.

79 services79 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

62 services38 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Williamson Medical Center

Acute Care Hospitals · Franklin, TN

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number440029

Location4321 Carothers ParkwayFranklin, TN 37067 · Williamson County

Emergency services Birthing friendly

Saint Thomas Rutherford Hospital

Acute Care Hospitals · Murfreesboro, TN

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number440053

Location1700 Medical Center ParkwayMurfreesboro, TN 37129 · Rutherford County

Emergency services Birthing friendly

Ascension Saint Thomas Hospital

Acute Care Hospitals · Nashville, TN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440082

Location4220 Harding Rd, PO Box 380Nashville, TN 37205 · Davidson County

Emergency services Birthing friendly

Tristar Southern Hills Medical Center

Acute Care Hospitals · Nashville, TN

3/5 CMS rating

OwnershipProprietary

CMS Certification Number440197

Location391 Wallace RdNashville, TN 37211 · Davidson County

Emergency services

Tristar Stonecrest Medical Center

Acute Care Hospitals · Smyrna, TN

3/5 CMS rating

OwnershipProprietary

CMS Certification Number440227

Location200 Stonecrest BoulevardSmyrna, TN 37167 · Rutherford County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26508 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.

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

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

100%29 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.

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 Tejaswini Potlapalli's NPI number?

The NPI number for Tejaswini Potlapalli is 1922363837. It was assigned to this individual provider in the NPPES registry on July 6, 2012.

Where is Tejaswini Potlapalli located?

Tejaswini Potlapalli practices at 419 Mallard Run, Morgantown, WV 26508. The listed phone number is (336) 662-2499.

What is Tejaswini Potlapalli's specialty?

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

Is Tejaswini Potlapalli enrolled in Medicare?

Yes. Tejaswini Potlapalli 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 Tejaswini Potlapalli's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tejaswini Potlapalli reassigns Medicare benefits to 4 organizations: Havely Springs Physician Services, PC (Murfreesboro, TN), Saint Thomas Medical Partners (Nashville, TN), Hospital Medicine Services Of Tn, LLC (Nashville, TN) and Williamson Hospitalist Program (Franklin, TN). 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 Tejaswini Potlapalli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tejaswini Potlapalli accept?

Health plans from Oscar Health and Oscar Insurance Company list Tejaswini Potlapalli 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 Tejaswini Potlapalli affiliated with any hospitals?

According to CMS data, Tejaswini Potlapalli is affiliated with Williamson Medical Center, Saint Thomas Rutherford Hospital, Ascension Saint Thomas Hospital, Tristar Southern Hills Medical Center and Tristar Stonecrest Medical Center.

When was this NPI record last updated?

The NPPES record for Tejaswini Potlapalli was last updated on November 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.