PRATYUSHA TIRUMANI SETTY MD
NPI 1932629235
Internal Medicine - Gastroenterology in Greenwood, SC

Q: What is Pratyusha Tirumani Setty's NPI number?

The NPI number for Pratyusha Tirumani Setty is 1932629235. It was assigned to this individual provider in the NPPES registry on June 27, 2017.

Q: What is Pratyusha Tirumani Setty's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Active since June 27, 2017PECOS EnrolledAccepts Medicare Assignment

160 ACADEMY AVE, GREENWOOD, SC 29646(864) 223-8090(864) 223-4026 Get Directions Write a Review

NPPES record last updated: July 31, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 31, 2026, Feb 26, 2023, Jun 23, 2020 and 1 more (4 updates tracked since 2017).

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About Pratyusha Tirumani Setty Md NPPES

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

PRATYUSHA TIRUMANI SETTY MD (NPI 1932629235) is an individual gastroenterology provider in Greenwood, South Carolina, licensed in South Carolina (97025) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, is affiliated with Memorial Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1932629235

Entity TypeIndividualFemale

Primary Taxonomy207RG0100X

Provider Legal NamePRATYUSHA TIRUMANI SETTYCredential: MD

Location Address160 ACADEMY AVEGreenwood, SC 29646-3808

Mailing Address104 Wells AveGreenwood, SC 29646-3837 · (864) 725-4673

Phone(864) 223-8090

Fax(864) 223-4026

Sole ProprietorYes

Medical School CMSOtherGraduated 2016

Enumeration DateJune 27, 2017

Last NPPES UpdateJuly 31, 20264 updates tracked since enumeration

NPPES CertifiedJuly 31, 2026

✔ NPI 1932629235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

Licenses✔ Licensed in SC · 97025✔ Licensed in NM · MD2022-1470

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

160 ACADEMY AVE, Greenwood, SC 29646

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Secondary Practice Locations 2

Location 1191 Willoughby St Apt 6KBrooklyn, NY 11201-5445 · Phone (562) 314-7098 · Fax (585) 723-7834

Location 2121 Dekalb AveBrooklyn, NY 11201-5425 · Phone (562) 314-7098

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, Molina Healthcare.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

Pratyusha Tirumani Setty 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 ID9537419577

PECOS Enrollment IDI20230612002738, I20260626000237

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 Pratyusha Tirumani Setty reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Self Medical Group

Same address

Vascular Surgery

160 ACADEMY AVE
Greenwood, SC 29646

Reassigned Medicare billing, South Carolina enrollment
560 clinicians in this Medicare group

NPI 1124488895 (864) 223-8090

Las Cruces Physician Practices, LLC

1,425 mi

Vascular Surgery

4351 E LOHMAN AVE, SUITE 403
Las Cruces, NM 88011

Reassigned Medicare billing, New Mexico enrollment
193 clinicians in this Medicare group

NPI 1093947491 (575) 521-5277

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 8

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.

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.

46 services45 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

45 services44 patients

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.

37 services22 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

21 services21 patients

Control of bleeding of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43255

This procedure involves using a flexible tube with a light, called an endoscope, to examine and treat bleeding in the esophagus, stomach, or upper small bowel. It's a safe, effective way to control bleeding and ensure your digestive health.

20 services19 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

18 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Memorial Medical Center

Acute Care Hospitals · Las Cruces, NM

1/5 CMS rating

OwnershipProprietary

CMS Certification Number320018

Location2450 South Telshor BlvdLas Cruces, NM 88011 · Dona Ana County

Emergency services Birthing friendly

Self Regional Healthcare

Acute Care Hospitals · Greenwood, SC

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420071

Location1325 Spring StreetGreenwood, SC 29646 · Greenwood County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29646 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

$124.04 typical visit price

range $53.57 – $163.84

Typical copayment $31.01 (range $13.39 – $40.96)

Most-billed visit code 99204

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

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 20

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

ANAS ABDEL AZIM M.D., M.SC

Surgery (Vascular Surgery)