DR. PADMA P PONUGOTI M.D.
NPI 1952419004
Ophthalmology in Terre Haute, IN

Active since August 28, 2006PECOS EnrolledAccepts Medicare Assignment
74.76/100
CMS Quality Rating
76 W SPRINGHILL DR, TERRE HAUTE, IN 47802(812) 299-2020(819) 299-0519 Get Directions Write a Review

NPPES record last updated: December 2, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Padma P Ponugoti M.d. NPPES

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

DR. PADMA P PONUGOTI M.D. (NPI 1952419004) is an individual ophthalmology provider in Terre Haute, Indiana, licensed in Indiana (01049944) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1997).

NPPES Registry Identity

NPI1952419004
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameDR. PADMA P PONUGOTICredential: M.D.
Location Address76 W SPRINGHILL DRTerre Haute, IN 47802-8767
Mailing Address76 W Springhill DrTerre Haute, IN 47802-8767 · (812) 299-2020 · Fax (819) 299-0519
Fax(819) 299-0519
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1997
Enumeration DateAugust 28, 2006
Last NPPES UpdateDecember 2, 2010
NPI 1952419004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in IN · 01049944
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
76 W SPRINGHILL DR, Terre Haute, IN 47802

Other Identifiers 3

Medicare PINP00379932IN
Medicare UPINH48788IN
Medicaid200423530IN

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

Dr. Padma P Ponugoti 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 ID1355305343
PECOS Enrollment IDI20041118000916
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 18

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.

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
138 services80 patients
Microfluid analysis of tears 83861
Microfluid analysis of tears involves collecting a small tear sample to examine its composition. This procedure can help detect health issues like dry eye disease, inflammation, or other eye conditions. It's a non-invasive, painless method for monitoring eye health.
127 services63 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
120 services71 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
89 services88 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
83 services82 patients
Imaging of front third of eye using a special microscope 92286
This procedure involves capturing detailed images of the front part of your eye using a specialized microscope. It helps in identifying any eye abnormalities or issues, improving the accuracy of diagnosis and treatment planning.
79 services79 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47802 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
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.

74.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality99.21
Promoting Interoperability0
Improvement Activities40
Cost100

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
98%63 patients5/55-star benchmark: 87%
Diabetes: Eye Exam
100%215 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%1,395 patients5/55-star benchmark: 100%
Glaucoma Intraocular Pressure Reduction
88%167 patients
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
99%194 patients
Provide Patients Electronic Access to Their Health Information
53%1,408 patients1/55-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.

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.

Ophthalmology
76 W SPRINGHILL DR
TERRE HAUTE, IN 47802
Eyewear Supplier
76 W SPRINGHILL DR
TERRE HAUTE, IN 47802
Ophthalmology
76 W SPRINGHILL DR
TERRE HAUTE, IN 47802
Ophthalmology
76 W SPRINGHILL DR
TERRE HAUTE, IN 47802
Dermatology
76 W SPRINGHILL DR
TERRE HAUTE, IN 47802

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 Padma Ponugoti's NPI number?

The NPI number for Padma Ponugoti is 1952419004. It was assigned to this individual provider in the NPPES registry on August 28, 2006.

Where is Padma Ponugoti located?

Padma Ponugoti practices at 76 W Springhill Dr, Terre Haute, IN 47802. The listed phone number is (812) 299-2020.

What is Padma Ponugoti's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Padma Ponugoti enrolled in Medicare?

Yes. Padma Ponugoti 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 Padma Ponugoti accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Padma Ponugoti 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.

When was this NPI record last updated?

The NPPES record for Padma Ponugoti was last updated on December 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.