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DR. VENUKA WICKRAMAARACHCHI MABOTUWANA M.D.
NPI 1952741464
Family Medicine in Potomac, MD

Active since June 28, 2013PECOS EnrolledAccepts Medicare Assignment
93.09/100
CMS Quality Rating
11325 SEVEN LOCKS RD STE 290, POTOMAC, MD 20854(240) 507-5110 Get Directions Write a Review

NPPES record last updated: May 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 15, 2024, Oct 3, 2023, Jul 20, 2022 (3 updates tracked since 2022).

About Dr. Venuka Wickramaarachchi Mabotuwana M.d. NPPES

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

DR. VENUKA WICKRAMAARACHCHI MABOTUWANA M.D. (NPI 1952741464) is an individual family medicine provider in Potomac, Maryland, licensed in Maryland (D0098501) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1952741464
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. VENUKA WICKRAMAARACHCHI MABOTUWANACredential: M.D.
Location Address11325 SEVEN LOCKS RD STE 290Potomac, MD 20854-3235
Mailing Address15825 Shady Grove Rd Ste 140Rockville, MD 20850-4015 · (301) 869-9776
Phone(240) 507-5110
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJune 28, 2013
Last NPPES UpdateMay 15, 20243 updates tracked since enumeration
NPPES CertifiedMay 15, 2024
✔ NPI 1952741464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in MD · D0098501✔ Licensed in WA · MD60656272
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
11325 SEVEN LOCKS RD STE 290, Potomac, MD 20854
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Secondary Practice Locations 2

Location 119200 N Kelsey StMonroe, WA 98272-1431 · Phone (360) 794-4790
Location 25413 W Cedar Ln Ste 203CBethesda, MD 20814-1527 · Phone (301) 869-9776 · Fax (301) 417-4954

Other Identifiers 1

Medicaid1952741464WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans.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. Venuka Wickramaarachchi Mabotuwana 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 ID9032402557
PECOS Enrollment IDI20240521000005
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 5

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.
76 services49 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.
54 services44 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
24 services24 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
22 services22 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.
22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20854 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

93.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.95
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

HAPPY HEALTH AND WELLNESS EAST LLC
Internal Medicine
11325 SEVEN LOCKS RD STE 290
POTOMAC, MD 20854
Montgomery County (240) 507-5110
DR. SHARON HUANG PH.D.
Psychologist (Clinical Child & Adolescent)
11325 SEVEN LOCKS RD STE 290
POTOMAC, MD 20854
Montgomery County (301) 284-8123
PATTY MCMANAMEE CNS, LDN
Nutritionist
11325 SEVEN LOCKS RD STE 290
POTOMAC, MD 20854
Montgomery County (626) 318-4948
MS. TABITHA WHITE FNP-BC
Nurse Practitioner (Family)
11325 SEVEN LOCKS RD STE 290
POTOMAC, MD 20854
Montgomery County (240) 507-5110

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 Venuka Mabotuwana's NPI number?

The NPI number for Venuka Mabotuwana is 1952741464. It was assigned to this individual provider in the NPPES registry on June 28, 2013.

Where is Venuka Mabotuwana located?

Venuka Mabotuwana practices at 11325 Seven Locks Rd Ste 290, Potomac, MD 20854. The listed phone number is (240) 507-5110.

What is Venuka Mabotuwana's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Venuka Mabotuwana enrolled in Medicare?

Yes. Venuka Mabotuwana 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 Venuka Mabotuwana accept?

Health plans from PacificSource Health Plans list Venuka Mabotuwana 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 Venuka Mabotuwana was last updated on May 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.