Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. PRAVEEN YALAMANCHILI MD
NPI 1982841920
Orthopaedic Surgery in Ocean, NJ

Active since January 13, 2009PECOS Enrolled
66.38/100
CMS Quality Rating
1200 EAGLE AVE, OCEAN, NJ 07712(732) 660-6200(732) 660-6201 Get Directions Write a Review

NPPES record last updated: August 21, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Praveen Yalamanchili Md NPPES

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

DR. PRAVEEN YALAMANCHILI MD (NPI 1982841920) is an individual orthopaedic surgery provider in Ocean, New Jersey, licensed in New Jersey (25MA09122200) and active in the NPI registry since January 2009. He is enrolled in Medicare PECOS, is affiliated with Jersey Shore University Medical Center, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1982841920
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. PRAVEEN YALAMANCHILICredential: MD
Location Address1200 EAGLE AVEOcean, NJ 07712-7631
Mailing Address1200 Eagle AveOcean, NJ 07712-7631 · (732) 660-6200 · Fax (732) 660-6201
Fax(732) 660-6201
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJanuary 13, 2009
Last NPPES UpdateAugust 21, 2026
NPPES CertifiedAugust 21, 2026
NPI 1982841920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in NJ · 25MA09122200
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
1200 EAGLE AVE, Ocean, NJ 07712

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. Praveen Yalamanchili 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 ID5294904306
PECOS Enrollment IDI20120926000062
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 9

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.

Acupuncture, each additional 15 minutes 97811
Acupuncture is a traditional Chinese therapy that involves inserting thin needles at specific points on the body to balance energy flow. This service refers to each additional 15-minute session beyond your initial treatment. It may enhance the therapeutic effects and provide deeper relief from symptoms.
172 services15 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.
150 services126 patients
X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
133 services128 patients
Acupuncture, initial 15 minutes 97810
Acupuncture is a traditional therapy where thin needles are inserted into specific points on your body. This initial 15-minute session aims to balance energy flow, relieve pain, and improve overall health. It's generally painless and considered safe.
86 services15 patients
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.
69 services65 patients
X-ray of upper spine, 2-3 views 72040
An X-ray of the upper spine, with 2-3 views, is a painless procedure that employs a small amount of radiation to capture images of your neck and upper back. It assists in diagnosing conditions like arthritis, fractures, or spinal deformities.
51 services49 patients

Hospital Affiliations CMS Care Compare 2

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

Jersey Shore University Medical Center

Acute Care Hospitals · Neptune, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310073
Location1945 State Route 33Neptune, NJ 07753 · Monmouth County
Emergency services Birthing friendly

Monmouth Medical Center

Acute Care Hospitals · Long Branch, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310075
Location300 Second AvenueLong Branch, NJ 07740 · Monmouth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07712 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
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.

66.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality42.51
Promoting Interoperability92
Improvement Activities40
Cost52.09

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.

Physician Assistant (Surgical)
1200 EAGLE AVE
OCEAN, NJ 07712
Physical Therapist (Orthopedic)
1200 EAGLE AVE
OCEAN, NJ 07712
Physician Assistant
1200 EAGLE AVE
OCEAN, NJ 07712
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
1200 EAGLE AVE
OCEAN, NJ 07712
Physical Therapist
1200 EAGLE AVE
OCEAN, NJ 07712
Specialist
1200 EAGLE AVE, SUITE 100
OCEAN, NJ 07712
Massage Therapist
1200 EAGLE AVE
OCEAN, NJ 07712
Physical Therapist
1200 EAGLE AVE
OCEAN, NJ 07712

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 Praveen Yalamanchili's NPI number?

The NPI number for Praveen Yalamanchili is 1982841920. It was assigned to this individual provider in the NPPES registry on January 13, 2009.

Where is Praveen Yalamanchili located?

Praveen Yalamanchili practices at 1200 Eagle Ave, Ocean, NJ 07712. The listed phone number is (732) 660-6200.

What is Praveen Yalamanchili's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Praveen Yalamanchili enrolled in Medicare?

Yes. Praveen Yalamanchili 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.

Is Praveen Yalamanchili affiliated with any hospitals?

According to CMS data, Praveen Yalamanchili is affiliated with Jersey Shore University Medical Center and Monmouth Medical Center.

When was this NPI record last updated?

The NPPES record for Praveen Yalamanchili was last updated on August 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days 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.