NAGA JYOTHI GAVINI MD
NPI 1992846943
Internal Medicine - Hematology in Concord, NC

Active since February 11, 2007PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
100 MEDICAL PARK DR, STE 110, CONCORD, NC 28025(704) 403-1370 Get Directions Write a Review

NPPES record last updated: February 4, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 4, 2022, Jan 5, 2022, Dec 10, 2021 and 51 more (54 updates tracked since 2016).

About Naga Jyothi Gavini Md NPPES

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

NAGA JYOTHI GAVINI MD (NPI 1992846943) is an individual hematology provider in Concord, North Carolina, licensed in North Carolina (2009-01075) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center-northeast, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1992846943
Entity TypeIndividualFemale
Primary Taxonomy207RH0000X
Provider Legal NameNAGA JYOTHI GAVINICredential: MD
Location Address100 MEDICAL PARK DR, STE 110Concord, NC 28025-2948
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateFebruary 11, 2007
Last NPPES UpdateFebruary 4, 202254 updates tracked since enumeration
NPI 1992846943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · HematologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0000X
License Licensed in NC · 2009-01075
Definition

An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma.

100 MEDICAL PARK DR, Concord, NC 28025

Secondary Practice Locations 2

Location 11021 Morehead Medical Dr, Ste ACharlotte, NC 28204-2990 · Phone (980) 442-2000
Location 2945 N 5th StAlbemarle, NC 28001-3417 · Phone (980) 323-7790

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

Naga Jyothi Gavini 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 ID2466508304
PECOS Enrollment IDI20090918000186
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 3

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.
249 services142 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
93 services46 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
22 services22 patients

Hospital Affiliations CMS Care Compare 2

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

Carolinas Medical Center-Northeast

Acute Care Hospitals · Concord, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340001
Location920 Church St NConcord, NC 28025 · Cabarrus County
Emergency services Birthing friendly

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28025 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
$165.09 typical visit price
range $54.12 – $165.09
Typical copayment $41.27 (range $13.53 – $41.27)
Most-billed visit code 99205
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability99
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier15 claims840 services$0.74 avg. paid by Medicare
Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type L8000
DME-Orthotic Devices · category DF000N
1 supplier14 claims48 services$33.57 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
1 supplier13 claims13 services$19.01 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Specialist
100 MEDICAL PARK DR, SUITE 210
CONCORD, NC 28025
Surgery (Pediatric Surgery)
100 MEDICAL PARK DR, SUITE 310 -CAROLINA PEDIATRIC SURGERY
CONCORD, NC 28025
Internal Medicine (Hematology & Oncology)
100 MEDICAL PARK DR, STE 110, NORTHEAST ONCOLOGY ASSOCIATES
CONCORD, NC 28025
Pediatrics (Pediatric Endocrinology)
100 MEDICAL PARK DR, SUITE 310 - NORTHEAST PEDIATRIC ENDOCRINOLOGY
CONCORD, NC 28025
Pediatrics (Pediatric Pulmonology)
100 MEDICAL PARK DR, PEDIATRIC PAVILION - SUITE 310
CONCORD, NC 28025
Pediatrics (Pediatric Gastroenterology)
100 MEDICAL PARK DR, SUITE 310E
CONCORD, NC 28025
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
100 MEDICAL PARK DR, SUITE 310
CONCORD, NC 28025
Physician Assistant (Medical)
100 MEDICAL PARK DR, SUITE 210
CONCORD, NC 28025

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 Naga Jyothi Gavini's NPI number?

The NPI number for Naga Jyothi Gavini is 1992846943. It was assigned to this individual provider in the NPPES registry on February 11, 2007.

Where is Naga Jyothi Gavini located?

Naga Jyothi Gavini practices at 100 Medical Park Dr Ste 110, Concord, NC 28025. The listed phone number is (704) 403-1370.

What is Naga Jyothi Gavini's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology, with taxonomy code 207RH0000X.

Is Naga Jyothi Gavini enrolled in Medicare?

Yes. Naga Jyothi Gavini 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 Naga Jyothi Gavini accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc and 1 other insurer list Naga Jyothi Gavini 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 Naga Jyothi Gavini affiliated with any hospitals?

According to CMS data, Naga Jyothi Gavini is affiliated with Carolinas Medical Center-Northeast and Carolinas Medical Center/Behav Health.

When was this NPI record last updated?

The NPPES record for Naga Jyothi Gavini was last updated on February 4, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.