Active NPI 1376641902 Individual Practitioner Male Practitioner

Dr. Prasanth Gogineni , MD

Internal Medicine • Boca Raton, FL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Prasanth Gogineni, MD is a certified Internal Medicine practicing in Boca Raton, FL. With approximately 25 years of clinical experience since completing medical education in 2001, Dr. Gogineni delivers high-quality medical care to the local community at 660 GLADES RD STE 140.

Dr. Gogineni is affiliated with Cora Health Services Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

660 Glades Rd Ste 140

Boca Raton, FL 334316466

Telephone 5618004570

Fax 5618004580

Associated Practice Facility / Clinic

🏢 Channan Md Pa Facility NPI 1699344663

Medicare Profile & Education

Medical School

Other

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Boca Raton, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

25 Yrs +0.7 yrs vs City Avg

City Avg: 24.3 Yrs

State Avg: 26.5 Yrs

Regional Practice Density

217 Specialists

Practicing in Boca Raton, FL (10650 Statewide)

Telehealth Adoption Rate

26.7% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

27.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gogineni (25 Years) 25 Yrs

Boca Raton Specialty Average (24.3 Years) 24.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	239	77	$158.00	$127.61
99213 Established patient office or other outpatient visit, typically 15 minutes	128	65	$106.00	$91.43
36415 Insertion of needle into vein for collection of blood sample	83	52	$12.35	$7.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	78	78	$250.00	$170.13
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	33	33	$225.00	$130.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$160.00	$113.61
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	12	$213.00	$182.93
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	13	11	$25.00	$16.36
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$310.00	$224.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	256	152	$290.67	$111.87
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	178	49	$212.00	$63.58
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	107	107	$551.58	$88.13
99213 Established patient office or other outpatient visit, typically 15 minutes	71	63	$177.34	$81.95
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	30	17	$127.00	$47.74
G0444 Annual depression screening, 5 to 15 minutes	26	26	$90.00	$18.52
G0009 Administration of pneumococcal vaccine	25	25	$40.00	$31.56
36415 Insertion of needle into vein for collection of blood sample	23	22	$24.57	$8.40
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	22	22	$814.00	$279.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$250.00	$161.75
99496 Transitional care management services for problem of high complexity	12	12	$1135.00	$219.74
G0008 Administration of influenza virus vaccine	11	11	$38.18	$31.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	377	217	$275.83	$98.39
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	163	163	$510.00	$74.34
99213 Established patient office or other outpatient visit, typically 15 minutes	121	98	$182.26	$78.42
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	80	20	$193.00	$66.45
G0009 Administration of pneumococcal vaccine	52	52	$36.00	$30.23
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	44	44	$814.00	$278.69
G0008 Administration of influenza virus vaccine	42	42	$36.00	$30.14
90662 Influenza vaccine split virus, preservative free	40	40	$82.00	$68.38
99442 Telephone medical discussion with physician, 11-20 minutes	15	12	$115.00	$94.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	319	213	$274.00	$112.23
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	133	133	$505.00	$96.77
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	86	27	$191.00	$42.39
99213 Established patient office or other outpatient visit, typically 15 minutes	75	70	$181.00	$83.92
G0008 Administration of influenza virus vaccine	40	40	$36.00	$17.41
90662 Influenza vaccine split virus, preservative free	38	38	$82.00	$65.26
99442 Telephone medical discussion with physician, 11-20 minutes	36	30	$115.00	$94.32
G0009 Administration of pneumococcal vaccine	29	29	$36.00	$17.41
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	26	26	$124.00	$123.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$393.00	$176.90
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	15	15	$474.00	$174.16
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	15	15	$767.00	$173.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	571	102	$187.00	$43.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	331	181	$269.00	$113.38
99213 Established patient office or other outpatient visit, typically 15 minutes	130	103	$177.00	$78.28
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	96	96	$495.00	$119.59
G2058 Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 fo	69	41	$155.95	$38.69
99442 Telephone medical discussion with physician, 11-20 minutes	49	35	$113.00	$78.51
G0008 Administration of influenza virus vaccine	41	41	$35.00	$17.24
90662 Influenza vaccine split virus, preservative free	39	39	$82.00	$58.95
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	35	27	$404.00	$93.64
G0009 Administration of pneumococcal vaccine	32	32	$35.00	$17.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$385.00	$167.76
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	18	18	$122.00	$118.14
90670 Pneumococcal vaccine for injection into muscle	14	14	$214.00	$209.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1569 Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg	1,550	15	$244.70	$41.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	614	360	$264.00	$111.61
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	419	88	$183.00	$42.86
99213 Established patient office or other outpatient visit, typically 15 minutes	329	242	$174.00	$76.73
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	116	116	$485.00	$119.37
G0008 Administration of influenza virus vaccine	81	80	$33.99	$17.00
G0009 Administration of pneumococcal vaccine	78	78	$34.00	$17.00
90662 Influenza vaccine split virus, preservative free	78	77	$78.82	$54.39
96366 Infusion into a vein for therapy, prevention, or diagnosis, each additional hour	52	21	$112.00	$22.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$377.00	$171.12
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	46	34	$338.00	$73.51
90670 Pneumococcal vaccine for injection into muscle	41	41	$221.12	$205.10
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	37	37	$135.95	$110.73
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	36	22	$56.00	$23.28
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	31	24	$396.00	$93.83
85610 Blood test, clotting time	26	17	$34.00	$4.28
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	18	$349.00	$150.70
96375 Injection of additional new drug or substance into vein	19	13	$117.00	$17.10
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	16	14	$100.00	$17.09
96523 Irrigation of implanted venous access drug delivery device	16	14	$112.00	$28.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$264.00	$113.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	564	367	$259.00	$110.93
99213 Established patient office or other outpatient visit, typically 15 minutes	172	136	$171.00	$75.10
G0008 Administration of influenza virus vaccine	102	102	$33.00	$20.91
90662 Influenza vaccine split virus, preservative free	100	100	$78.76	$52.05
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	98	98	$475.00	$120.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	85	85	$370.00	$172.39
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	69	66	$342.00	$150.66
G0009 Administration of pneumococcal vaccine	53	53	$33.00	$20.91
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	53	22	$179.84	$43.51
90670 Pneumococcal vaccine for injection into muscle	36	36	$318.00	$198.97
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	19	19	$233.00	$105.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$259.00	$113.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99220 Hospital observation care, typically 70 minutes	264	256	$627.00	$244.23
99217 Hospital observation care on day of discharge	244	235	$292.00	$96.01
99225 Subsequent observation care, typically 25 minutes per day	60	51	$247.00	$97.57
99219 Hospital observation care, typically 50 minutes	54	53	$447.00	$178.78
99218 Hospital observation care typically 30 minutes	41	41	$270.00	$131.71
99226 Subsequent observation care, typically 35 minutes per day	37	35	$353.00	$138.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	23	$259.00	$110.73
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	13	$190.00	$144.42
99236 Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes	16	16	$892.00	$287.36
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$216.00	$99.11
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	12	12	$475.00	$119.26

Medical Specialties & State Licenses

CMS Verified: 2024-03-19

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License FL ME131492

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Family Medicine

NUCC Taxonomy Code: 207Q00000X

State License FL ME131492

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Medical License

ME131492 (FL)

Hospital & Practice Group Affiliations

Cora Health Services Inc

7015 Beracasa Way, Boca Raton, FL 334333453

Phone: 5619392033

Cora Health Services Inc

7015 Beracasa Way, Boca Raton, FL 334333453

Phone: 5619392033

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 08, 2023

Family Medicine (License #ME131492 in FL)

📍

Updated Practice Location June 27, 2023

Registered at 660 GLADES RD STE 140, BOCA RATON, FL 334316466 (Tel: 5618002601)

📍

Updated Business Mailing Address June 27, 2023

Registered at 660 GLADES RD STE 140, BOCA RATON, FL 334316466 (Tel: 5618002601)

👤

Provider Name / Credentials Updated June 27, 2023

Recorded as PRASANTH GOGINENI, MD

📍

Updated Practice Location June 29, 2018

Registered at CITY PLACE TOWER, 525 OKEECHOBEE BLVD, 14TH FLOOR, WEST PALM BEACH, FL 33401 (Tel: 5618040200)

📍

Updated Business Mailing Address June 29, 2018

Registered at CITY PLACE TOWER, 525 OKEECHOBEE BLVD, 14TH FLOOR, WEST PALM BEACH, FL 33401 (Tel: 5618040200)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 29, 2018

Internal Medicine (License #ME131492 in FL)

✅

NPI Profile Active June 07, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location June 07, 2013

Registered at 205 N EAST AVE, ALLEGIANCE HEALTH, JACKSON, MI 49201 (Tel: 5178411329)

📍

Updated Business Mailing Address June 07, 2013

Registered at 205 N EAST AVE, ALLEGIANCE HEALTH, JACKSON, MI 49201 (Tel: 5178411329)

👤

Provider Name / Credentials Updated June 07, 2013

Recorded as PRASANTH GOGINENI, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 07, 2013

Emergency Medicine (License #4301082934 in MI)

🟢

Initial NPI Registration & Enumeration September 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Prasanth Gogineni. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1376641902

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 20, 2006

Last Update: March 19, 2024

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

660 Glades Rd Ste 140

Boca Raton, FL 334316466

Phone: 5618002601

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.