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Active NPI 1265405997 Individual Practitioner Male Practitioner

Dr. Mallik A Piduru , MD

Surgery • Brooksville, FL

Professional Overview & Biography Verified Profile Summary

Dr. Mallik Piduru, MD is a registered healthcare professional specializing in Surgery in Brooksville, FL. Practice services are available at 11373 CORTEZ BLVD under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, initial hospital care with moderate level of medical decision making, if using time, at least, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

11373 Cortez Blvd
Suite 201

Brooksville, FL 346135414

Telephone 3525967860
Fax 3525973657
Associated Practice Facility / Clinic
🏢 Vitreo Retinal Surgeons Llc Facility NPI 1194714485

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Brooksville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 33.8 Yrs
State Avg: 26.3 Yrs
Regional Practice Density
16 Specialists

Practicing in Brooksville, FL (2030 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
47.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
148 118 $140.00 $75.84
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
82 80 $398.00 $208.36
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
70 50 $84.00 $45.81
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
66 41 $142.00 $74.39
99231 Follow-up hospital inpatient care per day, typically 15 minutes
38 22 $79.00 $40.44
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional
30 22 $40.00 $22.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
24 24 $324.00 $167.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
22 22 $210.00 $109.18

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License FL ME0044053

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery - Vascular Surgery

NUCC Taxonomy Code: 2086S0129X

State License FL ME0044053

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
036160700 (FL)
Commercial Insurance / Payer ID Rr Mcr
P00984624 (FL)
Commercial Insurance / Payer ID Bcbs
26064 (FL)
Commercial Insurance / Payer ID Rr Mcr Attached To Grp# Ch7269
P00867800 (FL)
Commercial Insurance / Payer ID Wellcare
165252 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1821064460

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 24, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location January 24, 2012

Registered at 11373 CORTEZ BLVD, SUITE 201, BROOKSVILLE, FL 346135414 (Tel: 3525967860)

📍
Updated Business Mailing Address January 24, 2012

Registered at 15215 CORTEZ BLVD, BROOKSVILLE, FL 346136072 (Tel: 3527990046)

👤
Provider Name / Credentials Updated January 24, 2012

Recorded as MALLIK PIDURU, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 24, 2012

Surgery (License #ME0044053 in FL)

🟢
Initial NPI Registration & Enumeration February 13, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1265405997
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 13, 2006
Last Update: January 24, 2012
Sole Proprietor: No

Mailing Address

15215 Cortez Blvd

Brooksville, FL 346136072

Phone: 3527990046

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.