Dr. Nikalesh Reddy, MD - Surgery in Punta Gorda, FL

Professional Overview & Biography Verified Profile Summary

Dr. Nikalesh Reddy, MD is a certified Surgery practicing in Punta Gorda, FL. With approximately 28 years of clinical experience since completing medical education in 1998, Dr. Reddy delivers high-quality medical care to the local community at 713 E MARION AVE STE 121.

Dr. Reddy is affiliated with Manatee Specialty Physician Alliance Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include follow-up hospital inpatient care per day, initial hospital care with straightforward or low-level medical decision making, if using time, at least, initial hospital inpatient care per day. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

713 E Marion Ave Ste 121

Punta Gorda, FL 339503862

Telephone 2034341533

Associated Practice Facility / Clinic

🏢 Port Charlotte Hma Physician Management Llc Facility NPI 1003985573

Medicare Profile & Education

Medical School

Other

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Punta Gorda, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

28 Yrs Matches City Avg

City Avg: 28.0 Yrs

State Avg: 26.3 Yrs

Regional Practice Density

1 Specialists

Practicing in Punta Gorda, FL (2030 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

49.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Reddy (28 Years) 28 Yrs

Punta Gorda Specialty Average (28.0 Years) 28.0 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
99231 Follow-up hospital inpatient care per day, typically 15 minutes	54	37	$96.00	$48.72
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	45	44	$259.82	$128.26
99221 Initial hospital inpatient care per day, typically 30 minutes	27	26	$161.00	$82.06
99213 Established patient office or other outpatient visit, typically 15 minutes	26	21	$183.04	$88.21
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	20	18	$153.00	$77.24
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	11	11	$1243.93	$625.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	80	77	$336.88	$129.80
99213 Established patient office or other outpatient visit, typically 15 minutes	29	21	$182.93	$88.35
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	12	12	$2263.17	$735.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$282.55	$110.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	71	70	$203.22	$136.94
99213 Established patient office or other outpatient visit, typically 15 minutes	58	36	$151.17	$91.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$198.51	$109.91
99221 Initial hospital inpatient care per day, typically 30 minutes	34	34	$136.45	$102.73
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	17	17	$2500.00	$777.67
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	13	13	$400.00	$102.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	20	$169.36	$138.13
99213 Established patient office or other outpatient visit, typically 15 minutes	15	11	$133.00	$92.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$195.00	$113.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	28	25	$155.00	$50.88
11104 Punch biopsy, first skin growth	14	14	$62.00	$45.44
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$160.00	$49.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	101	77	$148.48	$49.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	29	$216.41	$76.83
99231 Follow-up hospital inpatient care per day, typically 15 minutes	30	15	$90.00	$37.03
99202 New patient office or other outpatient visit, typically 20 minutes	26	26	$151.23	$49.24
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	17	$288.72	$125.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$335.44	$125.41
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	18	$89.78	$24.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$210.82	$73.82
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$221.27	$98.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	59	44	$118.12	$49.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	28	$180.50	$76.20
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	31	31	$72.90	$24.63
99221 Initial hospital inpatient care per day, typically 30 minutes	28	26	$239.86	$97.59
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	20	$331.00	$125.61
99231 Follow-up hospital inpatient care per day, typically 15 minutes	17	14	$96.29	$37.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$259.88	$118.32
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$120.40	$48.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$176.93	$73.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	53	40	$115.64	$49.37
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	35	26	$71.06	$24.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	25	$174.55	$76.12
99221 Initial hospital inpatient care per day, typically 30 minutes	23	23	$234.87	$89.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$173.50	$73.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$267.25	$125.32
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$118.50	$48.82

Medical Specialties & State Licenses

CMS Verified: 2024-08-23

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License FL ME144107

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

NUCC Taxonomy Code: 208600000X

State License NY 003917

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.

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NUCC Taxonomy Code: 208G00000X

State License FL ME144107

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

Hospital & Practice Group Affiliations

Manatee Specialty Physician Alliance Llc

714 Manatee Ave E, Bradenton, FL 342081235

Phone: 9419004600

Secondary Practice Locations

1075 Harbour Way Pl

Punta Gorda, FL 339836516

Phone: 2034341533

6015 Pointe West Blvd

Bradenton, FL 342095525

Phone: 9413043971

Practice Associates & Co-Workers

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

4 Associated Practitioners

Jillian Straub , PA-C

Physician Assistant

NPI 1063389948

Physician Assistant (Certified)

Dr. Saeed Shahzad , MD

Psychiatry & Neurology - Neurology

NPI 1578643466

Doctor of Medicine (M.D.)

Renee Schroeder , NP

Nurse Practitioner - Obstetrics & Gynecology

NPI 1679730303

Nurse Practitioner

Kerry Geiger

Nurse Practitioner - Psychiatric/Mental Health

NPI 1932643004

Career & Practice History Timeline

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

10 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 23, 2024

Surgery (License #003917 in NY)

📍

Updated Practice Location May 03, 2023

Registered at 713 E MARION AVE STE 121, PUNTA GORDA, FL 339503862 (Tel: 2034341533)

📍

Updated Business Mailing Address May 03, 2023

Registered at 713 E MARION AVE STE 121, PUNTA GORDA, FL 339503862 (Tel: 2034341533)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 03, 2023

Thoracic Surgery (Cardiothoracic Vascular Surgery) (License #ME144107 in FL)

✅

NPI Profile Active October 14, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location October 14, 2011

Registered at 133 PARK ST, MALONE, NY 129531243 (Tel: 5184812632)

📍

Updated Business Mailing Address October 14, 2011

Registered at 32 4TH ST, MALONE, NY 129531329 (Tel: 2034341533)

👤

Provider Name / Credentials Updated October 14, 2011

Recorded as NIKALESH REDDY, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 14, 2011

Surgery (License #003917 in NY)

🟢

Initial NPI Registration & Enumeration July 20, 2010

First registered as active Individual Practitioner in NPPES Database.

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Dr. Nikalesh Reddy , MD