Active NPI 1154309292 Individual Practitioner Male Practitioner

Dr. Janna Reddy Pathi , MD

Surgery • Eldorado, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Janna Pathi, MD is a certified Surgery practicing in Eldorado, IL. With approximately 51 years of clinical experience since completing medical education in 1975, Dr. Pathi delivers high-quality medical care to the local community at 1201 PINE ST.

Dr. Pathi is affiliated with Ferrell Hospital Community Foundation and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, initial hospital care with moderate level of 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

1201 Pine St

Eldorado, IL 629301634

Telephone 6182733361

Associated Practice Facility / Clinic

🏢 Ferrell Hospital Community Foundation Facility NPI 1871600858

Medicare Profile & Education

Medical School

Other

Graduation Year

1975

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Eldorado, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

51 Yrs Matches City Avg

City Avg: 51.0 Yrs

State Avg: 27.3 Yrs

Regional Practice Density

2 Specialists

Practicing in Eldorado, IL (1624 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

47.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pathi (51 Years) 51 Yrs

Eldorado Specialty Average (51.0 Years) 51.0 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	25	$170.00	$93.64
99213 Established patient office or other outpatient visit, typically 15 minutes	20	18	$124.00	$62.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	153	57	$124.00	$62.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	92	42	$170.00	$92.48
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	24	$77.00	$33.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$248.00	$124.55
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$124.00	$118.70
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	12	11	$1416.00	$318.04

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	82	36	$170.00	$93.27
99213 Established patient office or other outpatient visit, typically 15 minutes	81	36	$124.00	$64.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$248.00	$133.08
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	12	$77.00	$36.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$160.00	$79.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	53	29	$124.00	$66.99
99213 Established patient office or other outpatient visit, typically 15 minutes	46	37	$124.00	$89.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	44	22	$170.00	$98.86
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	38	26	$205.00	$70.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	17	$77.00	$35.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	16	$170.00	$126.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$248.00	$135.53
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	13	11	$297.00	$101.65

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	57	33	$170.00	$79.01
99213 Established patient office or other outpatient visit, typically 15 minutes	51	33	$124.00	$51.40
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	22	14	$205.00	$72.14
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	12	$77.00	$26.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	54	25	$124.00	$50.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	14	$170.00	$77.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	85	28	$124.00	$50.72
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	57	27	$77.00	$25.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	15	$170.00	$77.60
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	14	12	$205.00	$72.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	14	$77.00	$25.14
99213 Established patient office or other outpatient visit, typically 15 minutes	21	12	$124.00	$50.21

Medical Specialties & State Licenses

CMS Verified: 2024-02-12

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License KY 31000

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 IL 036.140240

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

64310006 (KY)

Commercial Insurance / Payer ID Passport

1065454 (KY)

Commercial Insurance / Payer ID Bcbs

000000042142

Commercial Insurance / Payer ID Anthem

000000538224 (KY)

Commercial Insurance / Payer ID Railroad Medicare

020025142 (KY)

Hospital & Practice Group Affiliations

Ferrell Hospital Community Foundation

1306 Maple St, Eldorado, IL 629301662

Ferrell Hospital Community Foundation

1201 Pine St, Eldorado, IL 629301634

Phone: 61827333611660

Practice Associates & Co-Workers

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

26 Associated Practitioners

Faith Hooper , SLP

Speech-Language Pathologist

NPI 1013895242

Speech-Language Pathologist

Christine Raben , LCSW

Social Worker - Clinical

NPI 1033651559

Licensed Clinical Social Worker

Susan Sigler , FNP

Nurse Practitioner - Family

NPI 1063885101

Family Nurse Practitioner

Casey Carlile , FNP

Nurse Practitioner - Family

NPI 1154691319

Family Nurse Practitioner

Katie Jackson , PA-C

Physician Assistant

NPI 1194077156

Physician Assistant (Certified)

Marguerita Pearce , MSW, LCSW

Social Worker - Clinical

NPI 1225388739

Master of Social Work, Licensed Clinical Social Worker

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location February 12, 2024

Registered at 1201 PINE ST, ELDORADO, IL 629301634 (Tel: 6182733361)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 12, 2024

Surgery (License #036.140240 in IL)

✅

NPI Profile Active January 03, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location January 03, 2013

Registered at 1215 OLD MAIN ST, OC SURGERY CLINIC, HARTFORD, KY 423471619 (Tel: 2702985417)

📍

Updated Business Mailing Address January 03, 2013

Registered at PO BOX 148, HARTFORD, KY 423470148 (Tel: 2702985417)

👤

Provider Name / Credentials Updated January 03, 2013

Recorded as JANNA PATHI, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 03, 2013

Surgery (License #31000 in KY)

🟢

Initial NPI Registration & Enumeration January 09, 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: 1154309292

Entity Type:

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

Enumeration Date: January 09, 2006

Last Update: February 12, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 148

Hartford, KY 423470148

Phone: 2702985417

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.