Active NPI 1194751396 Individual Practitioner Female Practitioner

Dr. Ramya Prabhakar , MD

Internal Medicine • Lowell, MA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Ramya Prabhakar, MD is a certified Internal Medicine practicing in Lowell, MA. With approximately 29 years of clinical experience since completing medical education in 1997, Dr. Prabhakar delivers high-quality medical care to the local community at 275 VARNUM AVE.

Dr. Prabhakar is affiliated with Atrius Health 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, new patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

275 Varnum Ave
Suite 102

Lowell, MA 018542141

Telephone 9789422064

Fax 9789422068

Associated Practice Facility / Clinic

🏢 Lung Specialists Of Merrimack Facility NPI 1881688323

Medicare Profile & Education

Medical School

Other

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Lowell, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

29 Yrs +5.2 yrs vs City Avg

City Avg: 23.8 Yrs

State Avg: 29.3 Yrs

Regional Practice Density

63 Specialists

Practicing in Lowell, MA (7127 Statewide)

Telehealth Adoption Rate

31.7% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

65.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Prabhakar (29 Years) 29 Yrs

Lowell Specialty Average (23.8 Years) 23.8 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
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	91	55	$529.00	$178.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	55	31	$348.98	$128.50

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	54	35	$346.00	$115.10
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	46	30	$522.70	$160.67
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	18	18	$651.00	$216.89

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	142	74	$346.93	$133.40
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	61	50	$466.28	$176.69
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	23	23	$651.00	$216.87
99213 Established patient office or other outpatient visit, typically 15 minutes	17	12	$215.24	$100.37
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	16	16	$260.00	$147.75
99497 Advance care planning, first 30 minutes	15	14	$426.00	$82.05

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	158	78	$349.99	$147.47
99213 Established patient office or other outpatient visit, typically 15 minutes	73	49	$199.82	$104.02
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	24	24	$260.00	$151.19
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	24	24	$634.13	$250.36
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	23	21	$404.04	$205.22
93000 Routine ekg using at least 12 leads including interpretation and report	20	18	$150.00	$17.02
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	17	17	$250.00	$190.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$523.49	$189.62

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	137	127	$490.10	$151.09
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	87	59	$260.28	$79.80
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	72	56	$372.02	$112.08
99231 Follow-up hospital inpatient care per day, typically 15 minutes	71	52	$140.94	$43.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	54	34	$382.82	$122.72
99213 Established patient office or other outpatient visit, typically 15 minutes	40	24	$261.85	$81.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$555.06	$183.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$330.88	$123.06
99221 Initial hospital inpatient care per day, typically 30 minutes	15	15	$363.14	$112.17
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$723.74	$223.91
99497 Advance care planning, first 30 minutes	12	12	$304.72	$87.78

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	86	30	$338.84	$121.45
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	85	78	$466.19	$149.06
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	74	42	$239.61	$79.20
99231 Follow-up hospital inpatient care per day, typically 15 minutes	53	41	$123.47	$42.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$513.42	$182.66
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	42	33	$329.00	$113.13
99221 Initial hospital inpatient care per day, typically 30 minutes	19	19	$327.82	$110.37
99497 Advance care planning, first 30 minutes	18	18	$172.45	$93.45
99213 Established patient office or other outpatient visit, typically 15 minutes	16	14	$237.83	$83.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	81	53	$121.65	$42.18
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	75	70	$459.77	$145.33
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	67	51	$236.00	$78.42
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	67	53	$321.83	$110.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	44	29	$329.18	$118.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$496.40	$175.07
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$315.20	$109.14
99497 Advance care planning, first 30 minutes	11	11	$146.00	$91.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	117	82	$121.65	$40.57
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	97	92	$459.77	$144.12
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	80	62	$236.00	$76.14
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	79	62	$321.83	$110.04
99221 Initial hospital inpatient care per day, typically 30 minutes	31	31	$315.20	$106.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$496.40	$176.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$329.18	$116.40

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License MA 216763

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.

Hospitalist

NUCC Taxonomy Code: 208M00000X

State License MA 216763

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2009960 (MA)

Commercial Insurance / Payer ID Neighborhood Health

0030060 (MA)

Commercial Insurance / Payer ID Harvard Pilgrim

696778 (MA)

Commercial Insurance / Payer ID Tufts

216763 (MA)

Commercial Insurance / Payer ID Blue Cross

J26190 (MA)

Hospital & Practice Group Affiliations

Atrius Health Inc

133 Brookline Ave, Boston, MA 022153904

Phone: 6174211000

Practice Associates & Co-Workers

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

3 Associated Practitioners

Virginia Doherty , RN, NP

Nurse Practitioner - Gerontology

NPI 1366745796

Registered Nurse, Nurse Practitioner

Kristen Scanlon , NP

Nurse Practitioner

NPI 1619300050

Nurse Practitioner

Samar Mccorry , NP-C

Nurse Practitioner - Family

NPI 1902263676

Nurse Practitioner (Certified)

Career & Practice History Timeline

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

12 Historical Events

✅

NPI Profile Active March 30, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location March 30, 2017

Registered at 275 VARNUM AVE, SUITE 102, LOWELL, MA 018542141 (Tel: 9789422064)

📍

Updated Business Mailing Address March 30, 2017

Registered at 275 VARNUM AVE, SUITE 102, LOWELL, MA 018542141 (Tel: 9789422064)

👤

Provider Name / Credentials Updated March 30, 2017

Recorded as RAMYA PRABHAKAR, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 30, 2017

Hospitalist (License #216763 in MA)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 30, 2017

Internal Medicine (License #216763 in MA)

✅

NPI Profile Active March 07, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location March 07, 2014

Registered at 33 BARTLETT ST, SUITE 505, LOWELL, MA 018521334 (Tel: 9782751913)

📍

Updated Business Mailing Address March 07, 2014

Registered at 33 BARTLETT ST, SUITE 505, LOWELL, MA 018521334 (Tel: 9782751913)

👤

Provider Name / Credentials Updated March 07, 2014

Recorded as RAMYA PRABHAKAR, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 07, 2014

Internal Medicine (License #216763 in MA)

🟢

Initial NPI Registration & Enumeration June 23, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1194751396

Entity Type:

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

Enumeration Date: June 23, 2006

Last Update: March 30, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

275 Varnum Ave, Suite 102

Lowell, MA 018542141

Phone: 9789422064

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.