Active NPI 1578812129 Individual Practitioner Male Practitioner

Dr. Vinay Kumar Lingabathula , MD

Internal Medicine • Dayton, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Vinay Kumar Lingabathula, MD is a certified Internal Medicine practicing in Dayton, OH. With approximately 18 years of clinical experience since completing medical education in 2008, Dr. Lingabathula delivers high-quality medical care to the local community at 30 E APPLE ST STE NW3300.

Dr. Lingabathula maintains professional affiliations with Mvhe Inc, Sinclair Physician Services, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, more than, 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

30 E Apple St Ste Nw3300

Dayton, OH 454092939

Telephone 9379913186

Fax 9372239811

Associated Practice Facility / Clinic

🏢 Samaritan Family Care Inc Facility NPI 1235182668

Medicare Profile & Education

Medical School

Other

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Dayton, OH

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

18 Yrs -2.3 yrs vs City Avg

City Avg: 20.3 Yrs

State Avg: 26.9 Yrs

Regional Practice Density

232 Specialists

Practicing in Dayton, OH (5516 Statewide)

Telehealth Adoption Rate

6.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

84.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lingabathula (18 Years) 18 Yrs

Dayton Specialty Average (20.3 Years) 20.3 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	252	101	$375.67	$72.97
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	222	103	$656.74	$112.80
99239 Hospital discharge day management, more than 30 minutes	99	99	$609.09	$107.11
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	36	36	$1216.44	$160.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	316	122	$120.00	$77.11
99239 Hospital discharge day management, more than 30 minutes	93	92	$182.00	$109.90
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	93	63	$153.00	$117.14
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	31	31	$300.00	$170.71
99231 Follow-up hospital inpatient care per day, typically 15 minutes	21	15	$75.00	$49.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	221	107	$120.00	$68.60
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	189	104	$153.00	$98.83
99239 Hospital discharge day management, more than 30 minutes	94	93	$182.00	$101.42
99217 Hospital observation care on day of discharge	33	33	$121.00	$68.74
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	23	$300.00	$194.19
99220 Hospital observation care, typically 70 minutes	21	20	$273.00	$166.97
99225 Subsequent observation care, typically 25 minutes per day	19	13	$115.00	$69.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	225	113	$120.00	$69.59
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	155	80	$155.00	$99.37
99239 Hospital discharge day management, more than 30 minutes	101	99	$180.00	$101.92
99220 Hospital observation care, typically 70 minutes	38	38	$270.00	$167.93
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	29	29	$300.00	$198.32
99220 Hospital observation care, typically 70 minutes	13	13	$270.00	$180.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	317	159	$178.50	$72.24
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	166	100	$149.00	$104.95
99239 Hospital discharge day management, more than 30 minutes	103	103	$158.00	$104.99
99220 Hospital observation care, typically 70 minutes	55	54	$266.00	$179.44
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	35	35	$301.00	$197.96
99217 Hospital observation care on day of discharge	33	32	$101.00	$69.89
99225 Subsequent observation care, typically 25 minutes per day	16	11	$133.00	$61.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	391	170	$101.00	$71.19
99239 Hospital discharge day management, more than 30 minutes	116	116	$158.00	$102.83
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	81	57	$149.00	$101.50
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	58	57	$301.00	$199.62
99220 Hospital observation care, typically 70 minutes	47	46	$266.00	$183.20
99217 Hospital observation care on day of discharge	30	30	$101.00	$71.76
99225 Subsequent observation care, typically 25 minutes per day	22	14	$133.00	$72.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	426	191	$114.25	$70.98
99239 Hospital discharge day management, more than 30 minutes	117	116	$173.63	$105.04
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	62	62	$350.48	$198.81
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	61	46	$153.72	$102.14
99217 Hospital observation care on day of discharge	40	38	$123.40	$69.93
99220 Hospital observation care, typically 70 minutes	38	36	$317.39	$182.53
99225 Subsequent observation care, typically 25 minutes per day	32	25	$129.75	$71.61
99231 Follow-up hospital inpatient care per day, typically 15 minutes	32	21	$76.81	$38.47
99219 Hospital observation care, typically 50 minutes	17	17	$232.71	$133.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	365	174	$128.00	$66.00
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	116	112	$360.00	$187.97
99239 Hospital discharge day management, more than 30 minutes	114	108	$189.00	$99.05
99217 Hospital observation care on day of discharge	55	55	$129.00	$66.33
99220 Hospital observation care, typically 70 minutes	53	52	$329.00	$169.74
99231 Follow-up hospital inpatient care per day, typically 15 minutes	50	22	$79.00	$36.43
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	32	23	$185.00	$94.36
99225 Subsequent observation care, typically 25 minutes per day	32	26	$129.00	$67.43
99219 Hospital observation care, typically 50 minutes	27	26	$241.00	$126.07
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	24	$243.00	$128.36
99291 Critical care, first 30-74 minutes	14	14	$484.00	$207.81
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	12	12	$22.00	$11.34

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OH 35.123471

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0103410 (OH)

Hospital & Practice Group Affiliations

Sinclair Physician Services, Llc

9000 N Main St, Englewood, OH 454151180

Phone: 9377346784

Mvhe Inc

1 Wyoming St, Dayton, OH 454092722

Phone: 9372088394

Mvhe Inc

2451 Wayne Ave, Dayton, OH 454201893

Phone: 9372521831

Secondary Practice Locations

33 W Rahn Rd

Dayton, OH 454292219

Phone: 9374338990

Practice Associates & Co-Workers

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

4 Associated Practitioners

Nicole Jackson , CNP, ACNP-BC

Nurse Practitioner - Acute Care

NPI 1255679940

Certified Nurse Practitioner, ACNPBC

Zakiya Walker , NP-C

Nurse Practitioner - Family

NPI 1558828962

Nurse Practitioner (Certified)

Dr. Sulabha Dange , MD

Internal Medicine

NPI 1598743296

Doctor of Medicine (M.D.)

Megan Blessinger

Internal Medicine

NPI 1629484555

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Business Mailing Address July 16, 2018

Registered at 3170 KETTERING BLVD BLDG B3, MORAINE, OH 454391924 (Tel: 9379913186)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 16, 2018

Student in an Organized Health Care Education/Training Program

✅

NPI Profile Active July 08, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2014

Registered at 33 W RAHN RD, DAYTON, OH 454292219 (Tel: 9374338990)

📍

Updated Business Mailing Address July 08, 2014

Registered at 33 W RAHN RD, DAYTON, OH 454292219 (Tel: 9374338990)

👤

Provider Name / Credentials Updated July 08, 2014

Recorded as VINAY KUMAR LINGABATHULA, M.D

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2014

Internal Medicine (License #35.123471 in OH)

🟢

Initial NPI Registration & Enumeration August 29, 2012

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: 1578812129

Entity Type:

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

Enumeration Date: August 29, 2012

Last Update: July 16, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3170 Kettering Blvd Bldg B3

Moraine, OH 454391924

Phone: 9379913186

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.