Active NPI 1902009152 Individual Practitioner Female Practitioner

Dr. Pavani Dantala , MD

Internal Medicine • Middletown, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Pavani Dantala, MD is a certified Internal Medicine practicing in Middletown, OH. With approximately 29 years of clinical experience since completing medical education in 1997, Dr. Dantala delivers high-quality medical care to the local community at 1 MEDICAL CENTER DR.

Dr. Dantala maintains professional affiliations with Mvhe Inc, Sinclair Physician Services, Llc, Hisey 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

1 Medical Center Dr

Middletown, OH 450052584

Telephone 5137054754

Fax 5134205156

Associated Practice Facility / Clinic

🏢 Fidelity Health Care Inc Facility NPI 1336242213

Medicare Profile & Education

Medical School

Other

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Middletown, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

29 Yrs Matches City Avg

City Avg: 29.0 Yrs

State Avg: 26.9 Yrs

Regional Practice Density

27 Specialists

Practicing in Middletown, OH (5516 Statewide)

Telehealth Adoption Rate

14.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

83.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Dantala (29 Years) 29 Yrs

Middletown Specialty Average (29.0 Years) 29.0 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
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	243	100	$611.02	$112.68
99239 Hospital discharge day management, more than 30 minutes	139	135	$595.09	$108.21
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	94	57	$413.74	$74.89
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	60	58	$1176.35	$164.49
99497 Advance care planning, first 30 minutes	14	13	$518.00	$71.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	351	148	$153.00	$114.79
99239 Hospital discharge day management, more than 30 minutes	165	158	$182.00	$111.63
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	79	55	$120.00	$77.85
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	53	53	$300.00	$170.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	450	178	$153.00	$95.96
99239 Hospital discharge day management, more than 30 minutes	164	154	$181.99	$98.54
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	55	55	$300.00	$187.98
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	39	30	$120.00	$66.23
99220 Hospital observation care, typically 70 minutes	34	34	$273.00	$175.53
99217 Hospital observation care on day of discharge	22	22	$121.00	$64.41
99226 Subsequent observation care, typically 35 minutes per day	13	12	$170.00	$93.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	415	165	$155.00	$101.51
99239 Hospital discharge day management, more than 30 minutes	158	145	$180.00	$102.89
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	56	53	$300.00	$198.32
99220 Hospital observation care, typically 70 minutes	35	35	$270.00	$180.25
99217 Hospital observation care on day of discharge	31	31	$120.00	$71.08
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	29	25	$120.00	$71.18
99226 Subsequent observation care, typically 35 minutes per day	14	11	$170.00	$102.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	480	179	$149.00	$102.32
99239 Hospital discharge day management, more than 30 minutes	145	136	$158.00	$105.85
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	65	64	$301.00	$203.56
99220 Hospital observation care, typically 70 minutes	19	19	$266.00	$185.69
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	17	14	$175.35	$49.60
99217 Hospital observation care on day of discharge	15	15	$101.00	$72.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	445	180	$149.00	$102.64
99239 Hospital discharge day management, more than 30 minutes	161	154	$158.00	$104.56
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	53	52	$301.00	$196.73
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	33	30	$101.00	$72.10
99217 Hospital observation care on day of discharge	31	30	$101.00	$70.13
99291 Critical care, first 30-74 minutes	28	21	$392.00	$221.89
99220 Hospital observation care, typically 70 minutes	21	21	$266.00	$184.01
99226 Subsequent observation care, typically 35 minutes per day	12	11	$199.00	$90.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	456	194	$149.00	$100.09
99239 Hospital discharge day management, more than 30 minutes	183	174	$158.00	$103.66
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	63	48	$101.00	$69.48
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	59	58	$301.00	$196.51
99217 Hospital observation care on day of discharge	37	35	$101.00	$71.34
99220 Hospital observation care, typically 70 minutes	27	25	$266.00	$182.58
99226 Subsequent observation care, typically 35 minutes per day	23	19	$199.00	$98.33
99291 Critical care, first 30-74 minutes	20	13	$392.00	$219.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	418	197	$149.00	$101.02
99239 Hospital discharge day management, more than 30 minutes	180	171	$158.00	$104.46
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	174	108	$101.00	$70.44
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	74	72	$301.00	$195.40
99220 Hospital observation care, typically 70 minutes	22	22	$266.00	$181.43
99291 Critical care, first 30-74 minutes	16	15	$392.00	$219.21
99217 Hospital observation care on day of discharge	15	15	$101.00	$70.75
99226 Subsequent observation care, typically 35 minutes per day	11	11	$199.00	$102.44

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OH 35.095144

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 OH 35095144

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

3077674 (OH)

Hospital & Practice Group Affiliations

Hisey Physician Services, Llc

3130 N Country Rd, Troy, OH 453731337

Phone: 9374404000

Mvhe Inc

1 Medical Ctr Dr, Middletown, OH 450052584

Phone: 5137054754

Sinclair Physician Services, Llc

2400 Miami Valley Dr, Centerville, OH 454594774

Phone: 9374382400

Practice Associates & Co-Workers

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

16 Associated Practitioners

Myra Wright , APRN

Nurse Practitioner - Family

NPI 1003356882

Advanced Practice Registered Nurse

Dr. Chalana Gunawardena , MD

Internal Medicine

NPI 1023276821

Doctor of Medicine (M.D.)

Dr. Sreevani Gollamudi , MD

Internal Medicine

NPI 1053572057

Doctor of Medicine (M.D.)

Dr. Daniel Sheps , DO

Internal Medicine

NPI 1245580331

Doctor of Osteopathic Medicine (D.O.)

Dr. Kenneth Jiang , MD

Internal Medicine

NPI 1285770859

Doctor of Medicine (M.D.)

Andrew Whitlatch , PA-C

Physician Assistant - Medical

NPI 1386070969

Physician Assistant (Certified)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active December 10, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location December 10, 2013

Registered at 1 MEDICAL CENTER DR, MIDDLETOWN, OH 450052584 (Tel: 5137054754)

📍

Updated Business Mailing Address December 10, 2013

Registered at 1 MEDICAL CENTER DR, MIDDLETOWN, OH 450052584 (Tel: 5137054754)

👤

Provider Name / Credentials Updated December 10, 2013

Recorded as PAVANI DANTALA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 10, 2013

Internal Medicine (License #35.095144 in OH)

🟢

Initial NPI Registration & Enumeration June 06, 2007

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: 1902009152

Entity Type:

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

Enumeration Date: June 06, 2007

Last Update: December 10, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1 Medical Center Dr

Middletown, OH 450052584

Phone: 5137054754

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.