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Active NPI 1821324963 Individual Practitioner Female Practitioner

Dr. Pranathi Lingam , MD

Dermatology • Edmond, OK

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Pranathi Lingam, MD is a certified Dermatology practicing in Edmond, OK. With approximately 17 years of clinical experience since graduating from University Of Alabama School Of Medicine in 2009, Dr. Lingam delivers high-quality medical care to the local community at 1354 E 15TH ST.

Dr. Lingam is affiliated with Heritage Health Services Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1354 E 15th St

Edmond, OK 730135029

Telephone 4052858823
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

University Of Alabama School Of Medicine

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Edmond, OK

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
17 Yrs -9.3 yrs vs City Avg
City Avg: 26.3 Yrs
State Avg: 25.9 Yrs
Regional Practice Density
4 Specialists

Practicing in Edmond, OK (129 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
58.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lingam (17 Years) 17 Yrs
Edmond Specialty Average (26.3 Years) 26.3 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
17003 Destruction of precancer skin growth, 2-14 growths
900 170 $26.90 $5.95
99213 Established patient office or other outpatient visit, typically 15 minutes
413 296 $175.00 $83.77
17000 Destruction of skin growth
301 224 $142.58 $44.43
17110 Destruction of up to 14 skin growths
269 199 $206.80 $101.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
145 145 $224.07 $102.95
11102 Tangential biopsy of single skin lesion
126 117 $255.36 $76.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
102 60 $250.00 $117.31
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
48 40 $115.00 $51.99
11103 Biopsy of related skin growth, each additional growth
34 24 $135.29 $45.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
24 24 $325.00 $150.91
17004 Destruction of precancer skin growth, 15 or more growths
21 19 $387.62 $151.60
11104 Punch biopsy, first skin growth
20 18 $292.50 $112.30

Medical Specialties & State Licenses

CMS Verified: 2023-12-01
Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License OK 37247

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Dermatology

NUCC Taxonomy Code: 207N00000X

State License TX P6859

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License TX BP10034494

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.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License OK 37247

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID .
.

Hospital & Practice Group Affiliations

Heritage Health Services Llc

6516 N Olie Ave, Oklahoma City, OK 731167399

Phone: 4056088060

Practice Associates & Co-Workers

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

4 Associated Practitioners
Dr. Jason Hirshburg , MD PHD

Dermatology - MOHS-Micrographic Surgery

NPI 1003251943

MDPHD

Whitney Mashburn , PA-C

Physician Assistant

NPI 1083952485

Physician Assistant (Certified)

Dr. Hillary Lawrence , MD

Dermatology - Pediatric Dermatology

NPI 1528097904

Doctor of Medicine (M.D.)

NPI 1710415856

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

13 Historical Events
📍
Updated Practice Location December 01, 2023

Registered at 1354 E 15TH ST, EDMOND, OK 730135029 (Tel: 4052858823)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 01, 2023

Dermatology (License #P6859 in TX)

📍
Updated Practice Location July 14, 2021

Registered at 1616 S KELLY AVE, EDMOND, OK 730133651 (Tel: 4052858823)

📍
Updated Business Mailing Address July 14, 2021

Registered at 14024 QUAIL POINTE DR, OKLAHOMA CITY, OK 731341006 (Tel: 4054198465)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 14, 2021

Dermatology (License #37247 in OK)

📍
Updated Practice Location December 04, 2018

Registered at 1400 S MAIN ST STE 501, FORT WORTH, TX 761044909 (Tel: 8177028400)

📍
Updated Business Mailing Address December 04, 2018

Registered at PO BOX 732973, DALLAS, TX 753732973 (Tel: 8177028450)

NPI Profile Active October 25, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location October 25, 2009

Registered at 3 HERMANN MUSEUM CIRCLE DR, APT 3413, HOUSTON, TX 770047788 (Tel: 4094982793)

📍
Updated Business Mailing Address October 25, 2009

Registered at 3 HERMANN MUSEUM CIRCLE DR, APT 3413, HOUSTON, TX 770047788 (Tel: 4094982793)

👤
Provider Name / Credentials Updated October 25, 2009

Recorded as PRANATHI LINGAM, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 25, 2009

Internal Medicine (License #BP10034494 in TX)

🟢
Initial NPI Registration & Enumeration October 25, 2009

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: 1821324963
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 25, 2009
Last Update: December 01, 2023
Sole Proprietor: No

Mailing Address

14024 Quail Pointe Dr

Oklahoma City, OK 731341006

Phone: 4054198465

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.