Active NPI 1962517516 Individual Practitioner Male Practitioner

Dr. Rajesh S. Padmanabhan , MD

Surgery • Arlington, TX

Professional Overview & Biography Verified Profile Summary

Dr. Rajesh Padmanabhan, MD is a certified Surgery practicing in Arlington, TX. With approximately 31 years of clinical experience since graduating from University Of Missouri, Kansas City, School Of Medicine in 1995, Dr. Padmanabhan delivers high-quality medical care to the local community at 3215 OMEGA DR.

Dr. Padmanabhan does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, repair of trapped groin hernia patient age 5 years or older. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3215 Omega Dr

Arlington, TX 760142006

Telephone 8174667400

Fax 8174656582

Associated Practice Facility / Clinic

🏢 Roland E. Siegler, M.d.,p.a. Facility NPI 1871600908

Medicare Profile & Education

Medical School

University Of Missouri, Kansas City, School Of Medicine

Graduation Year

1995

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Arlington, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs +9.4 yrs vs City Avg

City Avg: 21.6 Yrs

State Avg: 25.2 Yrs

Regional Practice Density

26 Specialists

Practicing in Arlington, TX (2342 Statewide)

Telehealth Adoption Rate

3.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Padmanabhan (31 Years) 31 Yrs

Arlington Specialty Average (21.6 Years) 21.6 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
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$500.00	$155.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	24	$325.00	$119.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$350.00	$104.15

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	48	40	$325.00	$119.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$500.00	$155.62
99213 Established patient office or other outpatient visit, typically 15 minutes	29	22	$250.00	$84.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$350.00	$104.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	54	53	$464.81	$154.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	52	41	$307.35	$120.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$318.75	$105.08
99213 Established patient office or other outpatient visit, typically 15 minutes	22	19	$205.45	$85.70
49507 Repair of trapped groin hernia patient age 5 years or older	13	13	$1935.00	$541.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$310.00	$158.96
99213 Established patient office or other outpatient visit, typically 15 minutes	28	23	$113.21	$86.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	22	$172.00	$123.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$200.00	$106.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	49	49	$310.00	$153.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	27	$172.00	$103.35
99213 Established patient office or other outpatient visit, typically 15 minutes	31	22	$110.00	$71.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$200.00	$100.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	85	85	$310.00	$151.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	34	$171.80	$102.05
99213 Established patient office or other outpatient visit, typically 15 minutes	38	30	$112.24	$69.68
46600 Diagnostic examination of the anus using an endoscope	17	17	$167.97	$90.14
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	14	$249.74	$136.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$200.00	$97.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	49	49	$310.00	$154.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	45	34	$171.06	$99.51
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	39	39	$500.00	$194.41
46600 Diagnostic examination of the anus using an endoscope	23	20	$167.84	$80.05
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	19	$248.06	$131.78
99213 Established patient office or other outpatient visit, typically 15 minutes	17	17	$109.20	$68.55
45380 Biopsy of large bowel using an endoscope	11	11	$1106.68	$169.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	75	75	$310.00	$152.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	73	53	$171.06	$100.71
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	41	41	$500.00	$190.00
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	27	12	$125.67	$68.02
46600 Diagnostic examination of the anus using an endoscope	26	24	$167.84	$80.99
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	25	18	$248.06	$135.55
99213 Established patient office or other outpatient visit, typically 15 minutes	24	21	$109.20	$66.29
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	17	$480.00	$190.74
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	14	14	$841.81	$96.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$200.00	$101.11

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License TX M0209

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

178434001 (TX)

Commercial Insurance / Payer ID Blue Link Id (Bcbs)

4324375 (TX)

Commercial Insurance / Payer ID Uhc Provider No.

2490792 (TX)

Commercial Insurance / Payer ID Cigna Provider No.

1424679 (TX)

Commercial Insurance / Payer ID Aetna Provider No.

7824629 (TX)

Commercial Insurance / Payer ID Bcbs Provider No.

0090MB (TX)

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Siddhartha Rath , MD

Surgery

NPI 1255541504

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location March 13, 2019

Registered at 3215 OMEGA DR, ARLINGTON, TX 760142006 (Tel: 8174667400)

📍

Updated Business Mailing Address March 13, 2019

Registered at 3215 OMEGA DR, ARLINGTON, TX 760142006 (Tel: 8174667400)

✅

NPI Profile Active October 03, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location October 03, 2013

Registered at 3125 MATLOCK RD, SUITE 107, ARLINGTON, TX 760152920 (Tel: 8174667400)

📍

Updated Business Mailing Address October 03, 2013

Registered at 3125 MATLOCK RD, SUITE 107, ARLINGTON, TX 760152920 (Tel: 8174667400)

👤

Provider Name / Credentials Updated October 03, 2013

Recorded as RAJESH PADMANABHAN, M.D.

🎓

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

Surgery (License #M0209 in TX)

🟢

Initial NPI Registration & Enumeration August 21, 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: 1962517516

Entity Type:

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

Enumeration Date: August 21, 2006

Last Update: March 13, 2019

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

3215 Omega Dr

Arlington, TX 760142006

Phone: 8174667400

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.