Active NPI 1427204270 Individual Practitioner Male Practitioner

Dr. Prashanth K Reddy , MD

Internal Medicine • Plano, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Prashanth Reddy, MD is a certified Internal Medicine practicing in Plano, TX. With approximately 24 years of clinical experience since completing medical education in 2002, Dr. Reddy delivers high-quality medical care to the local community at 6200 W PARKER RD.

Dr. Reddy is affiliated with Texas Health Physicians Group 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

6200 W Parker Rd

Plano, TX 750938185

Telephone 9729813225

Associated Practice Facility / Clinic

🏢 Southwestern Perinatal Associates Pa Facility NPI 1962459578

Medicare Profile & Education

Medical School

Other

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Plano, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

24 Yrs Matches City Avg

City Avg: 24.0 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

211 Specialists

Practicing in Plano, TX (9538 Statewide)

Telehealth Adoption Rate

28.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

71.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Reddy (24 Years) 24 Yrs

Plano Specialty Average (24.0 Years) 24.0 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	526	204	$238.00	$74.97
99239 Hospital discharge day management, more than 30 minutes	150	149	$353.00	$107.96
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	117	86	$342.00	$112.97
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	113	111	$670.00	$164.64
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	43	43	$455.00	$124.32
99231 Follow-up hospital inpatient care per day, typically 15 minutes	16	11	$129.00	$46.84

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	562	237	$238.00	$75.86
99239 Hospital discharge day management, more than 30 minutes	171	166	$353.00	$109.92
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	157	88	$342.00	$113.73
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	120	118	$670.00	$166.79
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	57	56	$455.00	$123.63
99238 Hospital discharge day management, 30 minutes or less	31	31	$239.00	$73.43
99231 Follow-up hospital inpatient care per day, typically 15 minutes	19	13	$129.00	$47.60

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	549	221	$342.00	$99.00
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	214	110	$238.00	$68.63
99239 Hospital discharge day management, more than 30 minutes	158	153	$355.01	$100.79
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	115	112	$670.00	$190.34
99220 Hospital observation care, typically 70 minutes	46	45	$611.00	$172.90
99217 Hospital observation care on day of discharge	25	25	$239.00	$69.31
99226 Subsequent observation care, typically 35 minutes per day	20	18	$345.00	$98.08

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	448	187	$342.00	$101.54
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	164	89	$238.00	$70.71
99239 Hospital discharge day management, more than 30 minutes	125	122	$353.00	$104.75
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	46	46	$670.00	$196.69
99220 Hospital observation care, typically 70 minutes	19	19	$611.00	$177.70
99497 Advance care planning, first 30 minutes	17	17	$272.00	$77.73

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	212	97	$400.57	$105.81
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	164	77	$335.96	$73.35
99239 Hospital discharge day management, more than 30 minutes	80	78	$564.65	$108.75
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	37	37	$840.92	$205.06
99220 Hospital observation care, typically 70 minutes	14	14	$781.00	$187.40
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$616.00	$139.25

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	325	150	$373.00	$73.49
99239 Hospital discharge day management, more than 30 minutes	134	124	$685.00	$108.13
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	132	68	$536.00	$105.07
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	61	58	$1042.00	$204.33
99220 Hospital observation care, typically 70 minutes	32	31	$951.00	$187.54
99217 Hospital observation care on day of discharge	31	29	$376.00	$73.95
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	30	29	$708.00	$138.19
99219 Hospital observation care, typically 50 minutes	13	13	$691.00	$137.28

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	218	97	$286.00	$113.10
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	144	70	$200.00	$79.10
99220 Hospital observation care, typically 70 minutes	83	83	$510.00	$202.05
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	76	75	$558.00	$221.06
99239 Hospital discharge day management, more than 30 minutes	71	70	$292.00	$115.76
99226 Subsequent observation care, typically 35 minutes per day	15	14	$286.00	$113.28

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	306	127	$286.00	$112.62
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	206	89	$199.16	$77.51
99239 Hospital discharge day management, more than 30 minutes	88	81	$292.00	$114.95
99220 Hospital observation care, typically 70 minutes	87	87	$508.00	$199.94
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	75	73	$558.00	$217.45
99231 Follow-up hospital inpatient care per day, typically 15 minutes	38	20	$109.00	$42.75
99226 Subsequent observation care, typically 35 minutes per day	33	25	$287.00	$112.82
99217 Hospital observation care on day of discharge	18	18	$199.00	$78.36
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	16	16	$145.00	$57.25

Medical Specialties & State Licenses

CMS Verified: 2021-06-11

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License TX Q0347

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.

Hospital & Practice Group Affiliations

Texas Health Physicians Group

6200 W Parker Rd, Plano, TX 750938185

Phone: 9729813225

Practice Associates & Co-Workers

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

19 Associated Practitioners

Dr. Ameet Thatishetty , MD

Internal Medicine

NPI 1053506949

Doctor of Medicine (M.D.)

Dr. Michael Mercado , DO

Family Medicine

NPI 1053768259

Doctor of Osteopathic Medicine (D.O.)

Dr. Oyebola Oladiran , MD

Internal Medicine

NPI 1073741518

Doctor of Medicine (M.D.)

John Schmidt

Internal Medicine

NPI 1083293591

Dr. Mohammad Iqbal , MD

Internal Medicine

NPI 1114933983

Doctor of Medicine (M.D.)

Dr. Shazia Khan , MD

Internal Medicine

NPI 1184630840

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

12 Historical Events

📍

Updated Practice Location June 11, 2021

Registered at 6200 W PARKER RD, PLANO, TX 750938185 (Tel: 9729813225)

📍

Updated Business Mailing Address June 11, 2021

Registered at 6200 W PARKER RD, PLANO, TX 750938185 (Tel: 9729813225)

📍

Updated Practice Location September 01, 2020

Registered at 1301 PENNSYLVANIA AVE, FORT WORTH, TX 761042122 (Tel: 8172504906)

📍

Updated Business Mailing Address September 01, 2020

Registered at 1301 PENNSYLVANIA AVE, FORT WORTH, TX 761042122 (Tel: 8172504906)

👤

Provider Name / Credentials Updated September 01, 2020

Recorded as PRASHANTH REDDY, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 01, 2020

Internal Medicine (License #Q0347 in TX)

✅

NPI Profile Active January 02, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location January 02, 2014

Registered at 8900 N KENDALL DR, MIAMI, FL 331762118 (Tel: 7865966743)

📍

Updated Business Mailing Address January 02, 2014

Registered at 300 S BISCAYNE BLVD, APT#2608, MIAMI, FL 331315312 (Tel: 3059151881)

👤

Provider Name / Credentials Updated January 02, 2014

Recorded as PRASHANTH REDDY, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 02, 2014

Internal Medicine (License #ME 103971 in FL)

🟢

Initial NPI Registration & Enumeration August 12, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1427204270

Entity Type:

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

Enumeration Date: August 12, 2008

Last Update: June 11, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

6200 W Parker Rd

Plano, TX 750938185

Phone: 9729813225

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.