Pravardhan Birthi, M.D.
NPI 1013161082 · Interventional Pain Medicine Physician · Grand Island, NE
Enrolled with Medicare as Practitioner - Pain Management · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pravardhan Birthi, M.D. is a Interventional Pain Medicine Physician provider in Grand Island, NE (NPI 1013161082).
Provider details
- NPI number
- 1013161082
- Entity type
- Individual
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 27075 (NE)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
17 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
1,392 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Injection of Substance Into Lower Spine Canal Using Imaging Guidance62323 | 134 | $234 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 101 | $153 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 79 | $103 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 69 | $119 |
| Injection of Lower Or Sacral Spine Facet Joint Using Imaging Guidance, Single Level64493 | 63 | $243 |
| Injection of Lower Or Sacral Spine Facet Joint Using Imaging Guidance, Second Level |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 15 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Gabapentin | 155 | 89 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 111 | 85 |
| Tizanidine Hcl | 85 | 39 |
| Tramadol Hcl | 72 | 50 |
| Cephalexin | 57 | 56 |
| Oxycodone Hcl/Acetaminophenbrand: Oxycodone-Acetaminophen | 46 | 31 |
| Onabotulinumtoxinabrand: Botox |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$2,269 across 53 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-11-04
- Last updated
- 2019-06-21
Frequently asked questions
- What is Pravardhan Birthi's NPI number?
- Pravardhan Birthi's National Provider Identifier (NPI) is 1013161082, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Pravardhan Birthi's specialty?
- Pravardhan Birthi is listed in the NPPES registry with a primary specialty of Interventional Pain Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Pravardhan Birthi located?
- Pravardhan Birthi's practice location on file with NPPES is 403 Lexington Cir, Grand Island, NE 68803-9728.
- What is Pravardhan Birthi's phone number?
- The practice phone number listed in the NPPES registry for Pravardhan Birthi is (308) 675-3222.
- Does Pravardhan Birthi accept Medicare?
- Pravardhan Birthi is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Pravardhan Birthi's NPI active?
- Yes — Pravardhan Birthi's NPI (1013161082) is active in the NPPES registry as of the last update on 2019-06-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.