Pavan Pyreddy, M.D.
NPI 1255450532 · Geriatric Medicine (Internal Medicine) Physician · Burlington, NC
Enrolled with Medicare as Practitioner - Hospitalist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pavan Pyreddy, M.D. is a Geriatric Medicine (Internal Medicine) Physician provider in Burlington, NC (NPI 1255450532).
Provider details
- NPI number
- 1255450532
- Entity type
- Individual
- Primary specialty
- Geriatric Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 2007-00291 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
636 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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 217 | $111 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 176 | $74 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 170 | $107 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 47 | $159 |
| Critical Care, First 30-74 Minutes99291 | 26 | $198 |
Typical Medicare-allowed amounts for these services range $74–$198 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 14 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisone | 34 | 31 |
| Doxycycline Monohydrate | 29 | 27 |
| Cephalexin | 28 | 27 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 23 | 23 |
| Apixabanbrand: Eliquis | 20 | 15 |
| Atorvastatin Calcium | 18 | 18 |
| Albuterol Sulfate |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$181 across 3 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
Additional practice locations (2)
- 3000 New Bern AveRaleigh, NC 27610-1231Phone: (919) 350-8000Fax: (919) 350-7204
- 426 Terrace RdBayport, NY 11705-1526Phone: (862) 262-2044
Registry dates
- Enumerated
- 2007-03-28
- Last updated
- 2024-02-16
- Certified
- 2024-02-16
Frequently asked questions
- What is Pavan Pyreddy's NPI number?
- Pavan Pyreddy's National Provider Identifier (NPI) is 1255450532, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Pavan Pyreddy's specialty?
- Pavan Pyreddy is listed in the NPPES registry with a primary specialty of Geriatric Medicine (Internal Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Pavan Pyreddy located?
- Pavan Pyreddy's practice location on file with NPPES is 1240 Huffman Mill Rd, Burlington, NC 27215-8700.
- What is Pavan Pyreddy's phone number?
- The practice phone number listed in the NPPES registry for Pavan Pyreddy is (862) 262-2044.
- Does Pavan Pyreddy accept Medicare?
- Pavan Pyreddy is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Pavan Pyreddy's NPI active?
- Yes — Pavan Pyreddy's NPI (1255450532) is active in the NPPES registry as of the last update on 2024-02-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.