Prathyusha Pagadala, MD
NPI 1265827406 · Endocrinology, Diabetes & Metabolism Physician · Kansas City, KS
Enrolled with Medicare as Practitioner - Endocrinology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prathyusha Pagadala, MD is a Endocrinology, Diabetes & Metabolism Physician provider in Kansas City, KS (NPI 1265827406).
Provider details
- NPI number
- 1265827406
- Entity type
- Individual
- Primary specialty
- Endocrinology, Diabetes & Metabolism PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 04-48210 (KS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
11 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
1,032 Medicare services, 2024 (ranked within specialty)
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 methodology.
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) |
|---|---|---|
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 316 | $15 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 205 | $9 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 184 | $116 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 107 | $164 |
| New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More99205 | 72 | $201 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 25 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Tirzepatidebrand: Mounjaro | 81 | 19 |
| Levothyroxine Sodium | 56 | 19 |
| Insulin Aspartbrand: Novolog Flexpen | 46 | 14 |
| Insulin Glargine,hum.rec.anlogbrand: Lantus Solostar | 42 | 20 |
| Semaglutidebrand: Ozempic | 40 | 14 |
| Glipizide | 35 | 14 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-04-04
- Last updated
- 2025-08-01
- Certified
- 2025-08-01
Frequently asked questions
- What is Prathyusha Pagadala's NPI number?
- Prathyusha Pagadala's National Provider Identifier (NPI) is 1265827406, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Prathyusha Pagadala's specialty?
- Prathyusha Pagadala is listed in the NPPES registry with a primary specialty of Endocrinology, Diabetes & Metabolism Physician (Allopathic & Osteopathic Physicians).
- Where is Prathyusha Pagadala located?
- Prathyusha Pagadala's practice location on file with NPPES is 2000 Olathe, Kansas City, KS 66160-2806.
- What is Prathyusha Pagadala's phone number?
- The practice phone number listed in the NPPES registry for Prathyusha Pagadala is (913) 588-6022.
- Does Prathyusha Pagadala accept Medicare?
- Prathyusha Pagadala is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Prathyusha Pagadala's NPI active?
- Yes — Prathyusha Pagadala's NPI (1265827406) is active in the NPPES registry as of the last update on 2025-08-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.