Prathibha Potharlanka, M.D.
NPI 1295761690 · Hospitalist Physician · Willingboro, NJ
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prathibha Potharlanka, M.D. is a Hospitalist Physician provider in Willingboro, NJ (NPI 1295761690).
Provider details
- NPI number
- 1295761690
- Entity type
- Individual
- Primary specialty
- Hospitalist PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 25MA07690100 (NJ)
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
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
584 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 | 299 | $122 |
| Subsequent Nursing Facility Care With Straightforward Level of Medical Decision Making, Per Day, If Using Time, 20 Minutes Or More99308 | 156 | $77 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 66 | $137 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 29 | $98 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 20 | $81 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 18 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 64 | 34 |
| Levothyroxine Sodium | 53 | 23 |
| Tirzepatidebrand: Mounjaro | 41 | — |
| Amlodipine Besylate | 36 | 22 |
| Empagliflozinbrand: Jardiance | 28 | 12 |
| Metoprolol Succinate | 27 | 11 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$33 across 2 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
- 2006-06-25
- Last updated
- 2016-09-06
Frequently asked questions
- What is Prathibha Potharlanka's NPI number?
- Prathibha Potharlanka's National Provider Identifier (NPI) is 1295761690, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Prathibha Potharlanka's specialty?
- Prathibha Potharlanka is listed in the NPPES registry with a primary specialty of Hospitalist Physician (Allopathic & Osteopathic Physicians).
- Where is Prathibha Potharlanka located?
- Prathibha Potharlanka's practice location on file with NPPES is 218 Sunset Rd, Willingboro, NJ 08046-1110.
- What is Prathibha Potharlanka's phone number?
- The practice phone number listed in the NPPES registry for Prathibha Potharlanka is (609) 835-2900.
- Does Prathibha Potharlanka accept Medicare?
- Prathibha Potharlanka is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Prathibha Potharlanka's NPI active?
- Yes — Prathibha Potharlanka's NPI (1295761690) is active in the NPPES registry as of the last update on 2016-09-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.