Umashankar Ballehaninna, M.D
NPI 1578721767 · Vascular Surgery Physician · Sayre, PA
Enrolled with Medicare as Practitioner - Vascular Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Umashankar Ballehaninna, M.D is a Vascular Surgery Physician provider in Sayre, PA (NPI 1578721767).
Provider details
- NPI number
- 1578721767
- Entity type
- Individual
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
18 yrs in NPPES registry
- Profile completeness25% of score
83% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
388 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) |
|---|---|---|
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 69 | $153 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 44 | $84 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 38 | $118 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 31 | $122 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 26 | $103 |
| Ultrasound Study of One Arm Or Leg Veins With Compression and Maneuvers |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 8 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Clopidogrel Bisulfatebrand: Clopidogrel | 31 | 24 |
| Cephalexin | 28 | 15 |
| Cilostazol | 27 | 15 |
| Naproxen | 24 | 13 |
| Alprazolam | 17 | — |
| Rosuvastatin Calcium | 15 | 12 |
| Cefpodoxime Proxetil | 12 | 11 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$5,494 across 54 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
- 2008-05-25
- Last updated
- 2021-03-04
- Certified
- 2021-03-04
Frequently asked questions
- What is Umashankar Ballehaninna's NPI number?
- Umashankar Ballehaninna's National Provider Identifier (NPI) is 1578721767, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Umashankar Ballehaninna's specialty?
- Umashankar Ballehaninna is listed in the NPPES registry with a primary specialty of Vascular Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Umashankar Ballehaninna located?
- Umashankar Ballehaninna's practice location on file with NPPES is 1 Guthrie Sq, Sayre, PA 18840-1625.
- What is Umashankar Ballehaninna's phone number?
- The practice phone number listed in the NPPES registry for Umashankar Ballehaninna is (570) 887-2848.
- Does Umashankar Ballehaninna accept Medicare?
- Umashankar Ballehaninna is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Umashankar Ballehaninna's NPI active?
- Yes — Umashankar Ballehaninna's NPI (1578721767) is active in the NPPES registry as of the last update on 2021-03-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.