DR. PENCHALA SWAMY MITTADODLA (MD) – Pulmonary Disease Physician, NPI 1720219397
Pulmonary Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
127 PULMONARY DISEASE in AR
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Provider Addresses for DR. PENCHALA SWAMY MITTADODLA (MD)
Rife Medical Lane, Rogers, Benton County, Arkansas, 72758, United States
STE 200
ROGERS, AR 727581452
Phone: (479) 338-3080
Fax: (479) 338-3089
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 109 Open Payments records for all available years, with a total value of $16,843.
Total Amount is formed as General ($16,843) + Research ($0) + Ownership ($0) = $16,843.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($14,622).
Total Amount
$16,843
General + Research + Ownership
Payments
109
Total payment records
General Amount
$16,843
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $14,622 |
| Merck Sharp & Dohme LLC | $273 |
| AstraZeneca Pharmaceuticals LP | $216 |
| United Therapeutics Corporation | $206 |
| Monaghan Medical Corporation | $163 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2015-08-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150824001262 | I | Pulmonary Disease | AR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 144 | 88 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 141 | 79 | $0 |
| 94726 | Test to determine lung volumes using sensors | 114 | 113 | $0 |
| 94729 | Test to examine how well the lungs exchange gases | 112 | 111 | $0 |
| 94060 | Test to measure expiratory airflow and volume changes before and after medication administration | 112 | 111 | $0 |
Insurance plans in this area (ZIP 72758)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PULMONARY DISEASE | AR | 31500 | Emergent insertion of breathing tube into windpipe cartilage using an endoscope | 15 | 15 |
| PULMONARY DISEASE | AR | 94060 | Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration | 128 | 127 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | AR | |
| Internal Medicine, Cardiovascular Disease (Cardiology) | MO | |
| Nurse Practitioner | AR | |
| Internal Medicine, General Practice | AR | |
| - | AR | |
| R H E U M A T O L O G Y | AR | |
| - | AR | |
| - | AR | |
| - | AR | |
| Nurse Practitioner | AR |
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