PRABHAKAR RUMALLA (M.D.) – Gastroenterology Physician, NPI 1669404943
Gastroenterology Physician
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Profile Insights
NPPES metrics only — not quality of care.
1,474 GASTROENTEROLOGY in FL
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Provider Addresses for PRABHAKAR RUMALLA (M.D.)
1901, Southeast 18th Avenue, Ocala, Marion County, Florida, 34471, United States
BLDG # 400
OCALA, FL 344718215
Phone: (352) 732-8905
Fax: (352) 732-2440
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 45 Open Payments records for all available years, with a total value of $1,499.
Total Amount is formed as General ($1,499) + Research ($0) + Ownership ($0) = $1,499.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: ABBVIE INC. ($573).
Total Amount
$1,499
General + Research + Ownership
Payments
45
Total payment records
General Amount
$1,499
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $573 |
| Boston Scientific Corporation | $157 |
| Phathom Pharmaceuticals, Inc. | $151 |
| Janssen Biotech, Inc. | $113 |
| Madrigal Pharmaceuticals | $112 |
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: 2010-09-23
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 |
|---|---|---|---|---|
| I20100923000423 | I | Gastroenterology | FL | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 93 | 87 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 83 | 82 | $0 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 63 | 63 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 60 | 52 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 48 | 48 | $0 |
Insurance plans in this area (ZIP 34471)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GASTROENTEROLOGY | FL | 43235 | Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope | 21 | 21 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| P A T H O L O G Y | FL | |
| - | FL | |
| - | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| Gastroenterology, Internal Medicine | FL | |
| Nurse Practitioner | VA | |
| Gastroenterology, Internal Medicine | FL |
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