DR. PENUMETSA B RAJU (M.D.) – Psychiatry Physician, NPI 1184666539
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
304 PSYCHIATRY in IA
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Provider Addresses for DR. PENUMETSA B RAJU (M.D.)
2101, Kimball Avenue, Waterloo, Black Hawk County, Iowa, 50702, United States
LL14
WATERLOO, IA 507025063
Phone: (319) 272-1590
Fax: (319) 272-1535
Type: Mailing
2750, Saint Francis Drive, Waterloo, Black Hawk County, Iowa, 50702, United States
WATERLOO, IA 507025644
Phone: (319) 272-8922
Fax: (319) 272-8929
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $96.
Total Amount is formed as General ($96) + Research ($0) + Ownership ($0) = $96.
Last reported payment date: 2024-07-25 • Largest payer in this snapshot: ABBVIE INC. ($35).
Total Amount
$96
General + Research + Ownership
Payments
6
Total payment records
General Amount
$96
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-25
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2010-11-24
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 |
|---|---|---|---|---|
| I20101124000903 | I | Psychiatry | IA | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 218 | 129 | $0 |
| Q3014 | Telehealth originating site facility fee | 79 | 45 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 64 | 49 | $0 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 28 | 28 | $0 |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | 14 | 11 | $0 |
Insurance plans in this area (ZIP 50702)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PSYCHIATRY | IA | 90792 | Psychiatric diagnostic evaluation with medical services | 64 | 63 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IA | |
| Gastroenterology, Internal Medicine | IA | |
| Nurse Practitioner | IA | |
| - | IA | |
| Nurse Practitioner | IA | |
| Physician Assistant | IA | |
| - | IN | |
| Orthopedic Surgery | IA | |
| Family Practice | IA | |
| Family Practice | IA |
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