PAVAN KUMAR PUNUKOLLU (M.D.) – Diagnostic Radiology Physician, NPI 1366402273
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,897 DIAGNOSTIC RADIOLOGY in MA
Provider Addresses for PAVAN KUMAR PUNUKOLLU (M.D.)
585 Lebanon St
Melrose, MA 021763225
Phone: (781) 979-3120
Type: Location
7211 Wellington Dr Ste 101
Knoxville, TN 379195968
Phone: (865) 588-8005
Fax: (886) 558-8800
Type: Location
13813 Metro Pkwy
Fort Myers, FL 339124343
Phone: (855) 674-4624
Type: Location
2527, Cranberry Highway, Wareham Center, Wareham, Plymouth County, Massachusetts, 02571, United States
WAREHAM, MA 025711046
Phone: (800) 841-5200
Fax: (508) 273-1241
Type: Mailing
Lawrence General Hospital, 1, General Street, Lawrence, Essex County, Massachusetts, 01842, United States
LAWRENCE, MA 018412961
Phone: (978) 683-4000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $89.
Total Amount is formed as General ($89) + Research ($0) + Ownership ($0) = $89.
Last reported payment date: 2024-03-30 • Largest payer in this snapshot: Penumbra, Inc. ($89).
Total Amount
$89
General + Research + Ownership
Payments
1
Total payment records
General Amount
$89
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Penumbra, Inc. | $89 |
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: 2026-03-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 6 Medicare enrollment records; no due dates published yet.
Enrollment records
6
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 |
|---|---|---|---|---|
| I20170821001115 | I | Diagnostic Radiology | FL | TBD |
| I20180319000218 | I | Diagnostic Radiology | MA | TBD |
| I20241115002099 | I | Diagnostic Radiology | PA | TBD |
| I20250117002550 | I | Diagnostic Radiology | TX | TBD |
| I20251020000755 | I | Diagnostic Radiology | SC | TBD |
| I20260311002096 | I | Diagnostic Radiology | TN | 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 |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 540 | 419 | $0 |
| 71046 | X-ray of chest, 2 views | 230 | 227 | $0 |
| 70450 | Ct scan head or brain without contrast | 190 | 179 | $0 |
| 77063 | Screening 3d breast mammography | 131 | 131 | $0 |
| 77067 | Screening mammography | 131 | 131 | $0 |
Insurance plans in this area (ZIP 02176)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | FL | 71010 | X-ray of chest, 1 view, front | 444 | 381 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Pulmonary Disease, Internal Medicine | PA | |
| Internal Medicine | PA | |
| Internal Medicine, Hospitalist | NY | |
| - | PA | |
| Diagnostic Radiology | PA | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | IL | |
| Cardiovascular Disease (Cardiology), Critical Care (Intensivists) | PA | |
| Physician Assistant | DE | |
| Cardiovascular Disease (Cardiology), Internal Medicine, Interventional Cardiology | PA | |
| Certified Registered Nurse Anesthetist (Crna) | PA |
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