DR. RUMALI S. MEDAGODA (M.D.) – Pediatric Allergy/Immunology Physician, NPI 1396882536
Pediatric Allergy/Immunology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
201 ALLERGY/IMMUNOLOGY in MA
Provider Addresses for DR. RUMALI S. MEDAGODA (M.D.)
CENTRAL MASS ALLERGY
425 N LAKE AVE
WORCESTER, MA 016055702
Phone: (508) 757-1589
Fax: (918) 307-2454
Type: Mailing
South Mingo Road, Bixby, Tulsa, Oklahoma, 74008, United States
ALLERGY CLINIC OF TULSA
TULSA, OK 741335702
Phone: (918) 307-1613
Fax: (918) 307-2454
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 183 Open Payments records for all available years, with a total value of $4,496.
Total Amount is formed as General ($4,496) + Research ($0) + Ownership ($0) = $4,496.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($1,616).
Total Amount
$4,496
General + Research + Ownership
Payments
183
Total payment records
General Amount
$4,496
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $1,616 |
| Regeneron Healthcare Solutions, Inc. | $662 |
| Pharming Healthcare, Inc. | $391 |
| GlaxoSmithKline, LLC. | $385 |
| CSL Behring | $265 |
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: 2022-05-13
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 |
|---|---|---|---|---|
| I20220513001013 | I | Allergy/Immunology | MA | 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 |
|---|---|---|---|---|
| 95004 | Test for allergy using allergenic extract | 892 | 27 | $0 |
| 95024 | Test for allergy using allergenic extract injected into skin | 228 | 21 | $0 |
| 95018 | Test for allergy using combination of methods with drug or biological | 85 | 28 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 45 | 43 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 26 | 26 | $0 |
Insurance plans in this area (ZIP 01605)
Loading plans...
Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ALLERGY/IMMUNOLOGY | OK | 95117 | Injection of incremental dosages of allergen, 2 or more injections | 1000 | 270 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Allergy/Immunology, Pediatric Medicine | MA | |
| Physician Assistant | MA | |
| A L L E R G Y/ I M M U N O L O G Y | MA | |
| Allergy/Immunology, Internal Medicine | MA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.