PRITHVIRAJ RAJARAM CHAVAN M.D.
NPI 1245201151
Orthopaedic Surgery in Greenville, AL
NPI Status: Active since January 30, 2006
Contact Information
300 N COLLEGE ST
GREENVILLE, AL
ZIP 36037
Phone: (334) 382-1237
Fax: (334) 382-1239
- Individual
- Male
- Orthopaedic Surgery
- Accepts Insurance
- PECOS Enrolled
- Medicare Quality Reporting
About PRITHVIRAJ CHAVAN
This page provides the complete NPI Profile along with additional information for Prithviraj Chavan, a provider established in Greenville, Alabama with a medical specialization in Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1245201151 assigned on January 2006. The practitioner's primary taxonomy code is 207X00000X with license number MD29830 (AL). The provider is registered as an individual and his NPI record was last updated 8 years ago.
- NPI
- 1245201151
- Provider Name
- PRITHVIRAJ RAJARAM CHAVAN M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 300 N COLLEGE ST GREENVILLE, AL 36037
- Location Phone
- (334) 382-1237
- Location Fax
- (334) 382-1239
- Mailing Address
- 300 N COLLEGE ST GREENVILLE, AL 36037
- Mailing Phone
- (334) 382-1237
- Mailing Fax
- (334) 382-1239
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-30-2006
- Last Update Date
- 10-19-2017
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Orthopaedic Surgery
- Taxonomy Code
- 207X00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD29830
- License State
- AL
- Taxonomy Description
- An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207X00000X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | 35.097300 (OH) |
| 2 | 207X00000X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | 01066030A (IN) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue HSA Bronze - PPO
- Blue Protect - PPO
- Blue Saver Bronze - PPO
- Blue Value Gold - PPO
- Blue Value Silver - PPO
- Blue Access Gold for Business - PPO
- Blue Choice Platinum for Business - PPO
- Blue HSA Silver for Business - PPO
- Blue Saver Bronze for Business - PPO
- Blue Saver Gold for Business - PPO
- Blue Secure Gold for Business - PPO
- Blue Secure Silver for Business - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1871003533 | OTHER (01) | GROUP NPI | |
| I46262 | MEDICARE UPIN (02) | AL | |
| 511-15632 | OTHER (01) | AL | BLUECROSS/BLUESHIELD |
| 129162 | MEDICAID (05) | AL | |
| 6461214 | OTHER (01) | AL | CIGNA |
| 102I208405 | MEDICARE PIN (08) | AL |
Medicare Participation & PECOS Enrollment Status
Prithviraj Chavan is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
This service was performed 33 times for 17 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 36037 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $81.9
- Minimum New Patient Price $52.65
- Maximum New Patient Price $161.63
- Average New Patient Copayment $20.47
- Minimum New Patient Copayment $13.16
- Maximum New Patient Copayment $40.4
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $66.08
- Minimum Established Patient Price $16.56
- Maximum Established Patient Price $131.65
- Average Established Patient Copayment $16.52
- Minimum Established Patient Copayment $4.14
- Maximum Established Patient Copayment $32.91
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
MIPS Quality Measures
The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.
| Quality Measure | Performance | Number of Patients |
|---|
Reviews for PRITHVIRAJ RAJARAM CHAVAN M.D.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 4 | 5 | 2 | 0 | 1 | 1 | 5 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 8 | 5 | 4 | 0 | 2 | 1 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 8 + 5 + 4 + 0 + 2 + 1 + 1 + 0 + 24 = 49 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 49 = 1 | 1 | ||||||||
The NPI number 1245201151 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 17 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1467454421 | DR. ROGER H SMITH D.O. Individual | Family Medicine | 300 N COLLEGE ST GREENVILLE, AL 36037 (334) 382-2681 |
| 1124257837 | DR. SHELDON R. KUSHNER M.D., FACOG Individual | Obstetrics & Gynecology (Gynecology) | 300 N COLLEGE ST GREENVILLE, AL 36037 (334) 382-2681 |
| 1649530932 | STACEY ENGLISH WHITE CRNP Individual | Nurse Practitioner | 300 N COLLEGE ST GREENVILLE, AL 36037 (334) 382-1237 |
| 1700222478 | EMG SOLUTIONS, LLC Organization | Physical Therapist (Electrophysiology, Clinical) | 300 N COLLEGE ST SUITE 2-B GREENVILLE, AL 36037 (334) 382-2681 |
| 1851331128 | DANNY TRAMMEL HOOD MD Individual | Internal Medicine | 300 N COLLEGE ST GREENVILLE, AL 36037 (334) 382-2681 |
| 1659453074 | GARY CLAYTON HARRINGTON M.D. Individual | Surgery | 300 N COLLEGE ST GREENVILLE, AL 36037 (334) 382-2681 |
| 1144468851 | MRS. JESSICA GREGORY CAMPBELL CRNP Individual | Nurse Practitioner (Family) | 300 N COLLEGE ST GREENVILLE, AL 36037 (334) 382-2681 |
| 1710293881 | DR. GARY MEADE RICHARDSON M.D. Individual | General Practice | 300 N COLLEGE ST GREENVILLE, AL 36037 (334) 382-2681 |
| 1811371875 | PAMELA INGRAM FNP-C Individual | Nurse Practitioner (Family) | 300 N COLLEGE ST GREENVILLE, AL 36037 (334) 382-1237 |
| 1881036473 | MR. KRISTOPHER NATHAN ADAMS CRNP Individual | Nurse Practitioner (Family) | 300 N COLLEGE ST GREENVILLE, AL 36037 (334) 382-2681 |
| 1104065267 | MRS. MELINDA FAYE GIBSON CRNP Individual | Nurse Practitioner (Pediatrics) | 300 N COLLEGE ST GREENVILLE, AL 36037 (334) 382-2681 |
| 1730181819 | STABLER CLINIC, P.C. Organization | Otolaryngology | 300 N COLLEGE ST GREENVILLE, AL 36037 (334) 382-2681 |
| 1194258319 | KRISTEN BEVERLY NP Individual | Nurse Practitioner (Family) | 300 N COLLEGE ST GREENVILLE, AL 36037 (334) 382-2681 |
| 1669409629 | DR. RAMANA KUMAR PUPPALA M.D. Individual | Obstetrics & Gynecology (Gynecology) | 300 N COLLEGE ST GREENVILLE, AL 36037 (334) 382-1015 |
| 1427400035 | RICHARD GIOVANE M.D. Individual | Family Medicine | 300 N COLLEGE ST GREENVILLE, AL 36037 (334) 382-2681 |
| 1871003533 | LV STABLER PRIMARY CARE LLC Organization | Surgery | 300 N COLLEGE ST GREENVILLE, AL 36037 (334) 382-2681 |
| 1124730437 | MRS. OLIVIA ASHURST COCKRELL Individual | Physician Assistant (Medical) | 300 N COLLEGE ST GREENVILLE, AL 36037 (334) 382-2681 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245201151, enumerated in the NPI registry as an "individual" on January 30, 2006
The provider is located at 300 N College St Greenville, Al 36037 and the phone number is (334) 382-1237
The provider's speciality is Orthopaedic Surgery with taxonomy code 207X00000X
The provider might be accepting Accepts: Blue Cross and Blue Shield of Alabama, Medicare,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $81.9 with an average copayment of $20.47 for new patient appointments. Established patients should expect a typical charge of $66.08 and an average copayment of 16.52. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional.
This NPI record was last updated on January 30, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.