Doctor profile · Federal record

Dr. RAGHU IDUPUGANTI, DO

Anesthesiology Physician (CMS: ANESTHESIOLOGY) · MINEOLA, NY

  • NPI 1124051065
  • Accepts Medicare
  • MIPS 84.5 / 100 · 2023
  • 24 yrs in practice
  • Male
  • Group practice
  • No sanctions

Practice & contact

Operates at 2 locations .

NPPES Updated May 11, 2026
Primary practice
259 1ST ST
MINEOLA, NY 115013957
(516) 663-2216
Additional location
4802 10th Ave
Brooklyn, NY 112192916
(718) 283-8816
Mailing address
255 W MICHIGAN AVE
JACKSON, MI 492012218

Credentials & registration

NPPES · NUCC
NPI registered
July 2006 — 20 yrs on file
Profile last updated
August 29, 2022
Year of graduation
2002 — 24 yrs since
Specialty taxonomy
207L00000X — NUCC code
State license (1)
New York #238871

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1124051065. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
255
Distinct HCPCS
6
Medicare allowed
$51,560
HCPCS Description Services Patients Avg allowed
00731 Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 87 85 $205
00811 Anesthesia for other procedure on large bowel using an endoscope 50 49 $163
00813 Anesthesia for procedure on small and large bowel using an endoscope 44 44 $203
00520 Anesthesia for other closed procedure on chest 38 36 $237
00142 Anesthesia for lens surgery 18 18 $144
00732 Anesthesia for procedure on gallbladder, pancreas, or liver using an endoscope 18 17 $281

In context: peer comparison

Among 22 peers in this city , average services per provider: 103. This provider delivers 2.5× the peer median.