Doctor profile · Federal record
Dr. Gautam Reddy, M.D.
Gastroenterology Physician (CMS: Gastroenterology) · Valley Stream, NY
- NPI 1235158585
- Accepts Medicare
- MIPS 75.0 / 100 · 2023
- 38 yrs in practice
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
210 E Sunrise Hwy, Ste. 304
Valley Stream, NY 115811329
(516) 825-8484
fax (516) 825-8491
Credentials & registration
- NPI registered
- July 2006 — 20 yrs on file
- Profile last updated
- July 8, 2007
- Year of graduation
- 1988 — 38 yrs since
- Specialty taxonomy
- 207RG0100X — NUCC code
- State license (1)
- New York #200237
- Medicaid
- NY #01918863
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1235158585. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
641
Distinct HCPCS
7
Medicare allowed
$108,312
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 288 | 225 | $151 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 160 | 160 | $134 | |
43239 |
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 61 | 61 | $145 | |
45380 |
Biopsy of large bowel using a flexible endoscope | 48 | 48 | $203 | |
45378 |
Diagnostic exam of large bowel using a flexible endoscope | 43 | 43 | $221 | |
43239 |
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 24 | 24 | $428 | |
45385 |
Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 17 | 17 | $303 |
In context: peer comparison
Among 2 peers in this city , average services per provider: 92. This provider delivers 7.0× the peer median.Open Payments
Industry payments received
All-time total
$10,746
Transactions
125
Manufacturers
15
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| E.R. Squibb & Sons, L.L.C. | 8 | $7,183.26 | |
| Celgene Corporation | 17 | $924.16 | |
| ABBVIE INC. | 37 | $910.12 | |
| GENZYME CORPORATION | 14 | $347.38 | |
| PFIZER INC. | 11 | $227.34 | |
| Madrigal Pharmaceuticals | 1 | $137.07 | |
| Janssen Biotech, Inc. | 5 | $131.07 | |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | 5 | $111.56 | |
| Phathom Pharmaceuticals, Inc. | 4 | $106.07 | |
| Ardelyx, Inc. | 5 | $103.58 | |
| Takeda Pharmaceuticals U.S.A., Inc. | 4 | $86.77 | |
| Intra-Sana Laboratories | 4 | $86.29 | |
| VIVUS LLC | 4 | $83.91 | |
| QOL Medical, LLC | 3 | $83.60 | |
| Lilly USA, LLC | 3 | $68.42 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
1,250
Patients
635
Total drug cost
$600,297
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Pantoprazole Sodium | Generic | 407 | 181 | $6,302 |
| Omeprazole | Generic | 324 | 147 | $5,581 |
| Sod Sulf-Potass Sulf-Mag Sulf (Sodium, Potassium,mag Sulfates) | Brand | 143 | 139 | $10,856 |
| Linzess (Linaclotide) | Brand | 67 | 23 | $65,969 |
| Famotidine | Generic | 58 | 35 | $1,056 |
| Dicyclomine Hcl | Generic | 43 | 25 | $2,375 |
| Clenpiq (Sod Picosulf/Mag Ox/Citric Ac) | Brand | 40 | 40 | $7,072 |
| Sucralfate | Generic | 32 | 20 | $1,714 |
| Xifaxan (Rifaximin) | Brand | 26 | 0 | $99,012 |
| Humira(Cf) Pen (Adalimumab) | Brand | 25 | 0 | $393,551 |
Hospital affiliations
Frequently asked questions
What is Dr. Gautam Reddy's medical specialty?
Dr. Gautam Reddy practices Gastroenterology Physician in Valley Stream, NY.
Where does Dr. Gautam Reddy practice?
Dr. Gautam Reddy practices at 210 E Sunrise Hwy, Valley Stream, NY 115811329. Office phone: 5168258484.
What is Dr. Gautam Reddy's NPI?
Dr. Gautam Reddy's National Provider Identifier (NPI) is 1235158585, issued by NPPES.
Does Dr. Gautam Reddy accept Medicare assignment?
Yes. Dr. Gautam Reddy accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Gautam Reddy commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); New patient office or other outpatient visit (HCPCS 99203); Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS 43239). Source: CMS Medicare Physician & Other Practitioners file.