Umashankar K. Ballehaninna, M.D
Vascular Surgery Physician · Sayre, PA
Umashankar K. Ballehaninna, M.D is a vascular surgery physician with a practice address in Sayre, Pennsylvania, and NPI 1578721767, issued on May 25, 2008. Check the license (Pennsylvania MD458572, as entered in NPPES) on the Pennsylvania Department of State (PALS); the Medicare figures below come from public CMS files.
- Name
- Umashankar K. Ballehaninna
- Credential
- M.D
- Primary taxonomy
- Vascular Surgery Physician 2086S0129X
- License number
- MD458572 PA
Self-reported in NPPES; status is on the state search - Practice location
- 1 Guthrie SQ, Sayre, PA 18840
- Phone
- (570) 887-2848
- Enumerated
- May 25, 2008
- Record last updated
- Mar 4, 2021 (not updated in 5 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20240208002908); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest vascular surgery physician records → All 272 in Pennsylvania → Look up another NPI →
Also registered at 1 Guthrie SQ
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Mubashir Abbas, MDStudent in an Organized Health Care Education/Training Program1184418352
- Basit Achakzai, MDVascular & Interventional Radiology Physician1780903278
- Kasarah Ackerman, DOEmergency Medicine Physician1023671534
- Adeolu Adeboye, MDSurgery Physician1225566086
- Vineet Agrawal, M.D.Urology Physician1932540218
- Cristina Aguilar, MDAnatomic Pathology & Clinical Pathology Physician1578856175
Verify Umashankar K. Ballehaninna in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersPennsylvania Department of State (PALS)
Search for license MD458572Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
8% more Medicare Part D claims than the average vascular surgery physician in 2024
217 Medicare Part D claims for 91 beneficiaries, against an average of 201 among the 3,936 providers of this specialty who prescribed in Part D. Brand-name drugs were 6% of claims.
Most prescribed
- Clopidogrel31 claims
- Cephalexin28 claims
- Cilostazol27 claims
- Naproxen24 claims
- Alprazolam17 claims
- Rosuvastatin Calcium15 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 82.9 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $5,494.32
54 payments; by number, the most common kind was food and beverage; the largest payer was Endologix LLC. The 4,059 providers of this specialty with any payment received $6,178.00 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Innovative Vascular, PLLCLenoir City, TN
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Umashankar K. Ballehaninna among 272 vascular surgery physician records in Pennsylvania
Umashankar K. Ballehaninna, M.D is one of 272 vascular surgery physician records with a practice address in Pennsylvania. 83% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2008, is newer than 54% of them.
- NPI issued2008 · 54% of these records are older, 39% newer
- In a Medicare fileYes · 83% of these records are
- In the CMS Doctors and Clinicians fileYes · 71% of these records are
- Graduated2003 · median 2005 among the 193 with a school on file
- Record last updated2021 · 56% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 2086S0129X and a Pennsylvania practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Vascular Surgery Physician providers in Pennsylvania
There are 272 vascular surgery physician records in Pennsylvania.
All 272 in Pennsylvania → Every provider in Sayre → Vascular Surgery Physician nationwide →
The 8 vascular surgery physician records with the nearest ZIP codes
- Amber Hussain, DOSayre, PA 188401356737860
- Lawrence Sampson, M.D.Sayre, PA 188401053385583
- Paul Foley, MDDoylestown, PA 189011326191768
- Atul Rao, M.D.Doylestown, PA 189011366607541
- Eric Olivero, MDSellersville, PA 189601023213204
- Christopher Demaioribus, MDWilkes Barre, PA 187111447310362
- David Mariner, M.D.Wilkes Barre, PA 187111538120175
- Shivprasad Nikam, M.D.Wilkes Barre, PA 187111740407634
Common questions
What is Umashankar K. Ballehaninna, M.D's NPI number?
Umashankar K. Ballehaninna, M.D's National Provider Identifier (NPI) is 1578721767, issued on May 25, 2008. An NPI identifies a provider in billing; it is not a license.
Where is Umashankar K. Ballehaninna, M.D located?
The NPPES record lists a practice address at 1 Guthrie SQ, Sayre, PA, 18840. Phone: (570) 887-2848. Providers update this record themselves, so call before visiting.
How can I verify Umashankar K. Ballehaninna, M.D's license?
NPPES lists Pennsylvania license number MD458572, as entered by the provider. Search the Pennsylvania Department of State (PALS) at https://www.pals.pa.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Umashankar K. Ballehaninna, M.D prescribe under Medicare Part D?
In 2024, Umashankar K. Ballehaninna, M.D had 217 Medicare Part D claims for 91 beneficiaries; the average among vascular surgery physician prescribers was 201. Part D covers Medicare prescriptions only.
What is Umashankar K. Ballehaninna, M.D's MIPS final score?
The 2023 MIPS final score is 82.9 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.