Active NPI 1477539310 Individual Practitioner Male Practitioner

Dr. Hamid Reza Amirsheybani , MD

Plastic Surgery • Modesto, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Hamid Amirsheybani, MD is a certified Plastic Surgery practicing in Modesto, CA. With approximately 35 years of clinical experience since completing medical education in 1991, Dr. Amirsheybani delivers high-quality medical care to the local community at 600 COFFEE RD.

Dr. Amirsheybani is affiliated with Sutter Valley Medical Foundation and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

600 Coffee Rd

Modesto, CA 953554201

Telephone 2095491200

Associated Practice Facility / Clinic

🏢 Sutter Gould Medical Foundation Facility NPI 1285886515

Medicare Profile & Education

Medical School

Other

Graduation Year

1991

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Modesto, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

35 Yrs +12.5 yrs vs City Avg

City Avg: 22.5 Yrs

State Avg: 26.9 Yrs

Regional Practice Density

8 Specialists

Practicing in Modesto, CA (941 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

72.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Amirsheybani (35 Years) 35 Yrs

Modesto Specialty Average (22.5 Years) 22.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$542.00	$169.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$358.00	$113.44
11641 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	23	21	$1009.00	$160.48
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	18	$152.00	$58.32
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	20	18	$626.00	$294.38
99213 Established patient office or other outpatient visit, typically 15 minutes	19	18	$243.00	$93.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	16	$357.00	$131.21
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$252.00	$74.02
11601 Removal of malignant growth (0.6 to 1.0 centimeters) of the trunk, arms, or legs	12	11	$979.00	$168.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	68	68	$521.00	$171.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	35	$343.00	$132.71
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	28	26	$596.00	$297.89
11641 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	25	24	$961.00	$136.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$344.00	$116.00
99213 Established patient office or other outpatient visit, typically 15 minutes	21	19	$234.00	$93.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	12	$145.00	$59.16
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	12	11	$506.00	$282.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11641 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	34	28	$920.00	$163.82
99202 New patient office or other outpatient visit, typically 20 minutes	33	33	$233.00	$76.37
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	27	$139.00	$59.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$334.00	$116.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$506.00	$172.53
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	27	23	$584.00	$305.48
99213 Established patient office or other outpatient visit, typically 15 minutes	25	23	$227.00	$94.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	13	$333.00	$133.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$324.00	$117.54
99202 New patient office or other outpatient visit, typically 20 minutes	49	49	$226.00	$76.72
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	26	$135.00	$59.35
11641 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	29	26	$920.00	$199.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	21	$323.00	$130.39
99213 Established patient office or other outpatient visit, typically 15 minutes	21	20	$220.00	$92.08
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	15	15	$550.00	$306.22
11640 Removal of malignant growth (0.5 centimeters or less) of the face, ears, eyelids, nose, or lips	14	13	$781.00	$158.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$491.00	$175.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	54	54	$310.00	$113.33
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	29	28	$524.00	$292.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$470.00	$166.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	23	$309.00	$114.84
11641 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	23	22	$920.00	$155.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	18	$132.00	$48.06
99213 Established patient office or other outpatient visit, typically 15 minutes	19	16	$208.00	$79.20
11970 Replacement of tissue expander with permanent prosthesis	18	17	$3172.22	$476.32
19371 Removal of capsule surrounding breast	16	16	$3945.25	$1044.50
11640 Removal of malignant growth (0.5 centimeters or less) of the face, ears, eyelids, nose, or lips	15	13	$781.00	$138.33
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$216.00	$80.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	67	67	$216.00	$79.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$470.00	$167.18
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	25	$132.00	$47.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$310.00	$112.58
11641 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	29	27	$920.00	$186.68
99213 Established patient office or other outpatient visit, typically 15 minutes	19	15	$208.00	$77.64
11640 Removal of malignant growth (0.5 centimeters or less) of the face, ears, eyelids, nose, or lips	17	17	$781.00	$207.75
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	16	16	$524.00	$280.89
19318 Breast reduction	12	12	$4096.00	$1614.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	66	66	$210.00	$77.63
11641 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	32	28	$895.00	$207.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$458.00	$168.27
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	23	$128.00	$45.62
99213 Established patient office or other outpatient visit, typically 15 minutes	17	17	$202.00	$72.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$302.00	$105.14
11641 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	15	12	$895.00	$107.32
11640 Removal of malignant growth (0.5 centimeters or less) of the face, ears, eyelids, nose, or lips	13	11	$760.00	$142.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	60	60	$205.00	$76.37
11641 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	24	22	$876.00	$211.95
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$447.00	$168.30
99213 Established patient office or other outpatient visit, typically 15 minutes	21	17	$197.00	$75.65
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	19	$125.00	$45.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$295.00	$111.47
19340 Insertion of breast prosthesis at time of breast repositioning, removal or reconstruction	15	13	$3568.00	$1309.07
11640 Removal of malignant growth (0.5 centimeters or less) of the face, ears, eyelids, nose, or lips	14	14	$744.00	$201.94

Medical Specialties & State Licenses

Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License CA 00A743440

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

00A743440 (CA)

Hospital & Practice Group Affiliations

Sutter Valley Medical Foundation

1700 Coffee Rd, Modesto, CA 953552803

Phone: 2095264500

Sutter Valley Medical Foundation

600 Coffee Rd, Modesto, CA 953554201

Phone: 2095241211

Secondary Practice Locations

1401 Spanos Ct, Suite 125

Modesto, CA 953552810

Phone: 2095504788

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Dr. Radha Chirumamilla , MD

Hospitalist

NPI 1003008590

Doctor of Medicine (M.D.)

Dr. Cyrus Rabii , MD

Emergency Medicine

NPI 1003074345

Doctor of Medicine (M.D.)

Dr. Ronald Jensen , DPM

Podiatrist

NPI 1003866344

Doctor of Podiatric Medicine

Dr. Wallace Carroll , MD

Allergy & Immunology - Allergy

NPI 1003874124

Doctor of Medicine (M.D.)

Dr. Pallavi Sharma , MD

Family Medicine

NPI 1013009125

Doctor of Medicine (M.D.)

Dr. Swe Than , MD, PhD

Internal Medicine

NPI 1013368885

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

📍

Updated Practice Location April 30, 2018

Registered at 600 COFFEE RD, MODESTO, CA 953554201 (Tel: 2095491200)

✅

NPI Profile Active June 01, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location June 01, 2011

Registered at 1401 SPANOS CT, SUITE 125, MODESTO, CA 953552810 (Tel: 2095504788)

📍

Updated Business Mailing Address June 01, 2011

Registered at 600 COFFEE RD, MODESTO, CA 953554201 (Tel: 2095241211)

👤

Provider Name / Credentials Updated June 01, 2011

Recorded as HAMID AMIRSHEYBANI, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 01, 2011

Plastic Surgery (License #00A743440 in CA)

🟢

Initial NPI Registration & Enumeration December 22, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1477539310

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: December 22, 2005

Last Update: April 30, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

600 Coffee Rd

Modesto, CA 953554201

Phone: 2095491200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.