Active NPI 1326273665 Individual Practitioner Male Practitioner

Dr. Hrishikesh Subhash Nerkar , MD

Surgery • Modesto, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Hrishikesh Nerkar, MD is a certified Surgery practicing in Modesto, CA. With approximately 22 years of clinical experience since completing medical education in 2004, Dr. Nerkar delivers high-quality medical care to the local community at 1409 E BRIGGSMORE AVE.

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

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, follow-up hospital inpatient care per day. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1409 E Briggsmore Ave

Modesto, CA 953552707

Telephone 2095504725

Associated Practice Facility / Clinic

🏢 Sutter Gould Medical Foundation Facility NPI 1255378873

Medicare Profile & Education

Medical School

Other

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Modesto, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

22 Yrs -2.3 yrs vs City Avg

City Avg: 24.3 Yrs

State Avg: 27.4 Yrs

Regional Practice Density

36 Specialists

Practicing in Modesto, CA (3346 Statewide)

Telehealth Adoption Rate

19.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

73.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Nerkar (22 Years) 22 Yrs

Modesto Specialty Average (24.3 Years) 24.3 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	48	48	$542.00	$169.53
99213 Established patient office or other outpatient visit, typically 15 minutes	42	34	$243.00	$92.88
99231 Follow-up hospital inpatient care per day, typically 15 minutes	40	21	$131.00	$47.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	34	$357.00	$130.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$358.00	$113.41
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	28	27	$663.00	$170.97
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	22	22	$682.00	$222.97
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	21	16	$238.00	$75.16
47562 Removal of gallbladder using an endoscope	19	19	$2823.16	$636.32
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	18	$479.00	$176.38
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$450.00	$123.95
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	13	13	$74.00	$24.51
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$152.00	$58.33
49650 Repair of groin hernia using an endoscope	11	11	$1870.64	$388.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	45	35	$234.00	$93.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$521.00	$167.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	32	$343.00	$130.50
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	30	30	$656.00	$226.75
47562 Removal of gallbladder using an endoscope	28	28	$2689.53	$648.32
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	24	$461.00	$185.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$344.00	$115.98
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	22	22	$663.00	$174.63
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$450.00	$132.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	38	30	$227.00	$94.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$506.00	$173.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	28	$333.00	$131.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$334.00	$116.30
99231 Follow-up hospital inpatient care per day, typically 15 minutes	26	13	$128.00	$39.08
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	23	23	$631.00	$228.60
47562 Removal of gallbladder using an endoscope	20	20	$2548.98	$654.01
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	17	$448.00	$187.85
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	15	12	$233.00	$72.41
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$650.00	$201.29

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	44	44	$324.00	$116.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$491.00	$171.24
99213 Established patient office or other outpatient visit, typically 15 minutes	27	24	$220.00	$96.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	22	$323.00	$135.93
99231 Follow-up hospital inpatient care per day, typically 15 minutes	23	15	$124.00	$39.39
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	20	$435.00	$189.63
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$424.00	$139.33
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	14	14	$613.00	$231.39
47562 Removal of gallbladder using an endoscope	13	13	$2380.00	$626.67
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$631.00	$205.52
46221 Removal of external hemorrhoids by rubber banding	13	12	$1061.00	$313.77
49650 Repair of groin hernia using an endoscope	12	12	$1713.54	$446.18
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$226.00	$76.79

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	63	63	$310.00	$113.20
99213 Established patient office or other outpatient visit, typically 15 minutes	30	28	$208.00	$79.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	24	$309.00	$114.68
47562 Removal of gallbladder using an endoscope	23	23	$2524.87	$670.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$470.00	$172.10
99231 Follow-up hospital inpatient care per day, typically 15 minutes	19	13	$116.00	$40.70
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$216.00	$80.31
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	13	11	$212.00	$75.53
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$591.00	$211.38
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$402.00	$143.48

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	95	95	$310.00	$110.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	30	$309.00	$111.89
99202 New patient office or other outpatient visit, typically 20 minutes	28	28	$216.00	$78.69
99213 Established patient office or other outpatient visit, typically 15 minutes	24	20	$208.00	$76.48
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$402.00	$138.20
47562 Removal of gallbladder using an endoscope	17	17	$2492.00	$610.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$470.00	$167.87
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$591.00	$204.62

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	92	92	$302.00	$110.75
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	23	$391.00	$138.43
99202 New patient office or other outpatient visit, typically 20 minutes	21	21	$210.00	$77.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$301.00	$111.44
47562 Removal of gallbladder using an endoscope	18	18	$2444.67	$660.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$458.00	$168.34
99213 Established patient office or other outpatient visit, typically 15 minutes	17	15	$202.00	$75.38

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	16	16	$248.49	$122.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$403.13	$184.04

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License CA A145738

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License NY 274426

Hospital & Practice Group Affiliations

Sutter Valley Medical Foundation

1700 Coffee Rd, Modesto, CA 953552803

Phone: 2095264500

Sutter Valley Medical Foundation

1409 E Briggsmore Ave, Modesto, CA 953552707

Phone: 2095241211

Sutter Valley Medical Foundation

2800 L St, Sacramento, CA 958165616

Secondary Practice Locations

1 Brookdale Plz, Dept Of Surgery

Brooklyn, NY 112123139

Phone: 7182406213

Practice Associates & Co-Workers

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

9 Associated Practitioners

Dr. Todd Smith , MD

Orthopaedic Surgery - Hand Surgery

NPI 1104875517

Doctor of Medicine (M.D.)

Yujen Huang , NP

Nurse Practitioner

NPI 1174890263

Nurse Practitioner

Sarah Shaheen , PHYSICIAN ASSISTANT

Physician Assistant

NPI 1235763228

PHYSICIANASSISTANT

Saman Latifi , PA

Physician Assistant

NPI 1407530546

Physician Assistant

Mark Madsen , PA

Physician Assistant

NPI 1407805757

Physician Assistant

Dr. William Whang , MD

Orthopaedic Surgery

NPI 1790734192

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

12 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Surgery (License #274426 in NY)

✅

NPI Profile Active December 04, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location December 04, 2017

Registered at 1409 E BRIGGSMORE AVE, MODESTO, CA 953552707 (Tel: 2095504725)

📍

Updated Business Mailing Address December 04, 2017

Registered at 600 COFFEE RD, MODESTO, CA 953554201 (Tel: 2095216097)

👤

Provider Name / Credentials Updated December 04, 2017

Recorded as HRISHIKESH NERKAR, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 04, 2017

Surgery (License #A145738 in CA)

✅

NPI Profile Active April 29, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location April 29, 2015

Registered at 1 BROOKDALE PLZ, DEPT OF SURGERY, BROOKLYN, NY 112123139 (Tel: 7182406213)

📍

Updated Business Mailing Address April 29, 2015

Registered at 1299 CORPORATE DR, APT 316, WESTBURY, NY 115906621 (Tel: 7182406213)

👤

Provider Name / Credentials Updated April 29, 2015

Recorded as HRISHIKESH NERKAR, M.B.B.S.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 29, 2015

Surgery (License #274426 in NY)

🟢

Initial NPI Registration & Enumeration May 15, 2009

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: 1326273665

Entity Type:

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

Enumeration Date: May 15, 2009

Last Update: March 17, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

600 Coffee Rd

Modesto, CA 953554201

Phone: 2095216097

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.