Active NPI 1235191354 Individual Practitioner Male Practitioner

Dr. Nikhil Shah , MD

General Practice • Dunnellon, FL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Nikhil Shah, MD is a certified General Practice practicing in Dunnellon, FL. With approximately 49 years of clinical experience since completing medical education in 1977, Dr. Shah delivers high-quality medical care to the local community at 20281 E PENNSYLVANIA AVE.

Dr. Shah accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include chronic care management services, first, established patient outpatient office visit, insertion of needle into vein for collection of blood sample. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

20281 E Pennsylvania Ave

Dunnellon, FL 344326037

Telephone 3524893030

Medicare Profile & Education

Medical School

Other

Graduation Year

1977

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Dunnellon, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

49 Yrs +16.3 yrs vs City Avg

City Avg: 32.7 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

3 Specialists

Practicing in Dunnellon, FL (2490 Statewide)

Telehealth Adoption Rate

33.3% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

31.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Shah (49 Years) 49 Yrs

Dunnellon Specialty Average (32.7 Years) 32.7 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
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	1,088	147	$75.00	$60.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	821	242	$159.96	$124.62
36415 Insertion of needle into vein for collection of blood sample	820	252	$15.00	$8.65
99213 Established patient office or other outpatient visit, typically 15 minutes	331	155	$110.00	$88.19
99497 Advance care planning, first 30 minutes	220	218	$95.00	$79.99
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	208	208	$140.00	$125.64
G0444 Annual depression screening, 5 to 15 minutes	205	204	$20.00	$17.97
99442 Telephone medical discussion with physician, 11-20 minutes	68	53	$100.29	$87.69
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	63	59	$55.00	$6.02
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	62	58	$15.00	$7.88
99495 Transitional care management services for problem of at least moderate complexity	35	28	$225.00	$199.02
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	23	23	$450.00	$119.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$200.00	$164.25
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	17	17	$200.00	$159.95
93880 Ultrasound of both sides of head and neck blood flow	13	13	$275.00	$140.86
99496 Transitional care management services for problem of high complexity	13	12	$300.00	$268.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	1,157	183	$75.00	$61.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	817	248	$160.12	$125.21
36415 Insertion of needle into vein for collection of blood sample	792	253	$15.00	$8.40
99213 Established patient office or other outpatient visit, typically 15 minutes	370	164	$104.16	$88.40
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	199	199	$140.00	$125.73
G0444 Annual depression screening, 5 to 15 minutes	196	196	$20.00	$17.70
99497 Advance care planning, first 30 minutes	185	184	$95.00	$81.21
99442 Telephone medical discussion with physician, 11-20 minutes	85	52	$100.00	$65.52
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	60	55	$55.00	$6.14
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	60	55	$15.00	$8.05
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	39	38	$450.00	$121.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$200.00	$164.35
99495 Transitional care management services for problem of at least moderate complexity	33	25	$225.00	$187.57
93880 Ultrasound of both sides of head and neck blood flow	27	27	$275.00	$145.00
99496 Transitional care management services for problem of high complexity	21	19	$300.00	$269.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$140.00	$110.86
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	12	11	$130.00	$50.61
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$200.00	$161.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	1,369	203	$75.00	$62.71
36415 Insertion of needle into vein for collection of blood sample	824	254	$15.00	$2.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	807	243	$159.95	$126.68
99213 Established patient office or other outpatient visit, typically 15 minutes	314	142	$100.00	$89.83
G0444 Annual depression screening, 5 to 15 minutes	224	224	$20.00	$17.84
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	220	220	$140.00	$128.51
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	98	92	$15.00	$8.26
99442 Telephone medical discussion with physician, 11-20 minutes	98	69	$100.00	$72.30
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	97	91	$55.00	$5.96
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	43	43	$450.00	$125.48
99495 Transitional care management services for problem of at least moderate complexity	39	27	$225.00	$193.91
93880 Ultrasound of both sides of head and neck blood flow	19	17	$275.00	$148.76
99496 Transitional care management services for problem of high complexity	19	19	$300.00	$274.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$200.00	$167.40
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	16	12	$80.00	$40.36
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	13	13	$280.00	$139.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	1,312	201	$50.00	$40.65
36415 Insertion of needle into vein for collection of blood sample	741	253	$15.00	$3.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	636	226	$153.49	$129.70
99213 Established patient office or other outpatient visit, typically 15 minutes	271	150	$98.28	$91.32
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	242	242	$140.00	$131.83
G0444 Annual depression screening, 5 to 15 minutes	240	240	$20.00	$18.25
99442 Telephone medical discussion with physician, 11-20 minutes	95	71	$97.68	$91.82
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	57	56	$15.00	$8.40
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	57	56	$55.26	$6.37
99495 Transitional care management services for problem of at least moderate complexity	39	37	$225.00	$204.14
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	34	34	$450.00	$129.11
99497 Advance care planning, first 30 minutes	30	30	$95.00	$85.52
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	25	18	$70.00	$40.64
93880 Ultrasound of both sides of head and neck blood flow	23	23	$275.00	$155.32
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	22	22	$70.00	$66.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$200.00	$169.08
G0008 Administration of influenza virus vaccine	22	22	$35.00	$16.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$140.00	$112.81
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	15	15	$196.00	$165.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	1,553	247	$50.00	$41.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	710	257	$139.80	$108.58
36415 Insertion of needle into vein for collection of blood sample	635	250	$15.00	$2.99
G0444 Annual depression screening, 5 to 15 minutes	267	267	$20.00	$17.82
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	261	261	$140.00	$114.71
99213 Established patient office or other outpatient visit, typically 15 minutes	154	102	$94.09	$72.82
99443 Telephone medical discussion with physician, 21-30 minutes	123	91	$124.15	$109.17
99442 Telephone medical discussion with physician, 11-20 minutes	37	33	$90.95	$74.60
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	37	37	$55.41	$8.35
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	36	36	$15.00	$8.68
G0008 Administration of influenza virus vaccine	31	31	$35.00	$16.57
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	29	14	$70.00	$40.38
99496 Transitional care management services for problem of high complexity	26	21	$300.00	$242.47
90653 Vaccine for influenza for injection into muscle	24	24	$70.00	$59.53
99423 Online digital evaluation and management service for an established patient for up to 7 days, total time 21 or more minutes	21	21	$137.86	$49.60
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	18	18	$450.00	$129.16
99495 Transitional care management services for problem of at least moderate complexity	16	15	$225.00	$180.08
99497 Advance care planning, first 30 minutes	15	15	$95.00	$86.06
93880 Ultrasound of both sides of head and neck blood flow	13	13	$275.00	$153.92
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	13	13	$195.38	$162.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$212.50	$166.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,056	294	$140.10	$108.37
36415 Insertion of needle into vein for collection of blood sample	1,010	306	$15.00	$2.94
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	917	117	$50.00	$41.51
99213 Established patient office or other outpatient visit, typically 15 minutes	379	181	$95.00	$73.98
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	271	271	$140.44	$115.68
G0444 Annual depression screening, 5 to 15 minutes	248	248	$20.00	$17.82
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	83	79	$54.70	$8.30
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	83	79	$15.00	$8.62
99497 Advance care planning, first 30 minutes	43	40	$95.00	$85.86
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	43	41	$450.00	$128.50
93880 Ultrasound of both sides of head and neck blood flow	32	32	$275.00	$155.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$140.00	$108.63
99495 Transitional care management services for problem of at least moderate complexity	22	19	$225.00	$163.03
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	22	14	$70.00	$40.77
99496 Transitional care management services for problem of high complexity	21	19	$300.00	$230.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$215.00	$165.11
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	13	13	$195.38	$163.91
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	11	11	$30.00	$26.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	1,289	176	$50.00	$40.50
36415 Insertion of needle into vein for collection of blood sample	1,284	331	$15.00	$2.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,115	323	$139.96	$103.32
99213 Established patient office or other outpatient visit, typically 15 minutes	709	268	$95.06	$70.04
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	282	282	$140.21	$111.34
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	149	131	$15.00	$8.29
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	149	131	$54.73	$7.91
99497 Advance care planning, first 30 minutes	131	130	$95.00	$81.68
Q2035 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria)	107	107	$35.00	$17.88
G0008 Administration of influenza virus vaccine	106	106	$35.00	$19.91
G0444 Annual depression screening, 5 to 15 minutes	86	86	$20.00	$17.05
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	49	49	$450.00	$126.67
93880 Ultrasound of both sides of head and neck blood flow	38	38	$275.00	$153.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$140.00	$104.68
99496 Transitional care management services for problem of high complexity	33	31	$251.52	$222.83
99495 Transitional care management services for problem of at least moderate complexity	32	27	$195.00	$157.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$215.00	$159.41
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	22	17	$70.00	$39.79
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	19	19	$193.68	$157.47
93925 Ultrasound of leg arteries or artery grafts	15	15	$325.00	$209.78
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	12	12	$280.00	$142.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	1,336	226	$50.00	$46.73
36415 Insertion of needle into vein for collection of blood sample	1,199	291	$15.00	$2.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,031	285	$139.87	$118.16
99213 Established patient office or other outpatient visit, typically 15 minutes	646	230	$94.97	$80.18
99497 Advance care planning, first 30 minutes	247	245	$93.62	$92.80
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	242	242	$140.00	$131.07
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	138	126	$15.00	$9.49
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	137	125	$55.00	$9.09
G0008 Administration of influenza virus vaccine	95	95	$35.00	$24.61
Q2035 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria)	86	86	$35.00	$17.34
99495 Transitional care management services for problem of at least moderate complexity	50	40	$186.60	$180.47
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	46	46	$450.00	$175.72
93880 Ultrasound of both sides of head and neck blood flow	34	34	$275.00	$174.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$140.00	$117.96
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	15	15	$269.33	$163.34
93925 Ultrasound of leg arteries or artery grafts	15	15	$325.00	$238.80
G0444 Annual depression screening, 5 to 15 minutes	14	14	$20.00	$20.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$215.00	$181.70
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$200.00	$187.31

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License FL ME 48303

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

043340300 (FL)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active October 04, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location October 04, 2011

Registered at 20281 E PENNSYLVANIA AVE, DUNNELLON, FL 344326037 (Tel: 3524893030)

📍

Updated Business Mailing Address October 04, 2011

Registered at 20281 E PENNSYLVANIA AVE, DUNNELLON, FL 344326037 (Tel: 3524893030)

👤

Provider Name / Credentials Updated October 04, 2011

Recorded as NIKHIL SHAH, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 04, 2011

General Practice (License #ME 48303 in FL)

🟢

Initial NPI Registration & Enumeration April 04, 2006

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: 1235191354

Entity Type:

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

Enumeration Date: April 04, 2006

Last Update: October 04, 2011

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

20281 E Pennsylvania Ave

Dunnellon, FL 344326037

Phone: 3524893030

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.