Active NPI 1023033040 Individual Practitioner Male Practitioner

Dr. Shailesh Joshi , MD

Internal Medicine • Sebring, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Shailesh Joshi, MD is a certified Internal Medicine practicing in Sebring, FL. With approximately 44 years of clinical experience since completing medical education in 1982, Dr. Joshi delivers high-quality medical care to the local community at 6801 US HIGHWAY 27 N STE D.

Dr. Joshi accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, injection beneath the skin or into muscle for therapy, diagnosis, or prevention, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6801 Us Highway 27 N Ste D

Sebring, FL 338707840

Telephone 8633858505

Fax 8636586848

Associated Practice Facility / Clinic

🏢 Shailesh Joshi Md Pllc Facility NPI 1366810681

Medicare Profile & Education

Medical School

Other

Graduation Year

1982

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Sebring, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

44 Yrs +21.0 yrs vs City Avg

City Avg: 23.0 Yrs

State Avg: 26.5 Yrs

Regional Practice Density

35 Specialists

Practicing in Sebring, FL (10650 Statewide)

Telehealth Adoption Rate

22.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

70.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Joshi (44 Years) 44 Yrs

Sebring Specialty Average (23.0 Years) 23.0 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
99213 Established patient office or other outpatient visit, typically 15 minutes	655	203	$295.00	$88.89
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	411	89	$75.00	$13.83
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	340	165	$99.00	$16.22
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	290	47	$50.75	$1.28
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	206	45	$455.00	$77.34
G0008 Administration of influenza virus vaccine	103	103	$99.95	$31.66
90658 Influenza vaccine, trivalent, 0.5 ml dosage	97	97	$98.24	$21.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	56	56	$495.00	$109.44
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	53	39	$395.00	$129.28
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	36	33	$250.47	$131.32
99238 Hospital discharge day management, 30 minutes or less	32	29	$350.00	$79.50
99306 Initial nursing facility visit, typically 45 minutes per day	19	17	$350.00	$179.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	558	179	$295.00	$87.79
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	419	84	$75.00	$13.71
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	294	45	$50.75	$1.57
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	193	33	$392.59	$78.57
G0008 Administration of influenza virus vaccine	88	88	$99.95	$29.90
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	86	86	$92.23	$33.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	55	55	$495.00	$110.98
99238 Hospital discharge day management, 30 minutes or less	49	28	$330.14	$79.79
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	47	27	$346.86	$129.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	637	179	$238.29	$89.03
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	568	94	$61.62	$14.04
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	317	49	$50.75	$1.73
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	132	36	$231.95	$101.89
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	115	37	$160.14	$71.02
G0008 Administration of influenza virus vaccine	77	77	$99.95	$28.29
99238 Hospital discharge day management, 30 minutes or less	71	44	$277.79	$71.28
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	68	44	$395.95	$197.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	51	51	$447.94	$111.11
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	39	39	$50.49	$30.82
90756 Vaccine for influenza for injection into muscle	37	37	$99.95	$29.97
99306 Initial nursing facility visit, typically 45 minutes per day	22	18	$252.92	$162.54
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	15	13	$168.90	$52.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	652	108	$44.65	$14.10
99213 Established patient office or other outpatient visit, typically 15 minutes	623	172	$210.00	$92.10
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	359	73	$50.75	$1.97
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	281	64	$178.15	$104.71
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	192	43	$106.43	$72.91
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	130	62	$370.07	$203.08
99238 Hospital discharge day management, 30 minutes or less	128	59	$209.69	$72.82
90756 Vaccine for influenza for injection into muscle	70	70	$99.95	$28.37
G0008 Administration of influenza virus vaccine	70	70	$99.95	$16.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$395.00	$113.65
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	21	18	$168.90	$52.89
99306 Initial nursing facility visit, typically 45 minutes per day	18	16	$252.92	$167.83
99315 Nursing facility discharge day management, 30 minutes or less	13	13	$154.79	$73.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	613	200	$210.00	$75.33
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	438	120	$36.84	$14.17
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	415	97	$153.57	$106.12
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	336	95	$50.75	$1.97
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	135	86	$302.48	$205.15
99238 Hospital discharge day management, 30 minutes or less	134	86	$106.94	$74.17
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	87	48	$106.43	$73.61
G0008 Administration of influenza virus vaccine	74	73	$64.64	$16.57
90756 Vaccine for influenza for injection into muscle	74	73	$34.20	$27.70
99306 Initial nursing facility visit, typically 45 minutes per day	58	47	$252.92	$164.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$395.00	$108.43
99315 Nursing facility discharge day management, 30 minutes or less	27	26	$154.79	$74.52
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	11	11	$168.90	$53.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	916	243	$153.57	$104.16
99213 Established patient office or other outpatient visit, typically 15 minutes	731	240	$210.00	$73.63
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	386	101	$36.84	$16.38
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	293	69	$50.75	$1.79
99238 Hospital discharge day management, 30 minutes or less	292	228	$106.94	$73.29
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	282	224	$302.48	$203.22
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	191	108	$106.43	$73.28
90756 Vaccine for influenza for injection into muscle	71	71	$34.20	$26.13
G0008 Administration of influenza virus vaccine	71	71	$64.64	$16.24
99217 Hospital observation care on day of discharge	57	54	$195.55	$73.30
99220 Hospital observation care, typically 70 minutes	52	50	$395.45	$184.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$395.00	$108.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	31	$195.00	$107.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	1,059	312	$153.57	$104.45
99213 Established patient office or other outpatient visit, typically 15 minutes	926	288	$210.00	$72.31
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	494	130	$36.84	$20.03
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	394	94	$50.75	$1.98
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	392	328	$302.48	$203.48
99238 Hospital discharge day management, 30 minutes or less	352	293	$106.94	$72.68
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	288	148	$106.43	$72.78
99220 Hospital observation care, typically 70 minutes	106	93	$296.84	$186.91
99217 Hospital observation care on day of discharge	104	91	$123.37	$72.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	93	93	$395.00	$108.06
J0696 Injection, ceftriaxone sodium, per 250 mg	78	13	$112.00	$0.62
G0008 Administration of influenza virus vaccine	61	61	$64.64	$19.91
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	61	61	$50.49	$23.57
99306 Initial nursing facility visit, typically 45 minutes per day	59	41	$252.92	$167.40
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	47	24	$200.19	$91.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	29	$195.00	$106.62
99315 Nursing facility discharge day management, 30 minutes or less	23	21	$154.79	$72.81
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	12	$168.90	$53.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	801	251	$161.41	$71.59
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	740	200	$153.57	$103.96
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	501	145	$111.15	$72.02
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	501	161	$36.84	$24.59
J0696 Injection, ceftriaxone sodium, per 250 mg	483	69	$112.00	$0.66
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	314	99	$50.75	$2.75
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	283	221	$302.48	$200.29
99238 Hospital discharge day management, 30 minutes or less	274	205	$106.94	$71.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	257	164	$186.42	$106.04
99306 Initial nursing facility visit, typically 45 minutes per day	143	100	$252.92	$165.42
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	109	24	$37.50	$1.74
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	104	50	$200.19	$90.98
99315 Nursing facility discharge day management, 30 minutes or less	81	70	$154.79	$73.02
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	79	65	$168.90	$53.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	60	60	$257.18	$107.51
G0008 Administration of influenza virus vaccine	56	54	$64.64	$24.61
Q2039 Influenza virus vaccine, not otherwise specified	53	53	$34.20	$22.33
99220 Hospital observation care, typically 70 minutes	50	49	$275.30	$184.09
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	50	41	$83.61	$40.71
99217 Hospital observation care on day of discharge	46	44	$107.24	$72.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$287.64	$164.48
99236 Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes	21	19	$323.78	$218.39
82270 Stool analysis for blood to screen for colon tumors	16	16	$12.00	$4.37
99221 Initial hospital inpatient care per day, typically 30 minutes	14	14	$302.48	$102.43
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$302.48	$137.53

Medical Specialties & State Licenses

CMS Verified: 2020-12-23

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License FL ME64867

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

376131200 (FL)

Commercial Insurance / Payer ID Bcbs

25914 (FL)

Commercial Insurance / Payer ID Railroad Medicare

110194611

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location December 23, 2020

Registered at 6801 US HIGHWAY 27 N STE D, SEBRING, FL 338707840 (Tel: 8633858505)

📍

Updated Business Mailing Address December 23, 2020

Registered at 6801 US HIGHWAY 27 N STE D, SEBRING, FL 338707840 (Tel: 8633858505)

✅

NPI Profile Active May 24, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location May 24, 2016

Registered at 5825 US HIGHWAY 27 N, SEBRING, FL 338701216 (Tel: 8633858505)

📍

Updated Business Mailing Address May 24, 2016

Registered at 5825 US HIGHWAY 27 N, SEBRING, FL 338701216 (Tel: 8633858505)

👤

Provider Name / Credentials Updated May 24, 2016

Recorded as SHAILESH JOSHI, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 24, 2016

Internal Medicine (License #ME64867 in FL)

🟢

Initial NPI Registration & Enumeration July 12, 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: 1023033040

Entity Type:

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

Enumeration Date: July 12, 2006

Last Update: December 23, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

6801 Us Highway 27 N Ste D

Sebring, FL 338707840

Phone: 8633858505

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.