Active NPI 1083841035 Individual Practitioner Female Practitioner

Dr. Nicky N Sheth , MD

Emergency Medicine • Augusta, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Nicky Sheth, MD is a certified Emergency Medicine practicing in Augusta, GA. With approximately 19 years of clinical experience since completing medical education in 2007, Dr. Sheth delivers high-quality medical care to the local community at 1350 WALTON WAY.

Dr. Sheth is affiliated with Orlando Health Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, more than, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1350 Walton Way

Augusta, GA 309012612

Telephone 7067745795

Fax 7067745792

Associated Practice Facility / Clinic

🏢 University Health Services,inc Facility NPI 1588665566

Medicare Profile & Education

Medical School

Other

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Augusta, GA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

19 Yrs +3.3 yrs vs City Avg

City Avg: 15.7 Yrs

State Avg: 23.4 Yrs

Regional Practice Density

183 Specialists

Practicing in Augusta, GA (1748 Statewide)

Telehealth Adoption Rate

4.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sheth (19 Years) 19 Yrs

Augusta Specialty Average (15.7 Years) 15.7 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	270	129	$240.00	$76.99
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	118	54	$360.00	$115.97
99239 Hospital discharge day management, more than 30 minutes	86	83	$346.00	$111.06
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$395.00	$128.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	198	104	$230.02	$78.59
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	133	74	$324.24	$116.83
99239 Hospital discharge day management, more than 30 minutes	103	98	$331.61	$113.50
99497 Advance care planning, first 30 minutes	14	14	$248.79	$74.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	330	132	$201.64	$69.24
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	193	105	$306.17	$99.75
99239 Hospital discharge day management, more than 30 minutes	105	104	$301.65	$100.99
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	21	$561.14	$191.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	454	200	$170.00	$67.91
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	243	128	$245.00	$97.58
99239 Hospital discharge day management, more than 30 minutes	127	126	$253.00	$101.07
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	30	30	$479.00	$187.91
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$326.00	$130.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	476	221	$170.00	$70.49
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	151	93	$245.00	$102.63
99239 Hospital discharge day management, more than 30 minutes	89	87	$253.00	$104.70
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	36	36	$479.00	$199.20
99238 Hospital discharge day management, 30 minutes or less	29	29	$171.00	$69.15
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$326.00	$134.27
99220 Hospital observation care, typically 70 minutes	16	16	$438.00	$181.32
99217 Hospital observation care on day of discharge	13	13	$171.00	$70.71
99225 Subsequent observation care, typically 25 minutes per day	13	11	$170.00	$71.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	649	280	$170.00	$70.90
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	243	151	$245.00	$100.32
99239 Hospital discharge day management, more than 30 minutes	101	100	$253.00	$103.91
99238 Hospital discharge day management, 30 minutes or less	64	63	$171.00	$70.90
99217 Hospital observation care on day of discharge	28	28	$171.00	$70.88
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	28	27	$479.00	$197.45
99226 Subsequent observation care, typically 35 minutes per day	24	19	$246.00	$102.10
99220 Hospital observation care, typically 70 minutes	21	21	$438.00	$181.18
99225 Subsequent observation care, typically 25 minutes per day	13	12	$170.00	$71.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	689	278	$170.00	$71.10
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	217	126	$245.00	$101.90
99238 Hospital discharge day management, 30 minutes or less	113	112	$171.00	$70.98
99239 Hospital discharge day management, more than 30 minutes	71	71	$253.00	$104.59
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	47	47	$479.00	$198.00
99231 Follow-up hospital inpatient care per day, typically 15 minutes	30	14	$93.00	$38.32
99217 Hospital observation care on day of discharge	29	29	$171.00	$71.02
99225 Subsequent observation care, typically 25 minutes per day	21	19	$170.00	$71.47
99220 Hospital observation care, typically 70 minutes	18	18	$438.00	$181.83
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$326.00	$133.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	776	286	$170.00	$69.95
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	150	91	$245.00	$100.64
99238 Hospital discharge day management, 30 minutes or less	116	115	$171.00	$69.82
99239 Hospital discharge day management, more than 30 minutes	70	68	$253.00	$103.67
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	39	39	$479.00	$196.60
99225 Subsequent observation care, typically 25 minutes per day	35	31	$170.00	$70.66
99217 Hospital observation care on day of discharge	33	32	$171.00	$70.31
99220 Hospital observation care, typically 70 minutes	30	30	$438.00	$171.18
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	24	$326.00	$133.12
99231 Follow-up hospital inpatient care per day, typically 15 minutes	23	15	$93.00	$38.14
99226 Subsequent observation care, typically 35 minutes per day	19	16	$246.00	$101.83

Medical Specialties & State Licenses

CMS Verified: 2020-06-01

Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License GA 069923

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License PA MD446277

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.

Hospital & Practice Group Affiliations

Orlando Health Medical Group Inc

10000 W Colonial Dr, Ocoee, FL 347613400

Phone: 4075780033

Secondary Practice Locations

1120 15th St

Augusta, GA 309120004

Phone: 7067210211

Practice Associates & Co-Workers

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

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Doctor of Medicine (M.D.)

Dr. Priya Ravindran , MD

Internal Medicine - Gastroenterology

NPI 1033167333

Doctor of Medicine (M.D.)

Dr. Payal Nanda , MD

Internal Medicine

NPI 1073741559

Doctor of Medicine (M.D.)

Dr. Hawwa Reesha , MD

Internal Medicine

NPI 1083290621

Doctor of Medicine (M.D.)

Dr. Mary Truitt , DO

Internal Medicine

NPI 1093129975

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location June 01, 2020

Registered at 1350 WALTON WAY, AUGUSTA, GA 309012612 (Tel: 7067745795)

👤

Provider Name / Credentials Updated June 01, 2020

Recorded as NICKY SHETH, M.D

✅

NPI Profile Active September 30, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location September 30, 2013

Registered at 1120 15TH ST, AUGUSTA, GA 309120004 (Tel: 7067210211)

📍

Updated Business Mailing Address September 30, 2013

Registered at 1499 WALTON WAY, STE 1400, AUGUSTA, GA 309012602 (Tel: 7067246100)

👤

Provider Name / Credentials Updated September 30, 2013

Recorded as NICKY PATEL, M.D

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 30, 2013

Emergency Medicine (License #069923 in GA)

🟢

Initial NPI Registration & Enumeration June 17, 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: 1083841035

Entity Type:

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

Enumeration Date: June 17, 2009

Last Update: June 01, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1499 Walton Way, Ste 1400

Augusta, GA 309012602

Phone: 7067246100

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.