Dr. Sanjay Pethkar , MD
Internal Medicine • Plainfield, IL
Professional Overview & Biography Verified Profile Summary
Dr. Sanjay Pethkar, MD is a certified Internal Medicine practicing in Plainfield, IL. With approximately 36 years of clinical experience since completing medical education in 1990, Dr. Pethkar delivers high-quality medical care to the local community at 13415 S ROUTE 59.
Dr. Pethkar is affiliated with Sanjay Pethkar, M.D., S. C. and 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, 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
13415 S Route 59
Plainfield, IL 605855676
Medicare Profile & Education
Other
1990
✓ Accepts Assignment
Telehealth Services Available
Specialty Benchmarks & Practice Insights
Comparative analytics for Internal Medicine in Plainfield, IL
Practicing in Plainfield, IL (7544 Statewide)
✓ Offers Virtual Consultations
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Clinical Seniority & Experience Comparison
Performed Procedures & Service Volume
Top Medicare Part B procedures performed by this practitioner
| 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
|
939 | 96 | $75.00 | $64.22 |
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
464 | 124 | $189.02 | $129.27 |
|
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
|
243 | 103 | $35.00 | $16.06 |
|
99497
Advance care planning, first 30 minutes
|
96 | 91 | $117.00 | $83.77 |
|
G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
|
93 | 93 | $225.00 | $132.96 |
|
G0444
Annual depression screening, 5 to 15 minutes
|
90 | 90 | $26.00 | $19.37 |
|
G0136
Administration of a standardized, evidence-based social determinants of health risk assessment tool, 5-15 minutes
|
87 | 82 | $45.00 | $19.27 |
|
99213
Established patient office or other outpatient visit, typically 15 minutes
|
78 | 47 | $144.95 | $90.75 |
|
82947
Blood glucose (sugar) level
|
75 | 37 | $25.00 | $3.80 |
|
G0008
Administration of influenza virus vaccine
|
69 | 68 | $55.00 | $33.45 |
|
90662
Influenza vaccine split virus, preservative free
|
53 | 53 | $85.00 | $80.09 |
|
93000
Routine ekg using at least 12 leads including interpretation and report
|
28 | 28 | $38.64 | $14.88 |
|
87804
Detection test by immunoassay with direct visual observation for influenza virus
|
22 | 11 | $55.00 | $16.22 |
|
90656
Vaccine for influenza for administration into muscle, 0.5 ml dosage
|
18 | 18 | $36.00 | $21.90 |
|
81003
Automated urinalysis test
|
18 | 13 | $25.00 | $2.09 |
|
87811
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)
|
15 | 15 | $95.00 | $40.55 |
Medical Specialties & State Licenses
NUCC Taxonomy Code: 207R00000X
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
Hospital & Practice Group Affiliations
Sanjay Pethkar, M.d., S. C.
13415 S Route 59, Plainfield, IL 605855676
Phone: 8156093627
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Nurse Practitioner - Family
Nurse Practitioner
Nurse Practitioner - Adult Health
Nurse Practitioner
Pediatrics
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
Advanced Practice Registered Nurse
Family Medicine
Doctor of Medicine (M.D.)
Pediatrics
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
NPI status registered as active in NPPES database
Registered at 13415 S ROUTE 59, PLAINFIELD, IL 605855676 (Tel: 8156093627)
Registered at PO BOX 9200, NAPERVILLE, IL 605670200 (Tel: 8156093627)
Recorded as SANJAY PETHKAR, M.D.
Internal Medicine (License #036091255 in IL)
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
Mailing Address
Po Box 9200
Naperville, IL 605670200
Phone: 8156093627
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