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Active NPI 1245827856 Individual Practitioner Female Practitioner

Anisha Durga Kothari , PA-C

Physician Assistant • Bloomington, IN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Anisha Kothari, PA-C is a certified Physician Assistant practicing in Bloomington, IN. With approximately 7 years of clinical experience since completing medical education in 2019, Anisha Kothari delivers high-quality medical care to the local community at 415 S LANDMARK AVE.

Anisha Kothari is affiliated with Laser And Skin Surgery Center Of Indiana Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of up to 14 skin growths. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

415 S Landmark Ave

Bloomington, IN 474035003

Telephone 8129322387
Fax 8122220104
Associated Practice Facility / Clinic
🏢 Forefront Dermatology, S.c. Facility NPI 1730560079

Medicare Profile & Education

Medical School

Other

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Bloomington, IN

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
7 Yrs -2.7 yrs vs City Avg
City Avg: 9.7 Yrs
State Avg: 9.4 Yrs
Regional Practice Density
70 Specialists

Practicing in Bloomington, IN (2429 Statewide)

Telehealth Adoption Rate
12.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
54.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kothari (7 Years) 7 Yrs
Bloomington Specialty Average (9.7 Years) 9.7 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
17003 Destruction of precancer skin growth, 2-14 growths
192 40 $11.50 $5.36
99213 Established patient office or other outpatient visit, typically 15 minutes
113 100 $158.01 $73.66
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
89 76 $97.98 $45.73
17110 Destruction of up to 14 skin growths
85 64 $195.78 $91.22
17000 Destruction of skin growth
74 61 $116.42 $43.40
11102 Tangential biopsy of single skin lesion
72 69 $172.13 $74.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
65 47 $223.54 $104.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
48 48 $192.18 $89.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
31 31 $290.75 $135.52
99202 New patient office or other outpatient visit, typically 20 minutes
18 18 $125.41 $58.38
11104 Punch biopsy, first skin growth
11 11 $214.15 $99.86

Medical Specialties & State Licenses

CMS Verified: 2023-07-06
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IN 10003156A

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Laser And Skin Surgery Center Of Indiana Pc

8925 N Meridian St, Indianapolis, IN 462602385

Phone: 3176604900

Practice Associates & Co-Workers

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

7 Associated Practitioners
NPI 1184120602

Doctor of Medicine (M.D.)

Jacquee Mcnear , PA-C

Physician Assistant

NPI 1306316989

Physician Assistant (Certified)

Sarah Ferrell , PA-C

Physician Assistant

NPI 1326193830

Physician Assistant (Certified)

Stephanie Gant , FNP-C

Nurse Practitioner - Family

NPI 1336819937

Family Nurse Practitioner (Certified)

NPI 1518097237

Doctor of Medicine (M.D.)

Olivia Eckstein , PA-C

Physician Assistant - Medical

NPI 1902357759

Physician Assistant (Certified)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 29, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location December 29, 2020

Registered at 415 S LANDMARK AVE, BLOOMINGTON, IN 474035003 (Tel: 8129322387)

📍
Updated Business Mailing Address December 29, 2020

Registered at 801 YORK ST, MANITOWOC, WI 542204630 (Tel: 9206639008)

👤
Provider Name / Credentials Updated December 29, 2020

Recorded as ANISHA KOTHARI, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 29, 2020

Physician Assistant (License #10003156A in IN)

🟢
Initial NPI Registration & Enumeration December 29, 2020

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: 1245827856
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 29, 2020
Last Update: July 06, 2023
Sole Proprietor: No

Mailing Address

801 York St

Manitowoc, WI 542204630

Phone: 9206639008

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.