Active NPI 1215348057 Individual Practitioner Male Practitioner

Ajith Herath , PA-C

Physician Assistant • Hagerstown, MD

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Ajith Herath, PA-C is a certified Physician Assistant practicing in Hagerstown, MD. With approximately 12 years of clinical experience since completing medical education in 2014, Ajith Herath delivers high-quality medical care to the local community at 13620 CRAYTON BLVD.

Ajith Herath maintains professional affiliations with Capital Healthcare Pc, Comprehensive Primary Care And Associates Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include 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, established patient outpatient office visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

13620 Crayton Blvd

Hagerstown, MD 217422335

Telephone 2403133100

Fax 2403133101

Associated Practice Facility / Clinic

🏢 Meritus Urgent Care, Llc Facility NPI 1134383623

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Hagerstown, MD

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

12 Yrs +2.9 yrs vs City Avg

City Avg: 9.1 Yrs

State Avg: 11.8 Yrs

Regional Practice Density

86 Specialists

Practicing in Hagerstown, MD (3255 Statewide)

Telehealth Adoption Rate

10.5% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

67.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Herath (12 Years) 12 Yrs

Hagerstown Specialty Average (9.1 Years) 9.1 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
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	224	163	$31.43	$14.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	174	132	$313.00	$108.42
99213 Established patient office or other outpatient visit, typically 15 minutes	68	55	$220.00	$77.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	49	49	$466.00	$148.20
87804 Detection test by immunoassay with direct visual observation for influenza virus	42	21	$38.00	$16.22
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	36	35	$125.00	$34.62
81003 Automated urinalysis test	27	20	$8.00	$2.14
93000 Routine ekg using at least 12 leads including interpretation and report	20	19	$100.00	$12.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$306.00	$99.24
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	16	16	$50.00	$16.20
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$133.00	$48.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	65	60	$220.00	$80.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	51	$313.00	$113.26
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	35	33	$125.00	$34.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$306.00	$101.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$466.00	$144.94
87804 Detection test by immunoassay with direct visual observation for influenza virus	22	11	$38.00	$16.22
81003 Automated urinalysis test	18	17	$8.00	$2.20
36415 Insertion of needle into vein for collection of blood sample	15	15	$20.00	$7.89

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	117	107	$312.31	$117.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$466.00	$153.95
99213 Established patient office or other outpatient visit, typically 15 minutes	22	21	$219.32	$83.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$311.00	$102.38
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	16	16	$125.00	$50.57
81003 Automated urinalysis test	15	15	$8.00	$2.21
36415 Insertion of needle into vein for collection of blood sample	14	14	$20.00	$2.95
93000 Routine ekg using at least 12 leads including interpretation and report	11	11	$92.73	$13.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	117	114	$257.15	$80.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	69	69	$314.58	$99.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	27	$311.86	$119.98
81003 Automated urinalysis test	21	20	$8.00	$2.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$466.89	$151.93
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$207.33	$66.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	169	165	$207.80	$65.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	77	77	$308.00	$94.06
81003 Automated urinalysis test	36	35	$8.00	$2.22
87804 Detection test by immunoassay with direct visual observation for influenza virus	24	12	$45.00	$16.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	21	$306.00	$92.32
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	16	16	$45.00	$15.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	166	162	$207.80	$63.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	85	85	$308.00	$94.50
81003 Automated urinalysis test	31	31	$8.00	$2.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	29	$306.00	$93.98
94640 Inhalation treatment for airway obstruction or sputum production	16	15	$53.00	$16.12
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	14	11	$73.00	$14.73
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	13	13	$45.00	$16.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	239	224	$208.00	$63.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	110	110	$308.00	$93.04
81003 Automated urinalysis test	57	53	$8.00	$2.71
87804 Detection test by immunoassay with direct visual observation for influenza virus	48	24	$45.00	$16.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	33	$306.00	$93.03
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	25	25	$45.00	$16.20
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	18	15	$73.00	$17.99
94640 Inhalation treatment for airway obstruction or sputum production	16	16	$53.00	$16.52
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme	13	13	$2.79	$0.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$467.00	$138.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	277	261	$200.40	$63.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	104	104	$298.13	$93.54
87804 Detection test by immunoassay with direct visual observation for influenza virus	54	27	$35.63	$16.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	53	53	$292.92	$91.04
81003 Automated urinalysis test	37	37	$12.59	$3.02
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	33	32	$61.03	$16.11
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme	21	20	$3.00	$0.16
94640 Inhalation treatment for airway obstruction or sputum production	20	20	$44.60	$16.20
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	20	17	$71.20	$22.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$450.80	$140.24
36415 Insertion of needle into vein for collection of blood sample	14	14	$6.00	$2.94

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MD C0005384

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

Comprehensive Primary Care And Associates Llc

2554 Solomons Island Rd, Annapolis, MD 214013710

Phone: 4109432484

Comprehensive Primary Care And Associates Llc

9398 Baltimore National Pike, Ellicott City, MD 210422802

Phone: 4104809110

Capital Healthcare Pc

9398 Baltimore National Pike, Ellicott City, MD 210422802

Phone: 4102166891

Practice Associates & Co-Workers

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

12 Associated Practitioners

Denise Beltowski , PA-C

Physician Assistant

NPI 1003865759

Physician Assistant (Certified)

Hannah Kerns , NP

Nurse Practitioner - Family

NPI 1023864667

Nurse Practitioner

Dr. Talia Smith , DO

Family Medicine

NPI 1164051959

Doctor of Osteopathic Medicine (D.O.)

Dr. Natalie Moore , MD

Family Medicine

NPI 1194087163

Doctor of Medicine (M.D.)

Dr. Susan Womeldorf , MD

Family Medicine

NPI 1336211796

Doctor of Medicine (M.D.)

Dr. Mikela Swenson , MD

Family Medicine

NPI 1407878655

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location May 28, 2019

Registered at 13620 CRAYTON BLVD, HAGERSTOWN, MD 217422335 (Tel: 2403133100)

📍

Updated Business Mailing Address May 28, 2019

Registered at 13620 CRAYTON BLVD, HAGERSTOWN, MD 217422335 (Tel: 2403133100)

✅

NPI Profile Active May 14, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location May 14, 2014

Registered at 13424 PENNSYLVANIA AVE, SUITE 104, HAGERSTOWN, MD 217422658 (Tel: 2403139603)

📍

Updated Business Mailing Address May 14, 2014

Registered at 13424 PENNSYLVANIA AVE, SUITE 104, HAGERSTOWN, MD 217422658 (Tel: 2403139603)

👤

Provider Name / Credentials Updated May 14, 2014

Recorded as AJITH HERATH, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 14, 2014

Physician Assistant (License #C0005384 in MD)

🟢

Initial NPI Registration & Enumeration May 14, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1215348057

Entity Type:

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

Enumeration Date: May 14, 2014

Last Update: May 28, 2019

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

13620 Crayton Blvd

Hagerstown, MD 217422335

Phone: 2403133100

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.