Active NPI 1316915465 Individual Practitioner Male Practitioner

Dr. Pramodchandra C Shah , MD

Surgery • Winthrop, MA

Professional Overview & Biography Verified Profile Summary

Dr. Pramodchandra Shah, MD is a registered healthcare professional specializing in Surgery in Winthrop, MA. Practice services are available at 365 MAIN ST under active NPI credentials.

Frequently performed procedures and clinical services include insertion of needle into vein for collection of blood sample, established patient outpatient office visit, urinalysis, manual test. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

365 Main St

Winthrop, MA 02152

Telephone 6178465352

Fax 6178461062

Associated Practice Facility / Clinic

🏢 Pc Shah Md Inc Facility NPI 1760443402

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Winthrop, MA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 28.2 Yrs

Regional Practice Density

1 Specialists

Practicing in Winthrop, MA (1077 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

69.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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
36415 Insertion of needle into vein for collection of blood sample	118	95	$25.00	$8.65
99213 Established patient office or other outpatient visit, typically 15 minutes	111	83	$300.00	$98.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	80	62	$400.00	$139.01
81002 Urinalysis, manual test	38	34	$18.00	$3.41
G0444 Annual depression screening, 5 to 15 minutes	20	20	$50.00	$21.11
96127 Assessment of emotional or behavioral problems	19	19	$35.00	$5.34
93000 Routine ekg using at least 12 leads including interpretation and report	19	19	$130.00	$15.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	571	168	$25.00	$8.40
99213 Established patient office or other outpatient visit, typically 15 minutes	516	157	$300.00	$99.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	343	160	$376.75	$140.14
81002 Urinalysis, manual test	156	133	$19.10	$3.41
G0444 Annual depression screening, 5 to 15 minutes	117	117	$50.08	$20.88
93000 Routine ekg using at least 12 leads including interpretation and report	86	82	$130.00	$16.16
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	63	63	$300.00	$141.83
82272 Stool analysis for blood	56	54	$17.00	$4.15
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	55	44	$250.00	$63.02
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	51	41	$500.00	$196.11
82270 Stool analysis for blood to screen for colon tumors	50	50	$20.00	$4.29
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	48	12	$44.06	$15.81
G0008 Administration of influenza virus vaccine	35	34	$62.00	$33.84
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	34	33	$125.00	$75.32
99496 Transitional care management services for problem of high complexity	27	23	$600.00	$306.16
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	27	22	$155.00	$58.12
J1030 Injection, methylprednisolone acetate, 40 mg	23	19	$20.00	$7.77
20610 Aspiration and/or injection of fluid from large joint	22	19	$350.00	$71.86
69210 Removal of impacted ear wax	18	15	$150.00	$52.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	457	162	$22.08	$2.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	418	167	$305.00	$142.44
99213 Established patient office or other outpatient visit, typically 15 minutes	375	151	$300.00	$101.08
81002 Urinalysis, manual test	150	134	$18.00	$3.43
93000 Routine ekg using at least 12 leads including interpretation and report	97	93	$130.00	$16.14
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	76	76	$300.00	$145.70
82272 Stool analysis for blood	60	59	$17.00	$4.17
82270 Stool analysis for blood to screen for colon tumors	53	53	$20.00	$4.32
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	35	28	$80.00	$28.94
99496 Transitional care management services for problem of high complexity	30	24	$590.00	$311.64
G0008 Administration of influenza virus vaccine	29	29	$62.00	$33.70
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	29	23	$155.00	$59.68
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	26	26	$125.00	$70.25
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	25	23	$500.00	$200.67
J1030 Injection, methylprednisolone acetate, 40 mg	23	17	$20.00	$6.20
20610 Aspiration and/or injection of fluid from large joint	23	18	$350.00	$73.67
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	15	$250.00	$63.47

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	500	173	$305.00	$147.66
36415 Insertion of needle into vein for collection of blood sample	475	172	$20.00	$3.00
99213 Established patient office or other outpatient visit, typically 15 minutes	340	142	$300.00	$104.23
81002 Urinalysis, manual test	131	124	$18.00	$3.48
93000 Routine ekg using at least 12 leads including interpretation and report	64	61	$130.00	$17.10
82272 Stool analysis for blood	61	59	$17.00	$4.23
82270 Stool analysis for blood to screen for colon tumors	59	59	$20.00	$4.38
G0008 Administration of influenza virus vaccine	56	56	$62.00	$19.53
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	53	53	$125.00	$66.43
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	49	46	$500.00	$205.32
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	45	30	$80.00	$29.93
J1030 Injection, methylprednisolone acetate, 40 mg	39	21	$20.00	$5.66
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	35	29	$155.00	$60.83
20610 Aspiration and/or injection of fluid from large joint	35	17	$360.00	$75.08
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	27	27	$300.00	$151.47
99443 Telephone medical discussion with physician, 21-30 minutes	23	17	$240.00	$147.66
99496 Transitional care management services for problem of high complexity	17	12	$525.00	$320.01
99495 Transitional care management services for problem of at least moderate complexity	14	13	$400.00	$236.44

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	261	161	$305.00	$121.99
99213 Established patient office or other outpatient visit, typically 15 minutes	246	128	$300.00	$84.26
36415 Insertion of needle into vein for collection of blood sample	232	150	$20.00	$2.97
99443 Telephone medical discussion with physician, 21-30 minutes	87	59	$238.62	$122.41
81003 Automated urinalysis test	85	83	$22.00	$2.25
82272 Stool analysis for blood	53	53	$17.00	$4.22
82270 Stool analysis for blood to screen for colon tumors	43	43	$20.00	$4.37
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	36	31	$155.00	$60.18
G0008 Administration of influenza virus vaccine	33	32	$62.00	$19.01
99442 Telephone medical discussion with physician, 11-20 minutes	31	26	$191.77	$84.63
90756 Vaccine for influenza for injection into muscle	31	31	$75.00	$27.70
93000 Routine ekg using at least 12 leads including interpretation and report	28	28	$130.00	$19.45
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	25	12	$125.00	$46.50
99496 Transitional care management services for problem of high complexity	24	23	$525.00	$275.76
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	21	21	$300.00	$130.30
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	15	$250.00	$51.71
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	14	11	$80.00	$28.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	601	216	$20.00	$2.94
99213 Established patient office or other outpatient visit, typically 15 minutes	591	211	$300.00	$83.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	372	208	$305.00	$120.96
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	91	91	$300.00	$130.33
93000 Routine ekg using at least 12 leads including interpretation and report	90	90	$130.00	$19.34
82272 Stool analysis for blood	72	72	$17.00	$4.15
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	63	34	$250.00	$51.06
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	59	48	$80.00	$28.36
82270 Stool analysis for blood to screen for colon tumors	46	46	$20.00	$4.29
J1030 Injection, methylprednisolone acetate, 40 mg	41	19	$20.00	$6.25
20610 Aspiration and/or injection of fluid from large joint	38	17	$359.21	$66.36
99496 Transitional care management services for problem of high complexity	37	33	$525.00	$259.07
G0008 Administration of influenza virus vaccine	33	32	$51.09	$18.65
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	32	25	$155.00	$59.76
90756 Vaccine for influenza for injection into muscle	26	26	$55.00	$26.13
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	21	$500.00	$161.82
69210 Removal of impacted ear wax	14	12	$150.00	$53.19
99495 Transitional care management services for problem of at least moderate complexity	12	12	$400.00	$183.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	604	225	$20.00	$2.94
99213 Established patient office or other outpatient visit, typically 15 minutes	586	217	$300.00	$87.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	353	213	$320.34	$130.04
93000 Routine ekg using at least 12 leads including interpretation and report	95	95	$130.00	$21.01
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	86	86	$300.00	$146.71
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	76	40	$250.00	$53.73
82270 Stool analysis for blood to screen for colon tumors	58	58	$20.00	$4.29
G0008 Administration of influenza virus vaccine	57	57	$50.00	$23.21
82272 Stool analysis for blood	56	54	$17.00	$4.15
90756 Vaccine for influenza for injection into muscle	52	52	$55.00	$22.33
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	36	31	$155.00	$66.13
J1030 Injection, methylprednisolone acetate, 40 mg	31	16	$20.00	$6.70
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	29	20	$80.00	$31.62
99496 Transitional care management services for problem of high complexity	26	23	$525.00	$277.83
20610 Aspiration and/or injection of fluid from large joint	25	13	$378.00	$74.35
69210 Removal of impacted ear wax	15	11	$150.00	$57.91
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$500.00	$175.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	768	267	$300.20	$87.54
36415 Insertion of needle into vein for collection of blood sample	766	266	$20.00	$2.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	446	232	$399.36	$128.08
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	149	149	$300.00	$145.75
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	113	54	$250.44	$52.48
93000 Routine ekg using at least 12 leads including interpretation and report	84	81	$130.00	$20.86
82272 Stool analysis for blood	82	80	$17.00	$4.37
82270 Stool analysis for blood to screen for colon tumors	61	61	$20.00	$4.37
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	52	52	$500.00	$171.81
99496 Transitional care management services for problem of high complexity	45	35	$525.00	$282.69
G0008 Administration of influenza virus vaccine	43	43	$50.00	$28.66
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	30	26	$155.00	$66.07
J1030 Injection, methylprednisolone acetate, 40 mg	25	18	$20.00	$5.62
20610 Aspiration and/or injection of fluid from large joint	22	15	$381.82	$76.66
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	22	22	$35.00	$17.48
90662 Influenza vaccine split virus, preservative free	21	21	$78.00	$48.05
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	17	15	$80.00	$31.64
69210 Removal of impacted ear wax	15	13	$160.00	$59.44
99495 Transitional care management services for problem of at least moderate complexity	12	12	$400.00	$200.20

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MA 34904

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2008912 (MA)

Practice Associates & Co-Workers

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

1 Associated Practitioners

Jeanne Holgersen

Nurse Practitioner - Primary Care

NPI 1326658790

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active October 21, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location October 21, 2011

Registered at 365 MAIN ST, WINTHROP, MA 02152 (Tel: 6178465352)

📍

Updated Business Mailing Address October 21, 2011

Registered at 29 BLUE JAY RD, LYNNFIELD, MA 01940 (Tel: 7815815038)

👤

Provider Name / Credentials Updated October 21, 2011

Recorded as PRAMODCHANDRA SHAH, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 21, 2011

Surgery (License #34904 in MA)

🟢

Initial NPI Registration & Enumeration March 14, 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: 1316915465

Entity Type:

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

Enumeration Date: March 14, 2006

Last Update: October 21, 2011

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

29 Blue Jay Rd

Lynnfield, MA 01940

Phone: 7815815038

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.