Active NPI 1457425670 Individual Practitioner Male Practitioner

Dr. Zubin Bhesania , MD

Surgery • Port Huron, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Zubin Bhesania, MD is a certified Surgery practicing in Port Huron, MI. With approximately 33 years of clinical experience since completing medical education in 1993, Dr. Bhesania delivers high-quality medical care to the local community at 1522 PINE GROVE AVE.

Dr. Bhesania accepts Medicare assignment.

Frequently performed procedures and clinical services include follow-up hospital inpatient care per day, initial hospital care with straightforward or low-level medical decision making, if using time, at least, established 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

1522 Pine Grove Ave
Suite C

Port Huron, MI 480603382

Telephone 8109873556

Fax 8109875090

Associated Practice Facility / Clinic

🏢 Huron Surgical Clinic, P.c. Facility NPI 1760556914

Medicare Profile & Education

Medical School

Other

Graduation Year

1993

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Port Huron, MI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

33 Yrs +0.8 yrs vs City Avg

City Avg: 32.2 Yrs

State Avg: 25.8 Yrs

Regional Practice Density

10 Specialists

Practicing in Port Huron, MI (1479 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

60.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bhesania (33 Years) 33 Yrs

Port Huron Specialty Average (32.2 Years) 32.2 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
99231 Follow-up hospital inpatient care per day, typically 15 minutes	406	137	$60.00	$44.88
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	102	95	$180.00	$119.42
99213 Established patient office or other outpatient visit, typically 15 minutes	52	43	$96.54	$82.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	36	$140.00	$116.30
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	40	38	$500.00	$111.68
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	24	$60.00	$50.94
47562 Removal of gallbladder using an endoscope	23	23	$1500.00	$617.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$135.00	$101.63
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	20	$280.00	$143.19
45378 Diagnostic exam of large bowel using a flexible endoscope	16	15	$530.00	$167.80
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	12	12	$455.00	$165.00
45380 Biopsy of large bowel using an endoscope	12	11	$700.00	$112.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	370	144	$60.00	$48.18
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	118	116	$180.00	$125.97
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	107	78	$60.75	$52.92
99213 Established patient office or other outpatient visit, typically 15 minutes	62	46	$99.35	$84.92
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	49	45	$500.00	$92.56
45378 Diagnostic exam of large bowel using a flexible endoscope	41	41	$530.00	$172.55
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	35	20	$60.00	$34.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$138.75	$105.43
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	24	24	$440.00	$172.61
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	22	22	$280.00	$167.73
45380 Biopsy of large bowel using an endoscope	22	22	$700.00	$147.87
47562 Removal of gallbladder using an endoscope	18	18	$1500.00	$609.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	579	158	$60.00	$37.37
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	179	106	$60.00	$53.00
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	149	135	$180.00	$129.90
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	71	70	$500.00	$106.82
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	55	28	$60.00	$35.36
45378 Diagnostic exam of large bowel using a flexible endoscope	39	39	$530.00	$175.03
99213 Established patient office or other outpatient visit, typically 15 minutes	36	34	$95.00	$85.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$135.00	$108.10
47562 Removal of gallbladder using an endoscope	25	25	$1500.00	$636.52
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	24	22	$280.00	$191.93
45380 Biopsy of large bowel using an endoscope	23	23	$700.00	$163.33
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	19	19	$440.00	$179.07
43246 Insertion of stomach tube using a flexible endoscope	13	11	$630.00	$172.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	522	170	$60.00	$37.59
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	157	99	$60.00	$53.34
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	157	148	$180.00	$133.40
99213 Established patient office or other outpatient visit, typically 15 minutes	74	65	$95.00	$87.62
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	66	64	$500.00	$108.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	46	46	$135.00	$106.26
45378 Diagnostic exam of large bowel using a flexible endoscope	43	43	$527.91	$175.38
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	35	21	$60.00	$35.56
47562 Removal of gallbladder using an endoscope	32	32	$1500.00	$659.74
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	24	24	$280.00	$196.37
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	23	23	$440.00	$184.59
43246 Insertion of stomach tube using a flexible endoscope	22	20	$630.00	$144.61
45380 Biopsy of large bowel using an endoscope	20	20	$700.00	$180.73
31600 Opening of windpipe through neck for insertion of breathing tube	12	12	$1000.00	$306.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	461	156	$60.00	$39.34
99213 Established patient office or other outpatient visit, typically 15 minutes	163	129	$95.00	$71.10
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	148	139	$280.00	$200.68
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	74	57	$60.00	$43.35
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	65	62	$500.00	$116.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	63	63	$135.00	$103.30
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	53	51	$180.00	$136.13
47562 Removal of gallbladder using an endoscope	37	37	$1500.00	$667.27
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	20	$60.00	$25.84
45378 Diagnostic exam of large bowel using a flexible endoscope	36	34	$530.00	$184.95
45380 Biopsy of large bowel using an endoscope	20	20	$700.00	$194.92
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	16	15	$440.00	$183.41
43246 Insertion of stomach tube using a flexible endoscope	15	14	$630.00	$191.13
99213 Established patient office or other outpatient visit, typically 15 minutes	14	11	$95.00	$48.34
99220 Hospital observation care, typically 70 minutes	13	13	$315.00	$184.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	353	151	$60.00	$38.54
99213 Established patient office or other outpatient visit, typically 15 minutes	227	152	$95.00	$71.13
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	173	159	$280.00	$198.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	106	106	$135.00	$102.73
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	80	77	$500.00	$117.91
47562 Removal of gallbladder using an endoscope	56	56	$1500.00	$641.61
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	55	35	$60.00	$25.05
45378 Diagnostic exam of large bowel using a flexible endoscope	51	51	$530.00	$176.08
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	45	35	$60.00	$42.97
99213 Established patient office or other outpatient visit, typically 15 minutes	30	22	$95.00	$45.54
45380 Biopsy of large bowel using an endoscope	29	29	$700.00	$145.34
43999 Stomach procedure	28	17	$195.36	$110.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$135.00	$72.95
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	21	21	$750.00	$258.48
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	21	21	$440.00	$186.85
49560 Repair of incisional or abdominal hernia	13	13	$1055.00	$485.01
99220 Hospital observation care, typically 70 minutes	13	12	$315.00	$182.00
49650 Repair of groin hernia using an endoscope	12	12	$2406.67	$482.39
43280 Repair of muscle at esophagus and stomach using an endoscope	11	11	$2685.00	$1089.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	350	220	$95.11	$67.26
99231 Follow-up hospital inpatient care per day, typically 15 minutes	308	124	$60.39	$36.95
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	152	140	$280.00	$192.84
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	122	115	$500.00	$99.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	106	106	$135.00	$100.17
45378 Diagnostic exam of large bowel using a flexible endoscope	71	69	$526.90	$173.31
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	63	35	$60.00	$23.97
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	59	59	$440.00	$181.65
47562 Removal of gallbladder using an endoscope	44	44	$1500.00	$617.15
45380 Biopsy of large bowel using an endoscope	39	38	$700.00	$146.64
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	24	$60.00	$40.69
43999 Stomach procedure	25	16	$205.60	$119.10
99213 Established patient office or other outpatient visit, typically 15 minutes	24	16	$95.00	$43.85
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	20	20	$750.00	$250.74
49650 Repair of groin hernia using an endoscope	19	19	$2332.11	$321.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$135.00	$73.23
49255 Removal of lining covering abdominal organs	14	14	$1200.00	$410.69
43280 Repair of muscle at esophagus and stomach using an endoscope	11	11	$2685.00	$958.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	409	252	$95.10	$66.77
99231 Follow-up hospital inpatient care per day, typically 15 minutes	287	132	$62.45	$36.71
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	171	152	$280.00	$189.51
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	121	110	$500.00	$100.89
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	97	43	$60.00	$24.11
45378 Diagnostic exam of large bowel using a flexible endoscope	59	58	$528.47	$177.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	53	53	$132.74	$98.63
45380 Biopsy of large bowel using an endoscope	49	49	$700.00	$165.24
47562 Removal of gallbladder using an endoscope	46	46	$1500.00	$612.69
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	43	43	$440.00	$180.70
43999 Stomach procedure	38	19	$110.00	$96.77
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	24	$60.00	$40.20
99213 Established patient office or other outpatient visit, typically 15 minutes	21	12	$95.00	$48.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$135.00	$69.48
43280 Repair of muscle at esophagus and stomach using an endoscope	13	13	$2685.00	$1046.54
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	12	11	$750.00	$249.78

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MI 4301063455

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

Commercial Insurance / Payer ID Bcbs

0740158 (MI)

Commercial Insurance / Payer ID Champus Tricare

MI0003435

Commercial Insurance / Payer ID Hap

G99394

Commercial Insurance / Payer ID Aetna

7365010

Commercial Insurance / Payer ID Care Choice

126890

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Anthony Boutt , MD

Surgery

NPI 1265506497

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 1522 PINE GROVE AVE, SUITE C, PORT HURON, MI 480603382 (Tel: 8109873556)

📍

Updated Business Mailing Address July 08, 2007

Registered at 1522 PINE GROVE AVE, SUITE C, PORT HURON, MI 480603382 (Tel: 8109873556)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as ZUBIN BHESANIA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (License #4301063455 in MI)

🟢

Initial NPI Registration & Enumeration November 20, 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: 1457425670

Entity Type:

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

Enumeration Date: November 20, 2006

Last Update: July 08, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1522 Pine Grove Ave, Suite C

Port Huron, MI 480603382

Phone: 8109873556

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.