Active NPI 1154632503 Individual Practitioner Female Practitioner

Dr. Shivali Devgon , MD

Internal Medicine • Roseau, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Shivali Devgon, MD is a certified Internal Medicine practicing in Roseau, MN. With approximately 16 years of clinical experience since completing medical education in 2010, Dr. Devgon delivers high-quality medical care to the local community at 711 DELMORE DR.

Dr. Devgon maintains professional affiliations with Altru Health System, Lifecare Medical Center and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician, exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

711 Delmore Dr

Roseau, MN 567511534

Telephone 2184631365

Fax 2184633928

Associated Practice Facility / Clinic

🏢 Altru Health System Facility NPI 1770672289

Medicare Profile & Education

Medical School

Other

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Roseau, MN

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

16 Yrs Matches City Avg

City Avg: 16.0 Yrs

State Avg: 23.6 Yrs

Regional Practice Density

1 Specialists

Practicing in Roseau, MN (2726 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

56.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Devgon (16 Years) 16 Yrs

Roseau Specialty Average (16.0 Years) 16.0 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	51	28	$151.00	$74.19
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	29	29	$27.38	$13.28
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	29	29	$41.45	$20.21
99238 Hospital discharge day management, 30 minutes or less	28	26	$174.25	$76.90
99231 Follow-up hospital inpatient care per day, typically 15 minutes	20	12	$123.50	$46.28
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$300.00	$122.23

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	80	69	$313.00	$126.49
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	45	25	$199.27	$76.62
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	39	39	$62.00	$13.77
99238 Hospital discharge day management, 30 minutes or less	39	38	$216.54	$76.84
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	39	39	$103.00	$20.93
99213 Established patient office or other outpatient visit, typically 15 minutes	38	37	$261.00	$89.44
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	33	32	$404.03	$125.90
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	31	31	$308.00	$128.92
91312 Coronavirus vaccine 13	20	20	$0.01	$0.01
0124A Fee covid-19 vac 13 res	20	20	$85.00	$39.88
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	19	14	$328.00	$116.05
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	11	$420.00	$177.23

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	361	194	$290.00	$127.70
99213 Established patient office or other outpatient visit, typically 15 minutes	212	163	$242.00	$90.62
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	170	170	$285.00	$131.69
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	86	41	$190.37	$68.45
0064A Adm sarscov2 50mcg/0.25mlbst	70	67	$85.00	$39.20
91306 Sarscov2 vac 50mcg/0.25ml im	70	67	$0.01	$0.01
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	62	32	$203.00	$67.48
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	61	57	$35.00	$8.14
G0008 Administration of influenza virus vaccine	61	61	$66.00	$29.36
91312 Coronavirus vaccine 13	59	59	$0.01	$0.01
0124A Fee covid-19 vac 13 res	58	58	$85.00	$38.89
90662 Influenza vaccine split virus, preservative free	57	57	$74.51	$68.31
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	54	33	$301.07	$100.17
99238 Hospital discharge day management, 30 minutes or less	40	37	$208.30	$70.49
G0009 Administration of pneumococcal vaccine	36	36	$66.00	$29.51
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	31	29	$388.84	$131.22
69209 Removal of impacted ear wax by washing	29	26	$128.59	$16.65
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	26	22	$389.00	$178.16
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	25	25	$59.00	$14.40
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	25	25	$99.00	$21.49
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	25	$187.00	$56.46
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	20	20	$165.00	$132.07
99217 Hospital observation care on day of discharge	16	16	$209.69	$70.26
91305 Sarscov2 vac 30 mcg trs-sucr	15	15	$0.01	$0.01
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	15	15	$423.77	$278.62
0054A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, tris-sucrose formulation; booster dose	14	14	$85.00	$39.17
99496 Transitional care management services for problem of high complexity	14	13	$867.00	$280.39
99219 Hospital observation care, typically 50 minutes	14	14	$353.57	$128.88
93246 Heart rhythm recording of continous external ekg over 8-15 days	11	11	$240.00	$14.53
99495 Transitional care management services for problem of at least moderate complexity	11	11	$609.00	$206.82
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$370.00	$166.75

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	409	214	$290.00	$130.02
99213 Established patient office or other outpatient visit, typically 15 minutes	284	187	$242.00	$91.48
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	186	186	$274.00	$133.52
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	85	37	$187.41	$70.52
G0008 Administration of influenza virus vaccine	81	79	$63.00	$17.00
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	79	75	$33.00	$8.21
90662 Influenza vaccine split virus, preservative free	76	75	$65.00	$64.79
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	50	28	$287.98	$101.68
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	48	12	$148.00	$14.30
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	42	24	$195.00	$68.22
99238 Hospital discharge day management, 30 minutes or less	39	35	$200.13	$71.31
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	37	37	$56.00	$14.66
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	37	37	$95.00	$21.85
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	36	17	$378.00	$133.80
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	35	23	$255.00	$90.22
0064A Adm sarscov2 50mcg/0.25mlbst	32	32	$85.00	$40.01
91306 Sarscov2 vac 50mcg/0.25ml im	32	32	$0.01	$0.01
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	29	$368.21	$130.64
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	28	15	$141.00	$22.81
99496 Transitional care management services for problem of high complexity	27	25	$867.00	$278.42
69209 Removal of impacted ear wax by washing	22	18	$166.91	$19.25
99217 Hospital observation care on day of discharge	19	19	$201.53	$71.34
G0009 Administration of pneumococcal vaccine	19	19	$63.00	$17.05
99219 Hospital observation care, typically 50 minutes	16	16	$362.88	$131.69
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	15	15	$166.42	$124.72
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$187.00	$56.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$293.00	$111.84
91300 Sarscov2 vac 30mcg/0.3ml im	11	11	$0.01	$0.01

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	575	246	$278.00	$108.93
99213 Established patient office or other outpatient visit, typically 15 minutes	189	153	$232.00	$75.06
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	158	158	$263.00	$117.14
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	117	53	$185.77	$72.08
G0008 Administration of influenza virus vaccine	115	114	$60.16	$16.81
90662 Influenza vaccine split virus, preservative free	105	105	$64.38	$60.34
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	81	39	$187.00	$69.13
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	75	71	$31.00	$8.52
99238 Hospital discharge day management, 30 minutes or less	64	61	$195.00	$73.16
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	61	35	$278.20	$103.91
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	46	44	$357.11	$133.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$281.00	$108.00
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	40	19	$245.00	$92.14
G0009 Administration of pneumococcal vaccine	27	27	$60.50	$16.72
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	27	12	$142.00	$14.14
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	23	23	$170.50	$117.73
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	22	22	$53.00	$14.73
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	22	22	$91.00	$21.98
99217 Hospital observation care on day of discharge	21	20	$193.10	$72.59
99219 Hospital observation care, typically 50 minutes	19	19	$340.00	$135.50
99496 Transitional care management services for problem of high complexity	15	15	$833.00	$247.15
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	13	13	$391.00	$172.62
99495 Transitional care management services for problem of at least moderate complexity	12	12	$585.00	$188.07
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	12	11	$31.00	$8.51
69209 Removal of impacted ear wax by washing	12	11	$145.92	$17.42
90670 Pneumococcal vaccine for injection into muscle	12	12	$378.50	$224.80

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	433	192	$267.93	$107.43
99213 Established patient office or other outpatient visit, typically 15 minutes	310	204	$222.80	$73.81
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	159	159	$255.00	$116.38
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	106	55	$182.38	$71.55
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	72	40	$269.08	$102.50
99238 Hospital discharge day management, 30 minutes or less	71	61	$188.41	$72.31
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	70	34	$181.00	$68.27
G0008 Administration of influenza virus vaccine	54	53	$58.50	$16.48
90662 Influenza vaccine split virus, preservative free	51	51	$65.00	$53.76
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	45	40	$353.33	$134.30
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	43	41	$29.72	$8.32
G0009 Administration of pneumococcal vaccine	25	25	$58.50	$16.48
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	24	24	$88.00	$22.29
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	24	24	$51.00	$14.93
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	21	17	$29.10	$8.42
69209 Removal of impacted ear wax by washing	16	14	$148.63	$18.36
90670 Pneumococcal vaccine for injection into muscle	15	15	$369.43	$208.35
99496 Transitional care management services for problem of high complexity	13	12	$807.00	$231.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$269.67	$107.18
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$503.33	$198.39
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	11	11	$379.00	$171.37
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	11	11	$170.50	$110.20

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	185	76	$255.00	$103.90
99213 Established patient office or other outpatient visit, typically 15 minutes	95	67	$212.00	$70.54
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	79	33	$187.52	$66.37
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	44	44	$255.00	$115.19
99238 Hospital discharge day management, 30 minutes or less	43	36	$189.00	$69.91
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	43	27	$271.00	$92.19
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	31	14	$181.00	$67.91
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	23	$357.69	$127.50
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	24	24	$88.00	$18.66
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	24	24	$51.00	$12.50
G0008 Administration of influenza virus vaccine	18	16	$58.50	$20.39
90662 Influenza vaccine split virus, preservative free	15	13	$65.00	$51.73
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	14	14	$26.00	$7.73
G0009 Administration of pneumococcal vaccine	13	13	$58.50	$20.39
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	11	11	$379.00	$169.10

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	157	73	$245.00	$103.32
99213 Established patient office or other outpatient visit, typically 15 minutes	64	54	$204.00	$71.89
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	60	28	$182.00	$69.55
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	38	14	$174.00	$67.40
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	34	34	$245.00	$113.98
99238 Hospital discharge day management, 30 minutes or less	29	25	$182.00	$69.42
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	20	13	$261.00	$98.25
G0008 Administration of influenza virus vaccine	18	18	$56.25	$25.39
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	14	$346.00	$132.46
G0009 Administration of pneumococcal vaccine	15	15	$56.25	$25.39
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	15	15	$85.00	$20.99
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	15	15	$49.00	$14.06
90662 Influenza vaccine split virus, preservative free	14	14	$65.00	$44.62

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License MN 56155

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.

Hospital & Practice Group Affiliations

Altru Health System

715 Delmore Dr, Roseau, MN 567511534

Phone: 2184632500

Altru Health System

711 Delmore Dr, Roseau, MN 567511534

Phone: 2184631365

Lifecare Medical Center

715 Delmore Dr, Roseau, MN 567511534

Phone: 2184632500

Practice Associates & Co-Workers

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

17 Associated Practitioners

Dr. Luis Jain , MD

Family Medicine

NPI 1073603940

Doctor of Medicine (M.D.)

Clyde Stephens , PA-C

Physician Assistant

NPI 1114964780

Physician Assistant (Certified)

Dr. Kenneth Wright , MD

Family Medicine

NPI 1235174376

Doctor of Medicine (M.D.)

Dr. Prasad Munusamy , MD

Family Medicine

NPI 1235712043

Doctor of Medicine (M.D.)

Miranda Bernath , FNP-C

Nurse Practitioner - Family

NPI 1245003599

Family Nurse Practitioner (Certified)

Dr. Larry Sokolic , MD

Internal Medicine

NPI 1265559785

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 March 31, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location March 31, 2014

Registered at 711 DELMORE DR, ROSEAU, MN 567511534 (Tel: 2184631365)

📍

Updated Business Mailing Address March 31, 2014

Registered at 711 DELMORE DR, ROSEAU, MN 567511534 (Tel: 2184631365)

👤

Provider Name / Credentials Updated March 31, 2014

Recorded as SHIVALI DEVGON, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 31, 2014

Internal Medicine (License #56155 in MN)

🟢

Initial NPI Registration & Enumeration June 30, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1154632503

Entity Type:

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

Enumeration Date: June 30, 2010

Last Update: March 31, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

711 Delmore Dr

Roseau, MN 567511534

Phone: 2184631365

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.