Active NPI 1558359265 Individual Practitioner Male Practitioner

Dr. Hansraj K Sheth , MD

Surgery • Carmel, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Hansraj Sheth, MD is a certified Surgery practicing in Carmel, NY. With approximately 42 years of clinical experience since completing medical education in 1984, Dr. Sheth delivers high-quality medical care to the local community at 667 STONELEIGH AVE STE 302.

Dr. Sheth accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least, removal of skin and tissue, 20.0 sq cm or less. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

667 Stoneleigh Ave Ste 302

Carmel, NY 105122455

Telephone 8455820919

Fax 8455820922

Associated Practice Facility / Clinic

🏢 Hansraj Sheth General Surgery Pc Facility NPI 1821153750

Medicare Profile & Education

Medical School

Other

Graduation Year

1984

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Carmel, NY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

42 Yrs +5.0 yrs vs City Avg

City Avg: 37.0 Yrs

State Avg: 27.8 Yrs

Regional Practice Density

4 Specialists

Practicing in Carmel, NY (2269 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

84.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sheth (42 Years) 42 Yrs

Carmel Specialty Average (37.0 Years) 37.0 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
99213 Established patient office or other outpatient visit, typically 15 minutes	697	86	$350.00	$73.25
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	512	112	$900.00	$88.65
11042 Removal of skin and tissue, 20.0 sq cm or less	363	87	$240.00	$69.14
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	183	119	$1050.00	$127.63
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	179	178	$1000.00	$95.25
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	144	12	$110.00	$28.28
99183 Management and supervision of oxygen chamber therapy per session	144	14	$600.00	$118.29
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	87	71	$800.00	$47.80
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	63	29	$1150.00	$183.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	58	57	$700.00	$188.91
99213 Established patient office or other outpatient visit, typically 15 minutes	46	36	$350.00	$102.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$520.00	$90.75
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	25	25	$1010.00	$191.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	13	$575.00	$145.09
55520 Removal of spermatic cord growth	12	12	$3000.00	$264.51
49505 Repair of groin hernia (5 years or older)	12	12	$3372.00	$603.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	653	96	$350.00	$70.37
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	425	137	$1050.00	$122.04
11042 Removal of skin and tissue, 20.0 sq cm or less	387	88	$240.00	$65.06
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	381	100	$900.00	$85.91
99183 Management and supervision of oxygen chamber therapy per session	231	17	$600.00	$114.60
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	223	24	$110.00	$27.59
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	172	171	$1000.00	$92.67
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	86	40	$1150.00	$183.38
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	86	66	$800.00	$45.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	51	51	$700.00	$180.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$520.00	$89.01
99213 Established patient office or other outpatient visit, typically 15 minutes	33	30	$350.00	$97.44
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	29	29	$1010.00	$184.86
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	24	11	$455.00	$90.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	20	$581.25	$137.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$575.00	$103.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	472	73	$350.00	$72.18
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	454	101	$900.00	$80.93
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	423	135	$1049.65	$105.16
11042 Removal of skin and tissue, 20.0 sq cm or less	195	60	$240.00	$66.55
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	171	169	$1000.00	$103.34
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	117	70	$800.00	$50.56
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	100	17	$110.00	$29.51
99183 Management and supervision of oxygen chamber therapy per session	97	11	$600.00	$117.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	54	54	$520.00	$91.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	52	52	$700.00	$180.74
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	50	29	$1150.00	$189.11
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	43	40	$1010.00	$211.66
99213 Established patient office or other outpatient visit, typically 15 minutes	40	33	$350.00	$98.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$520.00	$123.75
71045 X-ray of chest, 1 view	25	20	$40.00	$9.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	21	$575.00	$139.16
76937 Ultrasonic guidance for blood vessel access	19	18	$190.00	$14.68
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	16	15	$100.00	$20.15
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	14	$700.00	$145.74
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	12	12	$1450.00	$286.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$575.00	$105.09
99291 Critical care, first 30-74 minutes	11	11	$1305.00	$234.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	813	153	$1050.00	$107.87
99213 Established patient office or other outpatient visit, typically 15 minutes	578	82	$350.00	$74.38
11042 Removal of skin and tissue, 20.0 sq cm or less	179	54	$240.00	$68.05
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	152	147	$1000.00	$106.41
99183 Management and supervision of oxygen chamber therapy per session	133	17	$600.00	$121.99
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	69	13	$110.00	$30.50
99213 Established patient office or other outpatient visit, typically 15 minutes	51	40	$350.00	$101.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$520.00	$125.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$520.00	$92.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$700.00	$187.02
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	35	33	$1010.00	$218.44
71045 X-ray of chest, 1 view	30	26	$40.00	$9.83
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	28	16	$1150.00	$191.17
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	27	27	$1350.00	$152.61
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	27	11	$380.00	$78.42
76937 Ultrasonic guidance for blood vessel access	25	23	$190.00	$15.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	23	$575.00	$143.91
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	18	$700.00	$148.73
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	18	17	$100.00	$20.77
99291 Critical care, first 30-74 minutes	17	17	$1305.00	$242.30
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	16	14	$1450.00	$285.04
99285 Emergency department visit for life threatening or functioning severity	16	16	$1110.00	$199.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	433	82	$350.00	$56.01
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	326	52	$1050.00	$107.36
99183 Management and supervision of oxygen chamber therapy per session	149	20	$600.00	$123.41
11042 Removal of skin and tissue, 20.0 sq cm or less	140	51	$240.00	$67.89
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	123	19	$110.00	$30.56
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	70	64	$1235.71	$152.45
99213 Established patient office or other outpatient visit, typically 15 minutes	64	47	$350.00	$82.34
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	62	59	$1010.00	$220.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$520.00	$118.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$520.00	$82.87
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	43	23	$380.00	$76.49
71045 X-ray of chest, 1 view	21	17	$40.00	$9.95
76937 Ultrasonic guidance for blood vessel access	16	15	$190.00	$15.67
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	16	$230.00	$50.04
99285 Emergency department visit for life threatening or functioning severity	14	13	$1110.00	$190.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	12	$575.00	$119.21
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	12	12	$650.00	$95.53
99291 Critical care, first 30-74 minutes	12	12	$1305.00	$240.69
10060 Simple or single drainage of skin abscess	12	12	$700.00	$95.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$700.00	$180.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	259	73	$350.00	$53.38
99183 Management and supervision of oxygen chamber therapy per session	115	17	$600.00	$116.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	84	84	$520.00	$114.27
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	70	40	$236.86	$26.76
99213 Established patient office or other outpatient visit, typically 15 minutes	69	57	$344.78	$78.16
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	68	62	$1010.00	$211.37
11042 Removal of skin and tissue, 20.0 sq cm or less	63	39	$240.00	$64.83
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	45	32	$230.00	$47.68
17250 Application of chemical to stop tissue regrowth in wound	43	21	$280.00	$39.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$520.00	$80.10
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	42	24	$380.00	$75.98
99285 Emergency department visit for life threatening or functioning severity	25	25	$1110.00	$181.29
47562 Removal of gallbladder using an endoscope	15	15	$3800.00	$721.59
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	15	11	$110.00	$28.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	165	46	$350.00	$53.75
99183 Management and supervision of oxygen chamber therapy per session	89	19	$600.00	$117.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	74	74	$520.00	$114.42
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	71	36	$230.00	$26.72
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	64	61	$1010.00	$212.68
99213 Established patient office or other outpatient visit, typically 15 minutes	62	47	$344.19	$76.95
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	58	36	$380.00	$76.28
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	41	33	$230.00	$46.45
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	35	16	$455.00	$91.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$520.00	$80.88
11042 Removal of skin and tissue, 20.0 sq cm or less	27	20	$240.00	$66.57
99285 Emergency department visit for life threatening or functioning severity	24	21	$1110.00	$181.01
71045 X-ray of chest, 1 view	23	17	$40.00	$9.59
17250 Application of chemical to stop tissue regrowth in wound	19	11	$280.00	$40.21
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	19	16	$100.00	$19.62
76937 Ultrasonic guidance for blood vessel access	19	16	$190.00	$15.13
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	14	12	$2050.00	$352.48
49505 Repair of groin hernia (5 years or older)	12	12	$3372.00	$570.30
36590 Removal of peripheral venous catheter for infusion	11	11	$1090.00	$179.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	137	39	$349.12	$51.71
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	86	77	$1010.00	$205.88
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	67	39	$372.24	$73.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	64	64	$520.00	$110.93
99183 Management and supervision of oxygen chamber therapy per session	64	13	$600.00	$113.90
99213 Established patient office or other outpatient visit, typically 15 minutes	53	47	$350.94	$74.61
11042 Removal of skin and tissue, 20.0 sq cm or less	48	26	$237.29	$63.65
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	46	37	$230.00	$44.67
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	43	23	$230.00	$25.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$520.00	$78.49
17250 Application of chemical to stop tissue regrowth in wound	22	15	$280.00	$37.87
71010 X-ray of chest, 1 view, front	21	18	$40.00	$9.30
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	19	16	$100.00	$19.39
99285 Emergency department visit for life threatening or functioning severity	19	19	$1110.00	$176.18
76937 Ultrasonic guidance for blood vessel access	16	15	$190.00	$14.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$700.00	$168.08
47562 Removal of gallbladder using an endoscope	11	11	$3800.00	$705.20
10060 Simple or single drainage of skin abscess	11	11	$700.00	$115.77

Medical Specialties & State Licenses

CMS Verified: 2023-03-09

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NY 228725

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.

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Paul Cathcart , MD

Surgery - Vascular Surgery

NPI 1902800485

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Practice Location March 09, 2023

Registered at 667 STONELEIGH AVE STE 302, CARMEL, NY 105122455 (Tel: 8455820919)

✅

NPI Profile Active September 05, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location September 05, 2012

Registered at 672 STONELEIGH AVE, SUITE C116, CARMEL, NY 105124634 (Tel: 8455820919)

📍

Updated Business Mailing Address September 05, 2012

Registered at P.O. BOX 1140, CARMEL, NY 10512 (Tel: 8455820919)

👤

Provider Name / Credentials Updated September 05, 2012

Recorded as HANSRAJ SHETH, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 05, 2012

Surgery (License #228725 in NY)

🟢

Initial NPI Registration & Enumeration October 07, 2005

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: 1558359265

Entity Type:

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

Enumeration Date: October 07, 2005

Last Update: March 09, 2023

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

P.o. Box 1140

Carmel, NY 10512

Phone: 8455820919

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.