Active NPI 1396700985 Individual Practitioner Male Practitioner

Dr. Atul Maini , MD

Surgery • Liverpool, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Atul Maini, MD is a certified Surgery practicing in Liverpool, NY. With approximately 33 years of clinical experience since completing medical education in 1993, Dr. Maini delivers high-quality medical care to the local community at 5100 W TAFT RD STE 2E.

Dr. Maini is affiliated with Syracuse General Surgery Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, repair of hernia of muscle at esophagus and stomach with implantation of mesh using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5100 W Taft Rd Ste 2e
Upstate Surgical Group P.c.

Liverpool, NY 130884841

Telephone 3156343399

Fax 3156343481

Associated Practice Facility / Clinic

🏢 Cny Thoracic Surgery Pc Facility NPI 1689772717

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 Liverpool, NY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

33 Yrs +1.9 yrs vs City Avg

City Avg: 31.1 Yrs

State Avg: 27.8 Yrs

Regional Practice Density

16 Specialists

Practicing in Liverpool, NY (2269 Statewide)

Telehealth Adoption Rate

18.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

54.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Maini (33 Years) 33 Yrs

Liverpool Specialty Average (31.1 Years) 31.1 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
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	89	89	$329.00	$154.83
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	45	45	$435.00	$204.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	33	$253.00	$115.32
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	18	$111.00	$53.46
43282 Repair of hernia of muscle at esophagus and stomach with implantation of mesh using an endoscope	19	19	$3394.00	$1593.40
99213 Established patient office or other outpatient visit, typically 15 minutes	17	14	$179.00	$85.90
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	17	17	$1417.00	$590.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	95	95	$329.00	$155.62
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	65	65	$435.00	$210.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	49	41	$253.00	$120.02
99213 Established patient office or other outpatient visit, typically 15 minutes	25	21	$179.00	$85.46
49650 Repair of groin hernia using an endoscope	20	20	$1281.00	$478.87
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	16	16	$1417.00	$614.98
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$111.00	$52.97
49594 Initial repair of entrapped hernia of abdomen, 3-10 cm in length	13	13	$1424.88	$670.90
43282 Repair of hernia of muscle at esophagus and stomach with implantation of mesh using an endoscope	13	13	$3459.27	$1631.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	71	71	$329.00	$160.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	21	$253.00	$120.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$220.00	$93.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$210.00	$110.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	23	$212.00	$117.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$320.00	$158.88
99213 Established patient office or other outpatient visit, typically 15 minutes	17	15	$145.00	$89.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	65	65	$210.00	$104.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	24	$216.32	$98.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$320.00	$153.90
99213 Established patient office or other outpatient visit, typically 15 minutes	17	17	$145.00	$73.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	74	74	$210.06	$101.55
99213 Established patient office or other outpatient visit, typically 15 minutes	44	41	$145.06	$71.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	37	$212.06	$100.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$320.12	$156.94
43281 Repair of hernia of muscle at esophagus and stomach using an endoscope	12	12	$2878.00	$1477.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	65	65	$177.85	$98.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	54	47	$171.94	$103.88
99213 Established patient office or other outpatient visit, typically 15 minutes	33	31	$125.73	$70.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$275.93	$158.11
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	18	17	$193.78	$70.53
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	15	$77.60	$42.13

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	59	48	$154.00	$97.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	51	51	$155.00	$101.89
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	49	44	$200.00	$70.01
99213 Established patient office or other outpatient visit, typically 15 minutes	46	39	$105.00	$69.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$236.00	$157.64
99231 Follow-up hospital inpatient care per day, typically 15 minutes	27	23	$80.00	$37.98
47562 Removal of gallbladder using an endoscope	15	15	$1299.67	$632.86
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$107.00	$65.27
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$65.00	$41.68

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MA 239516

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.

Specialist

NUCC Taxonomy Code: 174400000X

State License NY 002108

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

02586827 (NY)

Commercial Insurance / Payer ID Medicare (Pending)

M0000000 (MA)

Commercial Insurance / Payer ID Ma Borm License

239516 (MA)

Hospital & Practice Group Affiliations

Syracuse General Surgery Pc

4939 Brittonfield Pkwy, East Syracuse, NY 130579208

Phone: 3158988740

Practice Associates & Co-Workers

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

9 Associated Practitioners

Dr. Jacqueline Bays , MD

Surgery

NPI 1073572343

Doctor of Medicine (M.D.)

Dr. Anthony Oliva , MD

Surgery

NPI 1093775330

Doctor of Medicine (M.D.)

Dr. Balasubramaniam Sivakumar , MD

Surgery

NPI 1134189483

Doctor of Medicine (M.D.)

Dr. Tracy Sudore , MD

Surgery

NPI 1437314440

Doctor of Medicine (M.D.)

Travis Webb

Surgery

NPI 1730321894

Ara Madonian

Surgery

NPI 1790744076

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active January 10, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location January 10, 2011

Registered at 5100 W TAFT RD STE 2E, UPSTATE SURGICAL GROUP P.C., LIVERPOOL, NY 130884841 (Tel: 3156343399)

📍

Updated Business Mailing Address January 10, 2011

Registered at 5100 W TAFT RD STE 2E, UPSTATE SURGICAL GROUP P.C., LIVERPOOL, NY 130884841 (Tel: 3156343999)

👤

Provider Name / Credentials Updated January 10, 2011

Recorded as ATUL MAINI, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 10, 2011

Specialist (License #002108 in NY)

🟢

Initial NPI Registration & Enumeration April 18, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Atul Maini. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1396700985

Entity Type:

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

Enumeration Date: April 18, 2006

Last Update: January 10, 2011

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5100 W Taft Rd Ste 2e, Upstate Surgical Group P.c.

Liverpool, NY 130884841

Phone: 3156343999

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.