Active NPI 1558560540 Individual Practitioner Female Practitioner

Sushma D Nagar , PA-C

Physician Assistant • Cincinnati, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Sushma Nagar, PA-C is a certified Physician Assistant practicing in Cincinnati, OH. With approximately 21 years of clinical experience since graduating from Philadelphia College Of Osteopathic Medicine in 2005, Sushma Nagar delivers high-quality medical care to the local community at 4700 E GALBRAITH RD STE 300A.

Sushma Nagar is affiliated with Mercy Health Physicians Cincinnati Specialty Care Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 1 mg, x-ray of shoulder, minimum of 2 views, 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

4700 E Galbraith Rd Ste 300a

Cincinnati, OH 452362754

Telephone 5133479999

Fax 5137923239

Associated Practice Facility / Clinic

🏢 Mercy Health Physicians Cincinnati Specialty Care Llc Facility NPI 1932871753

Medicare Profile & Education

Medical School

Philadelphia College Of Osteopathic Medicine

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Cincinnati, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

21 Yrs +12.1 yrs vs City Avg

City Avg: 8.9 Yrs

State Avg: 9.7 Yrs

Regional Practice Density

426 Specialists

Practicing in Cincinnati, OH (5376 Statewide)

Telehealth Adoption Rate

7.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

52.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Nagar (21 Years) 21 Yrs

Cincinnati Specialty Average (8.9 Years) 8.9 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
J1010 Injection, methylprednisolone acetate, 1 mg	4,040	36	$0.27	$0.13
73030 X-ray of shoulder, minimum of 2 views	127	102	$57.00	$26.80
99213 Established patient office or other outpatient visit, typically 15 minutes	104	85	$134.90	$72.23
20610 Aspiration and/or injection of fluid from large joint	74	50	$158.92	$52.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	60	55	$192.57	$99.71
J1030 Injection, methylprednisolone acetate, 40 mg	30	13	$14.33	$6.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$166.79	$86.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73030 X-ray of shoulder, minimum of 2 views	93	78	$57.00	$26.75
99213 Established patient office or other outpatient visit, typically 15 minutes	92	72	$134.00	$72.36
J1030 Injection, methylprednisolone acetate, 40 mg	76	29	$17.00	$7.50
20610 Aspiration and/or injection of fluid from large joint	54	36	$152.44	$51.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$165.00	$90.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	22	$191.00	$99.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73030 X-ray of shoulder, minimum of 2 views	84	66	$56.42	$27.41
99213 Established patient office or other outpatient visit, typically 15 minutes	57	53	$134.00	$73.38
J1030 Injection, methylprednisolone acetate, 40 mg	55	24	$17.00	$6.26
20610 Aspiration and/or injection of fluid from large joint	43	32	$160.67	$54.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$164.97	$89.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	14	$191.00	$105.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73030 X-ray of shoulder, minimum of 2 views	58	48	$56.00	$26.69
J1030 Injection, methylprednisolone acetate, 40 mg	54	21	$17.00	$5.67
99213 Established patient office or other outpatient visit, typically 15 minutes	50	46	$133.50	$74.97
20610 Aspiration and/or injection of fluid from large joint	33	25	$169.27	$56.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	17	$191.00	$106.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$164.00	$92.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg	43	17	$17.00	$5.43
99213 Established patient office or other outpatient visit, typically 15 minutes	39	32	$109.00	$60.14
20610 Aspiration and/or injection of fluid from large joint	30	19	$166.60	$53.14
73030 X-ray of shoulder, minimum of 2 views	28	25	$52.00	$26.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$159.00	$89.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg	81	27	$16.16	$6.31
99213 Established patient office or other outpatient visit, typically 15 minutes	68	61	$109.00	$59.87
73030 X-ray of shoulder, minimum of 2 views	65	51	$50.89	$22.32
20610 Aspiration and/or injection of fluid from large joint	53	33	$183.06	$53.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	21	$159.00	$79.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$161.00	$87.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	51	31	$184.00	$58.57
J1030 Injection, methylprednisolone acetate, 40 mg	49	21	$17.00	$6.69
99213 Established patient office or other outpatient visit, typically 15 minutes	37	30	$109.00	$59.51
73030 X-ray of shoulder, minimum of 2 views	21	20	$50.29	$21.95
73562 X-ray of knee, 3 views	16	12	$63.00	$28.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	12	$159.00	$87.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg	76	21	$17.00	$5.59
99213 Established patient office or other outpatient visit, typically 15 minutes	49	39	$109.00	$59.46
20610 Aspiration and/or injection of fluid from large joint	47	31	$150.47	$51.83
73030 X-ray of shoulder, minimum of 2 views	17	17	$52.00	$23.08
73562 X-ray of knee, 3 views	15	14	$63.00	$28.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	12	$159.00	$87.65

Medical Specialties & State Licenses

CMS Verified: 2022-03-07

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OH 50.002451

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0077583 (OH)

Hospital & Practice Group Affiliations

Mercy Health Physicians Cincinnati Specialty Care Llc

328 Thomas More Pkwy, Crestview Hills, KY 410173488

Phone: 5133479999

Mercy Health Physicians Cincinnati Specialty Care Llc

201 Old Bank Rd, Milford, OH 451502443

Phone: 5136242070

Mercy Health Physicians Cincinnati Specialty Care Llc

4750 E Galbraith Rd, Cincinnati, OH 452366706

Secondary Practice Locations

3050 Mack Rd

Fairfield, OH 450145379

Phone: 5139814444

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Brendan Swift , MD

Orthopaedic Surgery

NPI 1003543810

Doctor of Medicine (M.D.)

Kadi Carmosino , PT

Physical Therapist

NPI 1053717025

Physical Therapist

Dr. Monica Reynolds , DPT

Physical Therapist - Orthopedic

NPI 1063793347

Doctor of Physical Therapy

Stefanie Conley , ATC

Specialist/Technologist - Athletic Trainer

NPI 1073876959

Certified Athletic Trainer

Dr. James Stefanski , MD

Orthopaedic Surgery

NPI 1093135907

Doctor of Medicine (M.D.)

Chad Smith , PT

Physical Therapist

NPI 1124159652

Physical Therapist

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location March 07, 2022

Registered at 4700 E GALBRAITH RD STE 300A, CINCINNATI, OH 452362754 (Tel: 5133479999)

📍

Updated Business Mailing Address March 07, 2022

Registered at 4700 E GALBRAITH RD STE 300A, CINCINNATI, OH 452362754 (Tel: 5133479999)

✅

NPI Profile Active April 03, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location April 03, 2015

Registered at 3050 MACK RD, FAIRFIELD, OH 450145379 (Tel: 5139814444)

📍

Updated Business Mailing Address April 03, 2015

Registered at 3050 MACK RD, FAIRFIELD, OH 450145379 (Tel: 5139814444)

👤

Provider Name / Credentials Updated April 03, 2015

Recorded as SUSHMA NAGAR, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 03, 2015

Physician Assistant (License #50.002451 in OH)

🟢

Initial NPI Registration & Enumeration July 11, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1558560540

Entity Type:

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

Enumeration Date: July 11, 2007

Last Update: March 07, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4700 E Galbraith Rd Ste 300a

Cincinnati, OH 452362754

Phone: 5133479999

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.