Active NPI 1073506606 Individual Practitioner Male Practitioner

Dr. Girish Babu Nagesetty , MD

Surgery • Fairfield, OH

Professional Overview & Biography Verified Profile Summary

Dr. Girish Nagesetty, MD is a registered healthcare professional specializing in Surgery in Fairfield, OH. Practice services are available at 1251 NILLES ROAD under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, ultrasound of both sides of head and neck blood flow, 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

1251 Nilles Road
Suite17

Fairfield, OH 450147205

Telephone 5138297133

Fax 5138297134

Associated Practice Facility / Clinic

🏢 John P Blazic Dds Inc Facility NPI 1407152705

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Fairfield, OH

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 22.2 Yrs

State Avg: 24.9 Yrs

Regional Practice Density

8 Specialists

Practicing in Fairfield, OH (1313 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

71.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	150	67	$179.00	$88.56
93880 Ultrasound of both sides of head and neck blood flow	62	62	$168.50	$38.97
99213 Established patient office or other outpatient visit, typically 15 minutes	55	15	$179.00	$66.17
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	46	32	$107.00	$54.95
11042 Removal of skin and tissue, 20.0 sq cm or less	31	11	$197.00	$57.19
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	27	26	$100.00	$21.55
93970 Ultrasound study of arm or leg veins with compression and maneuvers	17	17	$235.00	$32.63
93923 Complete ultrasound study of arm and leg arteries	15	15	$150.50	$22.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$265.00	$83.01
93922 Ultrasound study of arm and leg arteries	14	14	$115.50	$12.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	188	93	$179.00	$89.45
99213 Established patient office or other outpatient visit, typically 15 minutes	75	18	$179.00	$67.32
93880 Ultrasound of both sides of head and neck blood flow	71	71	$173.25	$38.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	61	45	$107.00	$54.31
11042 Removal of skin and tissue, 20.0 sq cm or less	57	17	$197.00	$60.53
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	40	40	$105.00	$21.53
93970 Ultrasound study of arm or leg veins with compression and maneuvers	33	32	$235.00	$33.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	19	$265.00	$127.36
93923 Complete ultrasound study of arm and leg arteries	22	22	$157.34	$21.96
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	11	$107.00	$35.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$265.00	$110.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	155	84	$177.42	$73.62
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	110	67	$106.18	$44.35
93880 Ultrasound of both sides of head and neck blood flow	63	62	$167.36	$40.39
93880 Ultrasound of both sides of head and neck blood flow	57	51	$334.05	$190.47
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	48	46	$99.13	$22.49
93970 Ultrasound study of arm or leg veins with compression and maneuvers	38	38	$233.71	$35.12
93923 Complete ultrasound study of arm and leg arteries	24	24	$149.56	$22.62
93923 Complete ultrasound study of arm and leg arteries	19	19	$297.21	$109.71
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	18	14	$351.67	$176.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$265.00	$106.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	250	122	$174.00	$71.67
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	160	94	$104.00	$43.07
93880 Ultrasound of both sides of head and neck blood flow	116	91	$321.83	$188.24
93880 Ultrasound of both sides of head and neck blood flow	102	101	$121.67	$40.24
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	60	58	$78.00	$22.59
93923 Complete ultrasound study of arm and leg arteries	41	40	$119.83	$21.95
93923 Complete ultrasound study of arm and leg arteries	40	40	$292.00	$112.01
93970 Ultrasound study of arm or leg veins with compression and maneuvers	37	36	$133.46	$34.62
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	36	20	$117.00	$72.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$394.00	$160.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	27	$257.00	$105.80
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	22	17	$345.00	$175.85
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	21	$487.48	$200.56
35301 Removal of blood clot and portion of artery of neck	17	14	$1978.00	$1161.07
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	14	11	$178.79	$101.28
93970 Ultrasound study of arm or leg veins with compression and maneuvers	14	14	$445.29	$181.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	308	143	$127.18	$70.09
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	155	88	$92.00	$41.90
93880 Ultrasound of both sides of head and neck blood flow	113	113	$120.00	$39.35
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	109	44	$117.00	$70.84
93880 Ultrasound of both sides of head and neck blood flow	108	87	$325.00	$191.67
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	81	75	$78.00	$22.03
93970 Ultrasound study of arm or leg veins with compression and maneuvers	65	63	$122.00	$33.70
93923 Complete ultrasound study of arm and leg arteries	50	50	$292.00	$114.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	45	38	$179.38	$103.59
93923 Complete ultrasound study of arm and leg arteries	35	35	$117.00	$21.94
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	33	31	$487.48	$198.80
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	31	29	$225.00	$130.99
99231 Follow-up hospital inpatient care per day, typically 15 minutes	30	15	$80.00	$38.47
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	24	20	$345.00	$175.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$273.30	$158.97
93970 Ultrasound study of arm or leg veins with compression and maneuvers	16	16	$306.00	$182.19
76937 Ultrasonic guidance for blood vessel access	11	11	$25.00	$14.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	415	188	$117.00	$69.65
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	155	100	$92.00	$41.29
93880 Ultrasound of both sides of head and neck blood flow	128	103	$321.55	$186.91
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	89	33	$117.00	$70.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	86	67	$172.00	$101.31
93923 Complete ultrasound study of arm and leg arteries	72	68	$292.00	$112.66
93970 Ultrasound study of arm or leg veins with compression and maneuvers	65	62	$122.00	$34.29
93880 Ultrasound of both sides of head and neck blood flow	65	65	$120.00	$37.76
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	53	50	$78.00	$21.82
93923 Complete ultrasound study of arm and leg arteries	44	43	$117.00	$21.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$272.14	$157.91
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	29	25	$345.00	$176.74
76937 Ultrasonic guidance for blood vessel access	27	26	$25.00	$14.22
75625 Radiological supervision and interpretation X-ray of abdominal aorta	26	25	$231.00	$55.22
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	26	26	$487.48	$197.87
75716 Review by radiologist of both arms or legs arteries image	26	25	$235.00	$63.16
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	25	25	$341.36	$199.24
93970 Ultrasound study of arm or leg veins with compression and maneuvers	23	22	$306.00	$183.15
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	23	22	$38.00	$12.12
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	21	$225.00	$133.62
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	15	11	$194.00	$111.64
35301 Removal of blood clot and portion of artery of neck	14	13	$1978.00	$1151.39
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$231.00	$138.80

Medical Specialties & State Licenses

CMS Verified: 2021-01-11

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License OH 35-04-7185

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

Medicaid State Provider ID

0489734 (OH)

Commercial Insurance / Payer ID Indiana Medicaid

100007840 (IN)

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Ryan Grote , DO

Surgery

NPI 1578834255

Doctor of Osteopathic Medicine (D.O.)

Dr. Michael Lee , MD

Surgery

NPI 1861819195

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 April 14, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location April 14, 2014

Registered at 1251 NILLES ROAD, SUITE17, FAIRFIELD, OH 450147205 (Tel: 5138297133)

📍

Updated Business Mailing Address April 14, 2014

Registered at 1251 NILLES ROAD, SUITE17, FAIRFIELD, OH 450147205 (Tel: 5138297133)

👤

Provider Name / Credentials Updated April 14, 2014

Recorded as GIRISH NAGESETTY, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 14, 2014

Surgery (License #35-04-7185 in OH)

🟢

Initial NPI Registration & Enumeration August 30, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1073506606

Entity Type:

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

Enumeration Date: August 30, 2005

Last Update: January 11, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1251 Nilles Road, Suite17

Fairfield, OH 450147205

Phone: 5138297133

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.