Active NPI 1679638423 Individual Practitioner Male Practitioner

Dr. Arthur Tsai , MD

Internal Medicine - Nephrology • Kettering, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Arthur Tsai, MD is a certified Internal Medicine - Nephrology practicing in Kettering, OH. With approximately 29 years of clinical experience since graduating from Johns Hopkins University School Of Medicine in 1997, Dr. Tsai delivers high-quality medical care to the local community at 1362 E STROOP RD.

Dr. Tsai is affiliated with Kidney Care Specialists, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver;, remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1362 E Stroop Rd

Kettering, OH 454294926

Telephone 9376430015

Fax 9376430016

Associated Practice Facility / Clinic

🏢 Kidney Care Specialists, Llc Facility NPI 1144555939

Medicare Profile & Education

Medical School

Johns Hopkins University School Of Medicine

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine - Nephrology in Kettering, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

29 Yrs +0.7 yrs vs City Avg

City Avg: 28.3 Yrs

State Avg: 27.5 Yrs

Regional Practice Density

11 Specialists

Practicing in Kettering, OH (517 Statewide)

Telehealth Adoption Rate

18.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

31.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Tsai (29 Years) 29 Yrs

Kettering Specialty Average (28.3 Years) 28.3 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	721	392	$150.00	$94.64
99458 Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; each additional 20 minute	662	32	$75.00	$37.08
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days	312	32	$75.00	$42.32
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	310	32	$75.00	$45.71
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	219	14	$75.00	$45.07
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	116	14	$75.00	$57.12
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	99	18	$450.00	$338.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	79	79	$230.00	$155.60
81002 Urinalysis, manual test	61	61	$10.00	$3.36
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	18	11	$380.00	$280.47

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	725	379	$150.00	$94.85
99458 Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; each additional 20 minute	493	38	$75.00	$38.27
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	312	43	$75.00	$46.64
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days	304	41	$75.00	$45.89
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	298	38	$75.00	$45.66
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	198	40	$75.00	$54.98
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	88	20	$450.00	$349.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	71	71	$230.00	$158.42
81002 Urinalysis, manual test	40	40	$10.00	$3.34
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$100.00	$76.58

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	639	321	$150.00	$96.32
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	137	64	$85.22	$39.30
99458 Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; each additional 20 minute	125	41	$75.00	$38.74
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	116	51	$76.29	$45.90
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	92	50	$75.00	$47.13
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days	84	49	$75.00	$50.12
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	83	17	$450.00	$348.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	62	62	$230.00	$160.46
81002 Urinalysis, manual test	39	39	$10.00	$3.44
99213 Established patient office or other outpatient visit, typically 15 minutes	21	21	$100.00	$85.56

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	584	283	$150.00	$124.57
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	74	17	$450.00	$354.20
99213 Established patient office or other outpatient visit, typically 15 minutes	70	65	$100.00	$87.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	56	56	$230.00	$156.58
81002 Urinalysis, manual test	29	29	$10.00	$3.36
99442 Telephone medical discussion with physician, 11-20 minutes	18	18	$50.00	$50.00
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	16	12	$380.00	$292.81
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	12	$185.00	$177.08

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	485	285	$150.00	$106.53
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	114	21	$450.00	$286.39
99213 Established patient office or other outpatient visit, typically 15 minutes	90	85	$100.00	$72.63
99441 Telephone medical discussion with physician, 5-10 minutes	51	42	$23.14	$23.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$230.00	$159.98
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	34	27	$185.00	$138.49
99442 Telephone medical discussion with physician, 11-20 minutes	16	15	$41.88	$42.20

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	139	118	$142.88	$105.71
99213 Established patient office or other outpatient visit, typically 15 minutes	80	79	$89.75	$70.24
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	33	14	$450.00	$280.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$230.00	$153.32
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	12	$179.62	$141.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	227	114	$140.00	$100.35
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	225	123	$100.00	$70.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	212	168	$120.00	$102.34
99213 Established patient office or other outpatient visit, typically 15 minutes	150	140	$80.00	$69.06
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	148	136	$250.00	$197.42
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	131	66	$450.00	$270.62
90937 Hemodialysis procedure requiring repeated evaluation	88	34	$385.00	$102.08
90935 Hemodialysis procedure with physician evaluation	60	38	$180.00	$71.57
90966 Home dialysis services per month, patient 20 years of age or older	49	24	$400.00	$217.50
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	38	29	$150.00	$134.87
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	31	25	$380.00	$232.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$210.00	$159.29
90945 Dialysis procedure including 1 evaluation	23	11	$165.00	$83.47
99220 Hospital observation care, typically 70 minutes	17	15	$210.00	$171.70
81002 Urinalysis, manual test	15	15	$10.00	$3.41

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	457	276	$120.00	$101.37
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	451	212	$100.00	$68.71
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	432	196	$140.00	$100.44
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	292	104	$450.00	$267.29
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	221	186	$250.00	$191.68
99213 Established patient office or other outpatient visit, typically 15 minutes	205	167	$80.00	$68.67
90935 Hemodialysis procedure with physician evaluation	97	54	$180.00	$67.74
90937 Hemodialysis procedure requiring repeated evaluation	89	42	$385.00	$101.77
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	74	43	$380.00	$231.11
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	70	54	$150.00	$139.16
90966 Home dialysis services per month, patient 20 years of age or older	47	25	$400.00	$210.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	45	45	$210.00	$155.88
85018 Blood count, hemoglobin	42	11	$28.00	$3.18
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	40	31	$120.00	$88.68
81002 Urinalysis, manual test	30	30	$10.00	$3.07
90962 Dialysis services, 1 physician visit per month (20 years or older)	14	13	$300.00	$177.56

Medical Specialties & State Licenses

Internal Medicine - Nephrology Primary Specialty

NUCC Taxonomy Code: 207RN0300X

State License OH 35095503

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Internal Medicine - Nephrology

NUCC Taxonomy Code: 207RN0300X

State License PA MD424050

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

3069174 (OH)

Medicaid State Provider ID

1019960530001 (PA)

Hospital & Practice Group Affiliations

Kidney Care Specialists, Llc

1362 E Stroop Rd, Kettering, OH 454294926

Phone: 9376430015

Practice Associates & Co-Workers

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

5 Associated Practitioners

Gretta Nuss

Nurse Practitioner - Family

NPI 1184265324

Abigail Denlinger , PA-C

Physician Assistant

NPI 1245872415

Physician Assistant (Certified)

Krizzia Krizzel Soriano , FNP

Nurse Practitioner - Family

NPI 1376358432

Family Nurse Practitioner

Dr. Ibrahim Ahmad , MD

Internal Medicine - Nephrology

NPI 1649278110

Doctor of Medicine (M.D.)

Dr. Madhu Kandarpa , MD

Internal Medicine - Nephrology

NPI 1891999413

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 June 13, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location June 13, 2014

Registered at 1362 E STROOP RD, KETTERING, OH 454294926 (Tel: 9376430015)

📍

Updated Business Mailing Address June 13, 2014

Registered at 1362 E STROOP RD, KETTERING, OH 454294926 (Tel: 9376430015)

👤

Provider Name / Credentials Updated June 13, 2014

Recorded as ARTHUR TSAI, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 13, 2014

Internal Medicine (License #35095503 in OH)

🟢

Initial NPI Registration & Enumeration December 22, 2006

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: 1679638423

Entity Type:

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

Enumeration Date: December 22, 2006

Last Update: June 13, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1362 E Stroop Rd

Kettering, OH 454294926

Phone: 9376430015

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.