Active NPI 1609801893 Individual Practitioner Male Practitioner

Dr. Piyush N. Sheth , MD, FACS

Surgery • Mansfield, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Piyush Sheth, MD, FACS is a certified Surgery practicing in Mansfield, OH. With approximately 36 years of clinical experience since graduating from Loyola University Of Chicago, Stritch School Of Medicine in 1990, Dr. Sheth delivers high-quality medical care to the local community at 335 GLESSNER AVE FL MOB5.

Dr. Sheth is affiliated with Ohiohealth Corporation and accepts Medicare assignment.

Frequently performed procedures and clinical services include follow-up hospital inpatient care per day, established patient outpatient office visit, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

335 Glessner Ave Fl Mob5

Mansfield, OH 449032269

Telephone 4195222833

Fax 4195241619

Associated Practice Facility / Clinic

🏢 Richland Surgical Associates Inc Facility NPI 1538174388

Medicare Profile & Education

Medical School

Loyola University Of Chicago, Stritch School Of Medicine

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Mansfield, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

36 Yrs +10.9 yrs vs City Avg

City Avg: 25.1 Yrs

State Avg: 24.9 Yrs

Regional Practice Density

13 Specialists

Practicing in Mansfield, OH (1313 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

65.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sheth (36 Years) 36 Yrs

Mansfield Specialty Average (25.1 Years) 25.1 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
99231 Follow-up hospital inpatient care per day, typically 15 minutes	122	78	$126.00	$48.30
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	117	85	$76.00	$54.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	52	45	$187.00	$125.55
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	44	43	$359.00	$166.08
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	30	30	$245.00	$129.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$291.00	$163.53
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	21	21	$183.00	$77.53
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	18	18	$447.00	$90.07
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	16	$252.00	$176.90
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	17	17	$668.00	$181.65
99213 Established patient office or other outpatient visit, typically 15 minutes	17	17	$126.00	$88.80
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	16	16	$948.00	$248.31
45378 Diagnostic exam of large bowel using a flexible endoscope	15	15	$668.00	$174.75
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	14	14	$526.00	$108.52
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	11	11	$668.00	$181.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	124	98	$76.00	$54.40
99231 Follow-up hospital inpatient care per day, typically 15 minutes	112	68	$126.00	$49.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	55	48	$187.00	$123.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$291.00	$161.83
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	38	37	$359.00	$168.32
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	30	29	$245.00	$128.08
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	28	28	$948.00	$242.70
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	26	26	$526.00	$89.00
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	26	21	$183.31	$75.10
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	23	19	$252.00	$173.77
45378 Diagnostic exam of large bowel using a flexible endoscope	23	23	$668.00	$167.96
99213 Established patient office or other outpatient visit, typically 15 minutes	20	20	$126.00	$87.33
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	18	16	$447.00	$90.45
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	15	15	$214.00	$117.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$189.00	$108.66
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	13	13	$668.00	$179.76
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$363.00	$213.88
45380 Biopsy of large bowel using an endoscope	12	12	$799.00	$105.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	133	103	$76.00	$54.63
99231 Follow-up hospital inpatient care per day, typically 15 minutes	123	79	$126.00	$38.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	63	56	$187.00	$123.77
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	48	46	$245.00	$132.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$291.00	$161.90
99213 Established patient office or other outpatient visit, typically 15 minutes	31	27	$126.00	$88.68
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	31	29	$948.00	$252.67
45378 Diagnostic exam of large bowel using a flexible endoscope	31	31	$668.00	$176.01
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	31	31	$526.00	$87.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$189.00	$101.82
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	16	$359.00	$195.46
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$363.00	$217.36
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	12	12	$447.00	$101.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	136	71	$126.00	$38.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	91	70	$187.00	$127.81
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	82	73	$76.00	$54.97
99213 Established patient office or other outpatient visit, typically 15 minutes	73	56	$126.00	$89.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	51	51	$291.00	$166.23
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	37	37	$245.00	$135.06
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	27	27	$948.00	$243.66
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	26	26	$359.00	$191.57
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	26	26	$526.00	$87.49
45378 Diagnostic exam of large bowel using a flexible endoscope	22	21	$668.00	$182.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$189.00	$110.81
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	17	17	$363.00	$219.99
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	15	$252.00	$179.16
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	12	11	$668.00	$179.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	168	121	$76.00	$44.32
99231 Follow-up hospital inpatient care per day, typically 15 minutes	110	58	$112.50	$39.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	72	72	$291.00	$162.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	63	56	$187.00	$105.96
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	41	40	$245.00	$138.49
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	27	27	$948.00	$245.05
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	21	21	$526.00	$85.56
45378 Diagnostic exam of large bowel using a flexible endoscope	21	20	$668.00	$185.48
43246 Insertion of stomach tube using a flexible endoscope	16	16	$777.00	$148.19
99213 Established patient office or other outpatient visit, typically 15 minutes	14	13	$126.00	$73.57
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$359.00	$202.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	263	169	$76.00	$43.25
99231 Follow-up hospital inpatient care per day, typically 15 minutes	126	62	$71.00	$38.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	107	94	$187.00	$105.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	92	92	$291.00	$160.28
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	61	60	$245.00	$135.38
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	33	32	$526.00	$87.41
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	30	28	$948.00	$260.54
45378 Diagnostic exam of large bowel using a flexible endoscope	29	29	$668.00	$179.29
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	12	11	$447.00	$93.64
43246 Insertion of stomach tube using a flexible endoscope	12	12	$777.00	$147.38
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	12	12	$1098.00	$340.53
99219 Hospital observation care, typically 50 minutes	11	11	$198.00	$134.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	236	168	$76.00	$41.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	102	91	$187.00	$103.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	76	76	$291.00	$157.18
99231 Follow-up hospital inpatient care per day, typically 15 minutes	60	42	$71.00	$38.47
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	52	51	$245.00	$134.04
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	34	33	$526.00	$92.57
45378 Diagnostic exam of large bowel using a flexible endoscope	32	32	$668.00	$179.01
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	31	31	$948.00	$251.72
43246 Insertion of stomach tube using a flexible endoscope	20	20	$777.00	$157.47
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	12	11	$1098.00	$338.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	272	193	$76.00	$39.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	127	116	$187.00	$96.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	117	117	$291.00	$148.44
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	86	85	$245.00	$127.02
99231 Follow-up hospital inpatient care per day, typically 15 minutes	73	29	$71.00	$36.46
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	40	22	$47.00	$23.64
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	39	37	$526.00	$79.60
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	39	38	$948.00	$232.22
43246 Insertion of stomach tube using a flexible endoscope	34	32	$777.00	$153.58
45378 Diagnostic exam of large bowel using a flexible endoscope	31	31	$668.00	$165.66
47562 Removal of gallbladder using an endoscope	24	24	$1529.00	$391.38
45380 Biopsy of large bowel using an endoscope	16	16	$799.00	$103.99
99213 Established patient office or other outpatient visit, typically 15 minutes	12	12	$126.00	$66.45

Medical Specialties & State Licenses

CMS Verified: 2024-08-02

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License OH 35070614

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

0262639 (OH)

Hospital & Practice Group Affiliations

Ohiohealth Corporation

393 E Town St, Columbus, OH 432154799

Ohiohealth Corporation

335 Glessner Ave, Mansfield, OH 449032269

Secondary Practice Locations

199 W Main St

Shelby, OH 448751490

Phone: 4195222833

Practice Associates & Co-Workers

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

20 Associated Practitioners

Dr. Sholom-Ber Chernyak , DO

Surgery

NPI 1124581343

Doctor of Osteopathic Medicine (D.O.)

Dr. Laura Avery , MD

Surgery

NPI 1184855298

Doctor of Medicine (M.D.)

Morgan Crank , CNP

Nurse Practitioner - Family

NPI 1215689013

Certified Nurse Practitioner

Rachel Muir , CNP

Nurse Practitioner - Family

NPI 1225695638

Certified Nurse Practitioner

Shelbi Boyd , CNP

Nurse Practitioner - Acute Care

NPI 1255194247

Certified Nurse Practitioner

Dr. Manjunath Haridas , MD

Surgery

NPI 1255511440

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location August 02, 2024

Registered at 335 GLESSNER AVE FL MOB5, MANSFIELD, OH 449032269 (Tel: 4195222833)

📍

Updated Business Mailing Address August 02, 2024

Registered at 335 GLESSNER AVE FL MOB5, MANSFIELD, OH 449032269 (Tel: 4195222833)

✅

NPI Profile Active September 29, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location September 29, 2015

Registered at 215 WOOD ST, MANSFIELD, OH 449032260 (Tel: 4195222833)

📍

Updated Business Mailing Address September 29, 2015

Registered at 215 WOOD ST, MANSFIELD, OH 449032260 (Tel: 4195222833)

👤

Provider Name / Credentials Updated September 29, 2015

Recorded as PIYUSH SHETH, M.D., F.A.C.S.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 29, 2015

Surgery (License #35070614 in OH)

🟢

Initial NPI Registration & Enumeration July 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1609801893

Entity Type:

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

Enumeration Date: July 12, 2006

Last Update: August 02, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

335 Glessner Ave Fl Mob5

Mansfield, OH 449032269

Phone: 4195222833

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.