Active NPI 1205191871 Individual Practitioner Female Practitioner

Dr. Suba Pathmanathan , MD

Internal Medicine • Newark, OH

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Suba Pathmanathan, MD is a certified Internal Medicine practicing in Newark, OH. With approximately 19 years of clinical experience since completing medical education in 2007, Dr. Pathmanathan delivers high-quality medical care to the local community at 120 MCMILLEN DR.

Dr. Pathmanathan is affiliated with Licking Memorial Health Professionals and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

120 Mcmillen Dr

Newark, OH 430551809

Telephone 2205644805

Fax 2205644811

Associated Practice Facility / Clinic

🏢 Licking Memorial Professional Corp Facility NPI 1730109166

Medicare Profile & Education

Medical School

Other

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Newark, OH

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

19 Yrs +3.1 yrs vs City Avg

City Avg: 15.9 Yrs

State Avg: 26.9 Yrs

Regional Practice Density

14 Specialists

Practicing in Newark, OH (5516 Statewide)

Telehealth Adoption Rate

21.4% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

31.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pathmanathan (19 Years) 19 Yrs

Newark Specialty Average (15.9 Years) 15.9 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	479	224	$171.00	$121.43
99213 Established patient office or other outpatient visit, typically 15 minutes	221	130	$121.00	$85.68
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	205	205	$181.00	$122.40
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	140	107	$19.00	$15.72
G0008 Administration of influenza virus vaccine	97	95	$43.72	$30.42
90662 Influenza vaccine split virus, preservative free	87	85	$83.31	$81.14
36415 Insertion of needle into vein for collection of blood sample	86	69	$13.00	$8.65
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	24	19	$24.00	$13.87
91320 Sarscv2 vac 30mcg trs-suc im	23	23	$184.00	$152.78
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	23	23	$268.00	$155.96
90480 Admn sarscov2 vacc 1 dose	23	23	$56.00	$40.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$258.00	$158.70
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$260.00	$156.29
99495 Transitional care management services for problem of at least moderate complexity	11	11	$273.00	$194.82

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	396	218	$171.00	$123.82
99213 Established patient office or other outpatient visit, typically 15 minutes	223	147	$121.00	$86.92
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	121	121	$268.00	$160.89
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	100	100	$181.87	$125.39
G0008 Administration of influenza virus vaccine	99	96	$40.93	$29.36
90662 Influenza vaccine split virus, preservative free	85	82	$75.13	$71.77
G0009 Administration of pneumococcal vaccine	39	39	$40.00	$28.61
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	32	32	$412.00	$272.84
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	26	$75.00	$53.19
36415 Insertion of needle into vein for collection of blood sample	19	17	$8.00	$7.84
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	17	15	$24.00	$14.46
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	14	14	$24.21	$21.73
99495 Transitional care management services for problem of at least moderate complexity	13	13	$273.00	$196.92
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$260.00	$161.20

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	232	144	$171.00	$122.17
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	96	96	$268.00	$163.68
36415 Insertion of needle into vein for collection of blood sample	72	61	$8.00	$2.96
99213 Established patient office or other outpatient visit, typically 15 minutes	65	55	$121.00	$86.56
G0008 Administration of influenza virus vaccine	61	59	$40.00	$28.02
90662 Influenza vaccine split virus, preservative free	52	50	$76.63	$68.22
99442 Telephone medical discussion with physician, 11-20 minutes	36	29	$120.00	$88.07
G0009 Administration of pneumococcal vaccine	32	32	$38.00	$28.24
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	25	25	$241.00	$171.54
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	25	14	$60.00	$39.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	23	$75.00	$54.88
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	22	20	$24.00	$13.66
90670 Pneumococcal vaccine for injection into muscle	18	18	$338.00	$249.87
69210 Removal of impacted ear wax	16	15	$85.00	$46.41
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	16	16	$181.00	$127.03
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	14	14	$187.00	$132.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$258.00	$163.71
99441 Telephone medical discussion with physician, 5-10 minutes	14	12	$74.00	$54.22
99495 Transitional care management services for problem of at least moderate complexity	12	11	$273.00	$201.01
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	11	11	$26.09	$19.02

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	121	113	$260.98	$127.61
36415 Insertion of needle into vein for collection of blood sample	92	78	$10.96	$3.00
99213 Established patient office or other outpatient visit, typically 15 minutes	65	58	$215.88	$90.34
80053 Blood test, comprehensive group of blood chemicals	31	31	$33.23	$10.56
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	29	29	$24.31	$7.77
G0008 Administration of influenza virus vaccine	26	26	$40.00	$16.19
80048 Blood test, basic group of blood chemicals (calcium, total)	25	24	$26.24	$8.46
90662 Influenza vaccine split virus, preservative free	23	23	$70.00	$65.26
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	21	21	$20.29	$6.47
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	19	19	$364.53	$164.62
84443 Blood test, thyroid stimulating hormone (TSH)	19	19	$52.21	$16.80
99442 Telephone medical discussion with physician, 11-20 minutes	17	15	$100.94	$87.34
80061 Blood test, lipids (cholesterol and triglycerides)	17	16	$41.35	$13.39
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	16	$239.50	$177.08
81001 Manual urinalysis test with examination using microscope, automated	13	13	$11.00	$3.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$371.33	$164.98
99441 Telephone medical discussion with physician, 5-10 minutes	12	12	$57.25	$52.13
G0009 Administration of pneumococcal vaccine	11	11	$34.45	$16.38
83036 Hemoglobin A1C level	11	11	$30.18	$9.71

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	111	98	$346.78	$105.88
99213 Established patient office or other outpatient visit, typically 15 minutes	70	65	$235.31	$73.46
36415 Insertion of needle into vein for collection of blood sample	51	45	$12.00	$2.99
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	42	41	$24.07	$7.76
81001 Manual urinalysis test with examination using microscope, automated	23	22	$11.00	$3.15
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	21	20	$20.57	$6.41
99442 Telephone medical discussion with physician, 11-20 minutes	20	20	$77.75	$70.67
93000 Routine ekg using at least 12 leads including interpretation and report	18	18	$55.33	$16.95
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	18	18	$358.61	$115.28
99441 Telephone medical discussion with physician, 5-10 minutes	16	16	$45.44	$42.42
83036 Hemoglobin A1C level	15	15	$30.13	$9.68
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	12	12	$528.67	$170.25
84443 Blood test, thyroid stimulating hormone (TSH)	11	11	$52.00	$16.80
80053 Blood test, comprehensive group of blood chemicals	11	11	$33.00	$10.56

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	237	136	$182.51	$75.73
99213 Established patient office or other outpatient visit, typically 15 minutes	205	136	$115.85	$49.02
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	96	96	$342.33	$110.24
99495 Transitional care management services for problem of at least moderate complexity	14	12	$394.57	$106.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	12	$311.07	$99.33

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	583	198	$173.77	$74.34
99213 Established patient office or other outpatient visit, typically 15 minutes	166	115	$110.01	$48.69
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	99	99	$324.37	$109.13
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	84	84	$483.99	$161.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$201.96	$70.56
99495 Transitional care management services for problem of at least moderate complexity	17	14	$374.63	$104.96
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	13	11	$57.38	$8.13

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	495	177	$167.56	$74.46
99213 Established patient office or other outpatient visit, typically 15 minutes	101	76	$106.20	$48.22
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	47	47	$314.00	$107.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$193.14	$72.02
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	23	23	$470.83	$159.57
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	13	13	$203.93	$120.24

Medical Specialties & State Licenses

CMS Verified: 2023-05-26

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OH 35.141212

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License MN 66234

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License MI 4301100221

Hospital & Practice Group Affiliations

Licking Memorial Health Professionals

120 Mcmillen Dr, Newark, OH 430551809

Phone: 2205644806

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Laura Roache , DO

Internal Medicine

NPI 1003297383

Doctor of Osteopathic Medicine (D.O.)

Dr. Benjamin Pasley , DO

Internal Medicine

NPI 1326676917

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

21 Historical Events

📍

Updated Business Mailing Address May 26, 2023

Registered at 120 MCMILLEN DR, NEWARK, OH 430551809 (Tel: 2205644805)

📍

Updated Practice Location December 09, 2022

Registered at 120 MCMILLEN DR, NEWARK, OH 430551809 (Tel: 2205644805)

📍

Updated Business Mailing Address October 13, 2021

Registered at 1320 W MAIN ST, NEWARK, OH 430551822 (Tel: 2205644027)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 13, 2021

Internal Medicine (License #66234 in MN)

📍

Updated Practice Location August 09, 2021

Registered at 1272 W MAIN ST STE 204, NEWARK, OH 430552055 (Tel: 2205644805)

📍

Updated Practice Location July 02, 2021

Registered at 120 MCMILLEN DR, NEWARK, OH 430551809 (Tel: 2205644027)

📍

Updated Business Mailing Address July 02, 2021

Registered at 1272 W MAIN ST STE 204, NEWARK, OH 430552055 (Tel: 2205644027)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 02, 2021

Internal Medicine (License #35.141212 in OH)

📍

Updated Practice Location September 10, 2019

Registered at 303 E NICOLLET BLVD, BURNSVILLE, MN 553374522 (Tel: 9524604000)

📍

Updated Business Mailing Address September 10, 2019

Registered at 400 STINSON BLVD FL 2, MINNEAPOLIS, MN 554132614

✅

NPI Profile Active March 31, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location March 31, 2017

Registered at 2710 SAINT FRANCIS DR, SUITE 210, WATERLOO, IA 507025619 (Tel: 3192725000)

📍

Updated Business Mailing Address March 31, 2017

Registered at 2710 SAINT FRANCIS DR, SUITE 210, WATERLOO, IA 507025619 (Tel: 3192725000)

👤

Provider Name / Credentials Updated March 31, 2017

Recorded as SUBA PATHMANATHAN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 31, 2017

Internal Medicine (License #4301100221 in MI)

✅

NPI Profile Active July 10, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location July 10, 2012

Registered at G3200 BEECHER RD, SUITE 2, FLINT, MI 485323651 (Tel: 8103425800)

📍

Updated Business Mailing Address July 10, 2012

Registered at 401 S BALLENGER HWY, FLINT, MI 485323638 (Tel: 8103421000)

👤

Provider Name / Credentials Updated July 10, 2012

Recorded as SUBA PATHMANATHAN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 10, 2012

Internal Medicine (License #4301100221 in MI)

🟢

Initial NPI Registration & Enumeration July 10, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1205191871

Entity Type:

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

Enumeration Date: July 10, 2012

Last Update: May 26, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

120 Mcmillen Dr

Newark, OH 430551809

Phone: 2205644805

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.