Active NPI 1467449371 Individual Practitioner Male Practitioner

Dr. Yogesh O Sheth , MD

Internal Medicine • Niles, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Yogesh Sheth, MD is a certified Internal Medicine practicing in Niles, OH. With approximately 63 years of clinical experience since completing medical education in 1963, Dr. Sheth delivers high-quality medical care to the local community at 940 ROBBINS AVE.

Dr. Sheth is affiliated with S And J Med Inc and accepts Medicare assignment.

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, administration of influenza virus vaccine. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

940 Robbins Ave

Niles, OH 444462468

Telephone 3306527973

Fax 3306527876

Associated Practice Facility / Clinic

🏢 Dr. Yogesh O. Sheth, Md Facility NPI 1205816501

Medicare Profile & Education

Medical School

Other

Graduation Year

1963

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Niles, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

63 Yrs +27.7 yrs vs City Avg

City Avg: 35.3 Yrs

State Avg: 26.9 Yrs

Regional Practice Density

9 Specialists

Practicing in Niles, OH (5516 Statewide)

Telehealth Adoption Rate

11.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

18.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sheth (63 Years) 63 Yrs

Niles Specialty Average (35.3 Years) 35.3 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
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	145	29	$70.00	$53.25
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	18	18	$145.00	$122.83

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	113	32	$70.00	$54.41
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	19	19	$145.00	$125.39

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	117	38	$70.00	$53.67
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	15	15	$145.00	$121.64

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	150	46	$69.67	$54.37
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	15	15	$141.00	$128.42

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	150	51	$65.00	$43.93
G0008 Administration of influenza virus vaccine	14	14	$25.00	$16.07
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	14	14	$35.00	$19.17

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	196	58	$65.00	$42.96
82962 Blood glucose (sugar) test performed by hand-held instrument	25	12	$16.00	$3.21
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	15	15	$131.67	$110.94
90756 Vaccine for influenza for injection into muscle	15	15	$35.00	$26.13
G0008 Administration of influenza virus vaccine	15	15	$25.00	$15.75

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	275	81	$65.00	$39.68
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	205	37	$85.00	$67.26
82962 Blood glucose (sugar) test performed by hand-held instrument	44	17	$16.00	$3.21
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	43	31	$150.00	$126.47
99238 Hospital discharge day management, 30 minutes or less	40	28	$75.00	$67.22
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	19	19	$133.42	$105.16
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	17	12	$70.00	$7.86
G0008 Administration of influenza virus vaccine	15	15	$25.00	$19.30
Q2035 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria)	13	13	$30.00	$17.88

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	302	90	$65.00	$38.96
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	294	53	$85.00	$65.86
82962 Blood glucose (sugar) test performed by hand-held instrument	76	23	$16.00	$3.15
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	71	49	$150.00	$124.45
99238 Hospital discharge day management, 30 minutes or less	64	43	$75.00	$65.84
85610 Blood test, clotting time	59	12	$30.00	$5.28
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	41	23	$70.00	$7.77
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	31	31	$130.48	$102.96
99231 Follow-up hospital inpatient care per day, typically 15 minutes	27	12	$60.00	$35.88
Q2035 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria)	25	25	$30.00	$17.34
G0008 Administration of influenza virus vaccine	24	24	$25.00	$23.76
99220 Hospital observation care, typically 70 minutes	14	12	$185.00	$169.51

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OH 35035265

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0290242 (OH)

Commercial Insurance / Payer ID Anthem

000000121268 (OH)

Commercial Insurance / Payer ID Railroad Medicare

110220860 (OH)

Commercial Insurance / Payer ID Caresource

311513392028 (OH)

Commercial Insurance / Payer ID Railroad Medicare

112531851 (OH)

Commercial Insurance / Payer ID Humana

31-1513392 (OH)

Commercial Insurance / Payer ID Cigna

7223 (OH)

Commercial Insurance / Payer ID Anthem

000000128444 (OH)

Commercial Insurance / Payer ID Unison

000000183145 (OH)

Hospital & Practice Group Affiliations

S And J Med Inc

2760 Parkman Rd Nw, Warren, OH 444851635

Phone: 3308981723

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Sanjay Sheth , MD

Internal Medicine

NPI 1285616383

Doctor of Medicine (M.D.)

Dr. Ramona Sheth , MD

Internal Medicine

NPI 1285625194

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 July 19, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location July 19, 2012

Registered at 940 ROBBINS AVE, NILES, OH 444462468 (Tel: 3306527973)

📍

Updated Business Mailing Address July 19, 2012

Registered at 940 ROBBINS AVE, NILES, OH 444462468 (Tel: 3306527973)

👤

Provider Name / Credentials Updated July 19, 2012

Recorded as YOGESH SHETH, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 19, 2012

Internal Medicine (License #35035265 in OH)

🟢

Initial NPI Registration & Enumeration October 05, 2005

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: 1467449371

Entity Type:

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

Enumeration Date: October 05, 2005

Last Update: July 19, 2012

Sole Proprietor: No

Update or Correct Profile

Mailing Address

940 Robbins Ave

Niles, OH 444462468

Phone: 3306527973

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.