Active NPI 1427462209 Individual Practitioner Female Practitioner

Dr. Vaishali Sinha , MD

Internal Medicine • Oregon, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Vaishali Sinha, MD is a certified Internal Medicine practicing in Oregon, OH. With approximately 22 years of clinical experience since completing medical education in 2004, Dr. Sinha delivers high-quality medical care to the local community at 3841 NAVARRE AVE.

Dr. Sinha is affiliated with Mercy Health Physicians-North Llc and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

3841 Navarre Ave

Oregon, OH 436163435

Telephone 4196918132

Fax 4196912061

Associated Practice Facility / Clinic

🏢 Oregon Clinic, Inc. Facility NPI 1831229491

Medicare Profile & Education

Medical School

Other

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Oregon, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

22 Yrs +7.0 yrs vs City Avg

City Avg: 15.0 Yrs

State Avg: 26.9 Yrs

Regional Practice Density

12 Specialists

Practicing in Oregon, OH (5516 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

39.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sinha (22 Years) 22 Yrs

Oregon Specialty Average (15.0 Years) 15.0 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	242	136	$104.19	$74.28
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	138	131	$291.00	$163.49
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	127	78	$149.00	$112.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	122	84	$192.75	$118.66
99231 Follow-up hospital inpatient care per day, typically 15 minutes	107	38	$60.00	$47.00
99239 Hospital discharge day management, more than 30 minutes	93	82	$154.00	$106.50
99213 Established patient office or other outpatient visit, typically 15 minutes	41	35	$134.88	$82.72
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	33	33	$215.00	$118.40
83036 Hemoglobin A1C level	22	16	$32.00	$9.52
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$198.00	$124.14
G0296 Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making)	11	11	$85.00	$26.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	217	138	$104.00	$76.20
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	143	86	$149.00	$115.01
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	129	120	$291.00	$166.67
99231 Follow-up hospital inpatient care per day, typically 15 minutes	128	67	$60.00	$48.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	116	62	$190.51	$119.58
99239 Hospital discharge day management, more than 30 minutes	84	72	$154.00	$106.83
99213 Established patient office or other outpatient visit, typically 15 minutes	58	40	$134.00	$86.01
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	44	42	$198.00	$126.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	26	26	$215.00	$117.81
83036 Hemoglobin A1C level	20	14	$32.00	$9.52
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	15	$84.00	$53.63
99221 Initial hospital inpatient care per day, typically 30 minutes	18	18	$146.00	$80.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	374	189	$104.00	$69.30
99231 Follow-up hospital inpatient care per day, typically 15 minutes	209	76	$60.00	$37.69
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	164	152	$291.00	$192.61
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	148	92	$149.00	$99.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	107	60	$191.00	$119.47
99239 Hospital discharge day management, more than 30 minutes	98	90	$154.00	$101.67
99213 Established patient office or other outpatient visit, typically 15 minutes	54	47	$134.00	$84.10
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	39	38	$198.00	$131.49
83036 Hemoglobin A1C level	23	16	$32.00	$9.61
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	18	18	$215.00	$125.43
99221 Initial hospital inpatient care per day, typically 30 minutes	17	17	$146.00	$97.92
99220 Hospital observation care, typically 70 minutes	13	13	$265.00	$173.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	313	161	$103.96	$70.30
99231 Follow-up hospital inpatient care per day, typically 15 minutes	142	62	$60.00	$37.06
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	137	132	$291.00	$195.91
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	130	72	$149.00	$101.25
99239 Hospital discharge day management, more than 30 minutes	106	95	$154.00	$101.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	82	52	$191.00	$126.50
99221 Initial hospital inpatient care per day, typically 30 minutes	40	40	$146.00	$99.48
99213 Established patient office or other outpatient visit, typically 15 minutes	35	30	$132.57	$85.01
83036 Hemoglobin A1C level	19	16	$32.00	$9.71
G0008 Administration of influenza virus vaccine	18	17	$47.00	$16.18
99291 Critical care, first 30-74 minutes	16	11	$320.00	$217.91
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	14	14	$215.00	$128.66
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	14	14	$130.00	$66.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$247.00	$153.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	490	222	$103.00	$71.72
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	168	153	$291.00	$199.08
99239 Hospital discharge day management, more than 30 minutes	137	117	$154.00	$104.42
99231 Follow-up hospital inpatient care per day, typically 15 minutes	132	67	$60.00	$39.17
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	112	73	$149.00	$101.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	99	71	$159.00	$102.45
99213 Established patient office or other outpatient visit, typically 15 minutes	44	36	$109.00	$72.69
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	31	30	$198.00	$132.77
99221 Initial hospital inpatient care per day, typically 30 minutes	27	27	$146.00	$100.00
99291 Critical care, first 30-74 minutes	18	11	$320.00	$221.14
G0008 Administration of influenza virus vaccine	17	17	$47.00	$15.99
99220 Hospital observation care, typically 70 minutes	12	12	$265.00	$172.89
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	11	11	$129.00	$61.00

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	294	188	$338.66	$57.30
99213 Established patient office or other outpatient visit, typically 15 minutes	97	83	$218.76	$36.95
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	42	42	$374.00	$110.94
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	30	29	$491.00	$77.93
99495 Transitional care management services for problem of at least moderate complexity	18	15	$481.89	$113.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$548.00	$126.81
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	11	11	$609.00	$164.38

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	221	154	$339.00	$59.84
99213 Established patient office or other outpatient visit, typically 15 minutes	88	80	$219.00	$36.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$548.00	$123.72
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	25	25	$363.00	$111.79
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	19	$477.00	$87.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$319.00	$75.56
99495 Transitional care management services for problem of at least moderate complexity	13	13	$497.00	$107.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	61	56	$219.00	$48.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	25	$339.00	$72.06
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	18	$94.00	$23.42

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OH 35.130587

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.

Hospital & Practice Group Affiliations

Mercy Health Physicians-North Llc

3841 Navarre Ave, Oregon, OH 436163435

Phone: 4196918132

Practice Associates & Co-Workers

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

13 Associated Practitioners

Dr. Bijender Kumar , MD

Internal Medicine

NPI 1033375084

Doctor of Medicine (M.D.)

Bridget Kennedy

Nurse Practitioner - Family

NPI 1033764543

Jodi Rumman , CNP

Nurse Practitioner - Gerontology

NPI 1104225093

Certified Nurse Practitioner

Dr. Kanika Ahuja , MD

Internal Medicine

NPI 1124415781

Doctor of Medicine (M.D.)

Dr. Nicklaus Carrothers , MD

Internal Medicine

NPI 1174268130

Doctor of Medicine (M.D.)

Dr. Kewal Mahajan , MD

Internal Medicine - Geriatric Medicine

NPI 1245237650

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location November 20, 2019

Registered at 3841 NAVARRE AVE, OREGON, OH 436163435 (Tel: 4196918132)

📍

Updated Business Mailing Address November 20, 2019

Registered at 2200 JEFFERSON AVE, TOLEDO, OH 436047101

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 20, 2019

Internal Medicine (License #35.130587 in OH)

✅

NPI Profile Active June 19, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location June 19, 2014

Registered at 18101 LORAIN AVE, CLEVELAND, OH 441115612 (Tel: 2164767029)

📍

Updated Business Mailing Address June 19, 2014

Registered at 18101 LORAIN AVE, CLEVELAND, OH 441115612 (Tel: 2164767029)

👤

Provider Name / Credentials Updated June 19, 2014

Recorded as VAISHALI SINHA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 19, 2014

Internal Medicine (License #57.024129 in OH)

🟢

Initial NPI Registration & Enumeration June 19, 2014

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: 1427462209

Entity Type:

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

Enumeration Date: June 19, 2014

Last Update: November 20, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2200 Jefferson Ave

Toledo, OH 436047101

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.