Active NPI 1760799175 Individual Practitioner Female Practitioner

Dr. Shilpa A Padia , MD

Surgery • Westerville, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Shilpa Padia, MD is a certified Surgery practicing in Westerville, OH. With approximately 18 years of clinical experience since graduating from Northeastern Ohio University College Of Medicine in 2008, Dr. Padia delivers high-quality medical care to the local community at 495 COOPER RD STE 400.

Dr. Padia is affiliated with Mount Carmel Healthproviders Two Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, x-ray of surgical specimen, repair of wound of trunk by transferring skin, 10.1-30.0 sq cm. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

495 Cooper Rd Ste 400

Westerville, OH 430818730

Telephone 1466271420

Fax 6148659800

Medicare Profile & Education

Medical School

Northeastern Ohio University College Of Medicine

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Westerville, OH

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

18 Yrs +4.6 yrs vs City Avg

City Avg: 13.4 Yrs

State Avg: 24.9 Yrs

Regional Practice Density

22 Specialists

Practicing in Westerville, OH (1313 Statewide)

Telehealth Adoption Rate

4.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

68.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Padia (18 Years) 18 Yrs

Westerville Specialty Average (13.4 Years) 13.4 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
99213 Established patient office or other outpatient visit, typically 15 minutes	44	40	$200.00	$85.87
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	31	31	$399.00	$166.70
76098 X-ray of surgical specimen	26	26	$35.00	$14.44
14001 Repair of wound of trunk by transferring skin, 10.1-30.0 sq cm	24	23	$1446.00	$361.65
19301 Partial removal of breast	22	21	$1576.55	$621.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$282.00	$121.27
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	13	13	$1078.00	$203.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	59	52	$200.00	$86.12
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	30	30	$399.00	$170.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	25	$282.00	$122.11
76098 X-ray of surgical specimen	26	25	$35.00	$14.69
19301 Partial removal of breast	18	18	$1508.00	$554.63
14001 Repair of wound of trunk by transferring skin, 10.1-30.0 sq cm	17	16	$1446.00	$386.99
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	15	15	$1001.00	$214.40
38792 Injection of radioactive material for x-ray identification of lymph node	13	13	$83.00	$15.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	50	44	$169.18	$87.69
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	37	36	$342.35	$170.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	29	$243.09	$123.91
76098 X-ray of surgical specimen	23	23	$26.87	$15.13
19301 Partial removal of breast	18	18	$1359.11	$534.24
14001 Repair of wound of trunk by transferring skin, 10.1-30.0 sq cm	15	14	$1406.27	$401.29
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	13	13	$923.46	$220.21
38792 Injection of radioactive material for x-ray identification of lymph node	11	11	$80.82	$16.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	57	46	$133.00	$89.00
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	36	29	$268.00	$177.08
76098 X-ray of surgical specimen	20	20	$18.00	$15.40
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	17	17	$833.00	$221.51
38792 Injection of radioactive material for x-ray identification of lymph node	17	17	$81.35	$17.21
19301 Partial removal of breast	15	15	$1240.00	$489.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	13	$199.00	$126.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	35	31	$133.00	$72.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	20	$199.00	$100.80
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	18	$268.00	$142.08
38792 Injection of radioactive material for x-ray identification of lymph node	16	15	$79.00	$17.11
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	15	15	$888.53	$243.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$199.00	$104.18
76098 X-ray of surgical specimen	14	13	$18.00	$15.82
19301 Partial removal of breast	11	11	$1240.00	$609.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	66	60	$133.00	$71.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$199.00	$104.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	18	$199.00	$104.33
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	15	$268.00	$140.05
76098 X-ray of surgical specimen	15	15	$18.00	$7.98
19301 Partial removal of breast	14	14	$1284.29	$650.60
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	14	14	$833.00	$232.91
38792 Injection of radioactive material for x-ray identification of lymph node	13	13	$79.00	$16.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	51	47	$133.00	$68.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$199.00	$102.71
19301 Partial removal of breast	28	28	$1284.29	$485.08
76098 X-ray of surgical specimen	27	27	$18.00	$7.67
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	25	25	$833.00	$208.14
38792 Injection of radioactive material for x-ray identification of lymph node	22	22	$79.00	$18.49
19120 Removal of 1 or more breast growth, open procedure	19	19	$778.00	$204.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	16	$199.00	$103.77
14001 Repair of wound of trunk by transferring skin, 10.1-30.0 sq cm	16	16	$1284.00	$342.10
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	14	$268.00	$139.86
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	13	13	$1785.00	$867.36
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$388.00	$198.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	51	45	$133.00	$69.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$199.00	$103.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	18	$199.00	$102.97
76098 X-ray of surgical specimen	17	17	$18.00	$7.95
19301 Partial removal of breast	16	16	$1278.75	$543.91
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	13	13	$833.00	$216.08
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	$388.00	$199.01
38792 Injection of radioactive material for x-ray identification of lymph node	11	11	$79.00	$19.49

Medical Specialties & State Licenses

CMS Verified: 2022-02-10

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License OH 35-121545

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.

Surgery

NUCC Taxonomy Code: 208600000X

State License OH 35.121545

Hospital & Practice Group Affiliations

Mount Carmel Healthproviders Two Llc

495 Cooper Rd, Westerville, OH 430818735

Phone: 6146633501

Mount Carmel Healthproviders Two Llc

5965 E Broad St, Columbus, OH 432131544

Phone: 6146271560

Mount Carmel Healthproviders Two Llc

477 Cooper Rd, Westerville, OH 430818070

Phone: 6146633877

Mount Carmel Healthproviders Two Llc

6150 E Broad St, Columbus, OH 432131574

Phone: 6145464400

Mount Carmel Healthproviders Two Llc

495 Cooper Rd, Westerville, OH 430818730

Phone: 6146271420

Mount Carmel Healthproviders Two Llc

150 Taylor Station Rd, Columbus, OH 432134470

Phone: 6146271300

Mount Carmel Healthproviders Two Llc

500 S Cleveland Ave, Westerville, OH 430818998

Phone: 3808984000

Mount Carmel Healthproviders Two Llc

85 Mcnaughten Rd, Columbus, OH 432135111

Phone: 6146272000

Mount Carmel Healthproviders Two Llc

5969 E Broad St, Columbus, OH 432131539

Phone: 6146633501

Mount Carmel Healthproviders Two Llc

495 Cooper Rd, Westerville, OH 430818710

Phone: 6146633501

Mount Carmel Healthproviders Two Llc

6001 E Broad St, Columbus, OH 432131502

Phone: 6142346000

Mount Carmel Healthproviders Two Llc

477 Cooper Rd, Westerville, OH 430818054

Phone: 6146633877

Mount Carmel Healthproviders Two Llc

85 Mcnaughten Rd, Columbus, OH 432135112

Phone: 61462720006

Mount Carmel Healthproviders Two Llc

5965 E Broad St, Columbus, OH 432131562

Phone: 6146271390

Mount Carmel Healthproviders Two Llc

477 Cooper Rd, Westerville, OH 430818056

Phone: 3808986010

Practice Associates & Co-Workers

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

1 Associated Practitioners

Charity Baillargeon , NP

Nurse Practitioner - Women's Health

NPI 1295801348

Nurse Practitioner

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location September 14, 2023

Registered at 495 COOPER RD STE 400, WESTERVILLE, OH 430818730 (Tel: 1466271420)

📍

Updated Business Mailing Address September 14, 2023

Registered at 495 COOPER RD STE 400, WESTERVILLE, OH 430818730 (Tel: 6146271420)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 14, 2023

Surgery (License #35.121545 in OH)

✅

NPI Profile Active September 19, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location September 19, 2014

Registered at 777 W STATE ST, SUITE 306, COLUMBUS, OH 432221536 (Tel: 6142328669)

📍

Updated Business Mailing Address September 19, 2014

Registered at 777 W STATE ST, SUITE 306, COLUMBUS, OH 432221536 (Tel: 6142328669)

👤

Provider Name / Credentials Updated September 19, 2014

Recorded as SHILPA PADIA, M.D.

🎓

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

Surgery (License #35-121545 in OH)

🟢

Initial NPI Registration & Enumeration September 07, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Shilpa Padia. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1760799175

Entity Type:

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

Enumeration Date: September 07, 2010

Last Update: September 14, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

495 Cooper Rd Ste 400

Westerville, OH 430818730

Phone: 6146271420

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.