Active NPI 1063671709 Individual Practitioner Male Practitioner

Dr. Nirav Gopalbhai Sheth , MD

Internal Medicine • Abington, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Nirav Sheth, MD is a certified Internal Medicine practicing in Abington, PA. With approximately 24 years of clinical experience since completing medical education in 2002, Dr. Sheth delivers high-quality medical care to the local community at 1200 OLD YORK RD.

Dr. Sheth is affiliated with Orlando Health Medical Group Inc 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, hospital discharge day management, more than, advance care planning, first. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1200 Old York Rd
Dept Of Medicine Hospitalists

Abington, PA 190013720

Telephone 2154812222

Associated Practice Facility / Clinic

🏢 Anesthesia Associates Of Abington Facility NPI 1043212285

Medicare Profile & Education

Medical School

Other

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Abington, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

24 Yrs +8.4 yrs vs City Avg

City Avg: 15.6 Yrs

State Avg: 28.2 Yrs

Regional Practice Density

108 Specialists

Practicing in Abington, PA (7609 Statewide)

Telehealth Adoption Rate

25.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

68.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sheth (24 Years) 24 Yrs

Abington Specialty Average (15.6 Years) 15.6 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	244	129	$240.00	$76.52
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	120	83	$360.00	$115.75
99239 Hospital discharge day management, more than 30 minutes	92	91	$346.00	$110.28
99497 Advance care planning, first 30 minutes	16	16	$248.00	$73.18
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	15	$531.00	$169.10
99238 Hospital discharge day management, 30 minutes or less	14	14	$243.00	$78.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	185	104	$326.98	$118.24
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	167	83	$228.05	$78.22
99239 Hospital discharge day management, more than 30 minutes	88	85	$330.24	$113.46
99497 Advance care planning, first 30 minutes	22	22	$248.59	$74.61
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$596.25	$172.56

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	346	150	$201.75	$69.25
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	157	82	$316.26	$98.87
99239 Hospital discharge day management, more than 30 minutes	89	89	$303.97	$100.04
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	77	77	$571.19	$189.68
99238 Hospital discharge day management, 30 minutes or less	28	28	$209.21	$69.19
99231 Follow-up hospital inpatient care per day, typically 15 minutes	20	17	$107.00	$38.00
99220 Hospital observation care, typically 70 minutes	16	16	$516.00	$173.80
99217 Hospital observation care on day of discharge	11	11	$209.73	$69.37

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	535	206	$170.00	$67.99
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	110	109	$479.00	$189.96
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	89	56	$245.00	$99.32
99239 Hospital discharge day management, more than 30 minutes	87	87	$253.00	$101.65
99231 Follow-up hospital inpatient care per day, typically 15 minutes	42	15	$93.00	$36.35
99238 Hospital discharge day management, 30 minutes or less	33	33	$171.00	$68.95
99220 Hospital observation care, typically 70 minutes	33	33	$438.00	$175.00
99217 Hospital observation care on day of discharge	14	14	$171.00	$64.03

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	516	219	$170.00	$70.33
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	139	134	$479.00	$197.63
99239 Hospital discharge day management, more than 30 minutes	68	68	$253.00	$104.60
99231 Follow-up hospital inpatient care per day, typically 15 minutes	55	31	$93.00	$38.72
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	55	39	$245.00	$102.36
99220 Hospital observation care, typically 70 minutes	54	54	$438.00	$177.51
99238 Hospital discharge day management, 30 minutes or less	38	38	$171.00	$69.90
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$326.00	$135.53

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	790	313	$170.00	$69.97
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	121	121	$479.00	$196.26
99239 Hospital discharge day management, more than 30 minutes	95	93	$253.00	$103.10
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	93	69	$245.00	$101.55
99220 Hospital observation care, typically 70 minutes	70	70	$438.00	$181.18
99238 Hospital discharge day management, 30 minutes or less	63	63	$171.00	$70.88
99231 Follow-up hospital inpatient care per day, typically 15 minutes	39	24	$93.00	$38.51
99225 Subsequent observation care, typically 25 minutes per day	20	17	$170.00	$71.33
99217 Hospital observation care on day of discharge	17	17	$171.00	$70.89
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$326.00	$133.82

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	633	239	$170.00	$70.86
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	151	151	$479.00	$197.75
99238 Hospital discharge day management, 30 minutes or less	91	90	$171.00	$70.52
99220 Hospital observation care, typically 70 minutes	83	82	$438.00	$181.94
99239 Hospital discharge day management, more than 30 minutes	70	70	$253.00	$104.27
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	60	49	$245.00	$101.67
99217 Hospital observation care on day of discharge	39	39	$171.00	$70.92
99231 Follow-up hospital inpatient care per day, typically 15 minutes	32	19	$93.00	$38.26
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$326.00	$132.53
99225 Subsequent observation care, typically 25 minutes per day	16	15	$170.00	$71.23

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	785	312	$170.00	$69.83
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	187	183	$479.00	$196.23
99238 Hospital discharge day management, 30 minutes or less	107	107	$171.00	$69.87
99220 Hospital observation care, typically 70 minutes	96	94	$438.00	$180.21
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	81	57	$245.00	$101.23
99217 Hospital observation care on day of discharge	71	69	$171.00	$69.43
99239 Hospital discharge day management, more than 30 minutes	67	66	$253.00	$103.68
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	26	$326.00	$132.95
99219 Hospital observation care, typically 50 minutes	17	17	$319.00	$131.76
99225 Subsequent observation care, typically 25 minutes per day	16	13	$170.00	$70.64

Medical Specialties & State Licenses

CMS Verified: 2020-05-27

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License PA MD434762

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

Orlando Health Medical Group Inc

10000 W Colonial Dr, Ocoee, FL 347613400

Phone: 4075780033

Practice Associates & Co-Workers

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

28 Associated Practitioners

Dr. Krishna Chaudhary , MD

Internal Medicine

NPI 1003438961

Doctor of Medicine (M.D.)

Tonian Howell , CRNP

Nurse Practitioner - Family

NPI 1053824821

Certified Registered Nurse Practitioner

Dr. Manuel Rosenberg , MD

Internal Medicine

NPI 1073638433

Doctor of Medicine (M.D.)

Dr. Irene Leshinsky , MS, DO

Internal Medicine

NPI 1104016427

Master of Science, Doctor of Osteopathic Medicine (D.O.)

Dr. Ameerah Wishahy , DO

Internal Medicine

NPI 1104321157

Doctor of Osteopathic Medicine (D.O.)

Rachael Malkiel , PA

Physician Assistant

NPI 1104846864

Physician Assistant

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Business Mailing Address May 27, 2020

Registered at PO BOX 1705, AUGUSTA, GA 309031705 (Tel: 7067747263)

✅

NPI Profile Active July 14, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location July 14, 2014

Registered at 1200 OLD YORK RD, DEPT OF MEDICINE HOSPITALISTS, ABINGTON, PA 190013720 (Tel: 2154812222)

📍

Updated Business Mailing Address July 14, 2014

Registered at 1200 OLD YORK RD, DEPT OF MEDICINE HOSPITALISTS, ABINGTON, PA 190013720 (Tel: 2154812222)

👤

Provider Name / Credentials Updated July 14, 2014

Recorded as NIRAV SHETH, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 14, 2014

Internal Medicine (License #MD434762 in PA)

🟢

Initial NPI Registration & Enumeration June 06, 2008

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: 1063671709

Entity Type:

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

Enumeration Date: June 06, 2008

Last Update: May 27, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 1705

Augusta, GA 309031705

Phone: 7067747263

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.