Active NPI 1720053549 Individual Practitioner Male Practitioner

Dr. Ashok K Shetty , MD

Internal Medicine • Monroeville, PA

Professional Overview & Biography Verified Profile Summary

Dr. Ashok Shetty, MD is a registered healthcare professional specializing in Internal Medicine in Monroeville, PA. Practice services are available at 118 FOX PLAN RD under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, telephone medical discussion with physician, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

118 Fox Plan Rd

Monroeville, PA 151462762

Telephone 4123732360

Fax 4123732365

Associated Practice Facility / Clinic

🏢 Upmc Community Medicine Inc Facility NPI 1578885604

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Monroeville, PA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 21.8 Yrs

State Avg: 28.2 Yrs

Regional Practice Density

36 Specialists

Practicing in Monroeville, PA (7609 Statewide)

Telehealth Adoption Rate

22.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

52.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)

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	32	17	$237.84	$128.12
99213 Established patient office or other outpatient visit, typically 15 minutes	29	20	$197.40	$86.24
99443 Telephone medical discussion with physician, 21-30 minutes	13	11	$332.00	$105.74
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	12	12	$189.43	$131.23

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	68	40	$158.55	$96.06
99213 Established patient office or other outpatient visit, typically 15 minutes	56	34	$107.31	$57.96
99443 Telephone medical discussion with physician, 21-30 minutes	37	23	$320.00	$81.36
99442 Telephone medical discussion with physician, 11-20 minutes	19	16	$220.00	$51.97
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	15	$214.17	$143.17
99306 Initial nursing facility visit, typically 45 minutes per day	17	17	$248.49	$165.92
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	15	15	$172.20	$114.98
G0180 Physician or allowed practitioner 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 and	14	14	$150.00	$52.26
G0008 Administration of influenza virus vaccine	13	13	$31.00	$16.28

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	120	53	$158.55	$105.44
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	117	40	$66.17	$43.08
99213 Established patient office or other outpatient visit, typically 15 minutes	115	51	$107.31	$71.98
99306 Initial nursing facility visit, typically 45 minutes per day	107	97	$248.49	$163.65
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	78	34	$102.87	$67.36
G0180 Physician or allowed practitioner 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 and	61	50	$150.00	$51.53
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	54	32	$136.01	$89.62
36415 Insertion of needle into vein for collection of blood sample	31	24	$15.00	$2.94
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	29	22	$214.17	$141.50
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	25	15	$89.42	$59.11
93000 Routine ekg using at least 12 leads including interpretation and report	23	21	$24.86	$16.40
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	23	23	$172.20	$112.19
90653 Vaccine for influenza for injection into muscle	22	22	$65.00	$58.34
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	22	18	$194.15	$127.73
99335 Established patient assisted living visit, typically 25 minutes	21	12	$141.05	$93.46
99497 Advance care planning, first 30 minutes	18	18	$125.70	$83.58
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	13	11	$194.15	$127.73
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$64.29	$43.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	193	70	$120.58	$87.10
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	131	76	$152.00	$129.55
99213 Established patient office or other outpatient visit, typically 15 minutes	109	51	$88.00	$68.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	107	43	$130.00	$101.68
99306 Initial nursing facility visit, typically 45 minutes per day	100	86	$192.92	$159.21
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	60	43	$160.00	$122.94
G0180 Physician or allowed practitioner 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 and	38	31	$150.00	$50.55
99336 Established patient assisted living visit, typically 40 minutes	38	18	$152.72	$129.38
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	25	25	$248.81	$109.64
G0008 Administration of influenza virus vaccine	23	23	$20.96	$19.57
90653 Vaccine for influenza for injection into muscle	22	22	$65.77	$53.58
93000 Routine ekg using at least 12 leads including interpretation and report	22	17	$50.00	$15.64
99497 Advance care planning, first 30 minutes	16	15	$100.67	$80.66
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	14	$174.00	$137.15
99316 Nursing facility discharge management, more than 30 minutes	12	12	$120.00	$101.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	175	65	$120.00	$88.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	151	61	$130.00	$102.90
99213 Established patient office or other outpatient visit, typically 15 minutes	96	51	$88.00	$70.09
99306 Initial nursing facility visit, typically 45 minutes per day	64	58	$190.00	$162.94
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	54	41	$150.00	$132.57
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	48	17	$120.00	$88.96
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	43	13	$90.00	$67.25
G0180 Physician or allowed practitioner 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 and	36	28	$150.00	$51.91
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	28	21	$160.00	$127.22
93000 Routine ekg using at least 12 leads including interpretation and report	27	21	$50.00	$16.24
G0008 Administration of influenza virus vaccine	26	26	$20.00	$19.60
90662 Influenza vaccine split virus, preservative free	26	26	$65.00	$48.05
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	25	25	$252.00	$111.44
99336 Established patient assisted living visit, typically 40 minutes	21	14	$150.00	$132.37
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	18	17	$160.00	$127.22
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	13	$174.00	$139.83
99316 Nursing facility discharge management, more than 30 minutes	13	13	$120.00	$103.37
99497 Advance care planning, first 30 minutes	12	12	$91.25	$78.10

Medical Specialties & State Licenses

CMS Verified: 2021-06-16

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License PA MD037455L

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 - Geriatric Medicine

NUCC Taxonomy Code: 207RG0300X

State License PA MD037455L

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

Practice Associates & Co-Workers

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

3 Associated Practitioners

Gina Lapaglia , NP

Nurse Practitioner - Family

NPI 1194381749

Nurse Practitioner

Dr. Debra Stango , DC

Chiropractor

NPI 1467444109

Doctor of Chiropractic

Dr. Craig French , DC

Chiropractor

NPI 1730171463

Doctor of Chiropractic

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location June 16, 2021

Registered at 118 FOX PLAN RD, MONROEVILLE, PA 151462762 (Tel: 4123732360)

📍

Updated Business Mailing Address June 16, 2021

Registered at 118 FOX PLAN RD, MONROEVILLE, PA 151462762 (Tel: 4123732360)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 16, 2021

Internal Medicine (License #MD037455L in PA)

✅

NPI Profile Active October 09, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location October 09, 2007

Registered at 4212 OLD WILLIAM PENN HWY, MURRYSVILLE, PA 156681901 (Tel: 7247331725)

📍

Updated Business Mailing Address October 09, 2007

Registered at 4212 OLD WILLIAM PENN HWY, MURRYSVILLE, PA 156681901 (Tel: 7247331725)

👤

Provider Name / Credentials Updated October 09, 2007

Recorded as ASHOK SHETTY, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 09, 2007

Specialist (License #MD037455L in PA)

🟢

Initial NPI Registration & Enumeration February 23, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1720053549

Entity Type:

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

Enumeration Date: February 23, 2006

Last Update: June 16, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

118 Fox Plan Rd

Monroeville, PA 151462762

Phone: 4123732360

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.