Active NPI 1962711069 Individual Practitioner Male Practitioner

Dr. Pratikkumar Aswinkumar Sheth , MD, MPH

Hospitalist • Chesapeake, VA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Pratikkumar Sheth, MD, MPH is a certified Hospitalist practicing in Chesapeake, VA. With approximately 19 years of clinical experience since completing medical education in 2007, Dr. Sheth delivers high-quality medical care to the local community at 736 BATTLEFIELD BLVD N.

Dr. Sheth maintains professional affiliations with Meritus Medical Center Inc, Hospitalist Medicine Physicians Of Maryland Pc 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, follow-up hospital inpatient care per day. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

736 Battlefield Blvd N

Chesapeake, VA 233204941

Telephone 7579678622

Fax 7576860541

Associated Practice Facility / Clinic

🏢 Hampton Roads Pathology Inc Facility NPI 1497712756

Medicare Profile & Education

Medical School

Other

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Hospitalist in Chesapeake, VA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

19 Yrs +1.3 yrs vs City Avg

City Avg: 17.7 Yrs

State Avg: 18.8 Yrs

Regional Practice Density

3 Specialists

Practicing in Chesapeake, VA (544 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

65.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sheth (19 Years) 19 Yrs

Chesapeake Specialty Average (17.7 Years) 17.7 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	628	354	$206.41	$76.95
99239 Hospital discharge day management, more than 30 minutes	365	351	$307.18	$112.07
99231 Follow-up hospital inpatient care per day, typically 15 minutes	112	59	$112.00	$48.42
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	40	40	$576.00	$170.02
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	34	30	$297.00	$116.24
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$389.00	$128.16

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	718	370	$205.00	$78.86
99239 Hospital discharge day management, more than 30 minutes	369	360	$306.00	$113.90
99231 Follow-up hospital inpatient care per day, typically 15 minutes	97	58	$112.00	$49.80
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	78	76	$576.00	$173.80
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	47	44	$297.00	$119.31
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	11	$389.00	$111.27

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	428	240	$224.86	$71.65
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	310	215	$326.87	$103.60
99239 Hospital discharge day management, more than 30 minutes	197	193	$332.77	$106.28
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	74	74	$631.28	$198.49
99220 Hospital observation care, typically 70 minutes	72	71	$570.10	$181.26
99217 Hospital observation care on day of discharge	48	48	$228.21	$71.40
99226 Subsequent observation care, typically 35 minutes per day	38	33	$321.76	$102.09
99225 Subsequent observation care, typically 25 minutes per day	31	26	$224.71	$71.64
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	17	17	$173.00	$54.41
99497 Advance care planning, first 30 minutes	12	11	$264.92	$79.30

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	578	274	$233.77	$72.98
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	331	256	$335.82	$104.98
99239 Hospital discharge day management, more than 30 minutes	215	210	$347.00	$108.43
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	99	97	$651.16	$202.76
99217 Hospital observation care on day of discharge	68	66	$236.00	$73.84
99220 Hospital observation care, typically 70 minutes	62	62	$599.00	$185.07
99225 Subsequent observation care, typically 25 minutes per day	22	18	$235.00	$73.39
99226 Subsequent observation care, typically 35 minutes per day	17	16	$338.00	$105.45

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	487	258	$234.34	$74.62
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	260	196	$336.68	$107.30
99239 Hospital discharge day management, more than 30 minutes	206	201	$347.55	$110.02
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	113	113	$655.00	$205.17
99220 Hospital observation care, typically 70 minutes	69	68	$600.25	$188.21
99217 Hospital observation care on day of discharge	26	26	$236.50	$75.17

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	426	269	$235.00	$74.62
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	240	233	$653.11	$207.49
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	223	173	$332.88	$106.07
99239 Hospital discharge day management, more than 30 minutes	164	160	$344.55	$109.95
99220 Hospital observation care, typically 70 minutes	94	94	$601.00	$190.41
99217 Hospital observation care on day of discharge	37	37	$237.00	$75.08
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	26	26	$176.00	$54.87
99497 Advance care planning, first 30 minutes	21	20	$273.00	$81.18

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	400	251	$235.00	$74.37
99239 Hospital discharge day management, more than 30 minutes	192	186	$349.00	$110.20
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	179	143	$336.00	$106.49
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	98	95	$655.00	$207.29
99217 Hospital observation care on day of discharge	68	68	$237.00	$73.97
99220 Hospital observation care, typically 70 minutes	50	50	$601.00	$190.25
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	41	40	$176.00	$55.13
99291 Critical care, first 30-74 minutes	15	15	$891.00	$215.62
99225 Subsequent observation care, typically 25 minutes per day	12	11	$236.00	$74.72

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	608	302	$225.07	$71.84
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	351	248	$319.07	$103.57
99239 Hospital discharge day management, more than 30 minutes	285	272	$330.53	$107.60
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	66	66	$185.94	$54.12
99217 Hospital observation care on day of discharge	55	54	$224.85	$73.05
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	44	44	$628.00	$203.06
99231 Follow-up hospital inpatient care per day, typically 15 minutes	20	13	$123.60	$39.30
99291 Critical care, first 30-74 minutes	15	15	$747.33	$217.70
99236 Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes	11	11	$672.64	$218.69

Medical Specialties & State Licenses

CMS Verified: 2022-08-03

Hospitalist Primary Specialty

NUCC Taxonomy Code: 208M00000X

State License MD D81956

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Hospital & Practice Group Affiliations

Meritus Medical Center Inc

11116 Medical Campus Rd, Hagerstown, MD 217426710

Meritus Medical Center Inc

11110 Medical Campus Rd, Hagerstown, MD 217426700

Meritus Medical Center Inc

11116 Medical Campus Rd, Hagerstown, MD 217426710

Hospitalist Medicine Physicians Of Maryland Pc

400 W 7th St, Frederick, MD 217014506

Phone: 2405663300

Secondary Practice Locations

11110 Medical Campus Rd Ste 200

Hagerstown, MD 217426797

Phone: 3017144400

Practice Associates & Co-Workers

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

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Doctor of Medicine (M.D.)

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Physician Assistant - Medical

NPI 1023046364

Physician Assistant (Certified)

Dr. Natalie Feldman , MD

Emergency Medicine

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Doctor of Medicine (M.D.)

Dr. Akshay Chaudhari , MD

Internal Medicine

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Doctor of Medicine (M.D.)

Dr. Jeannine Leadbeater , MD

Family Medicine

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Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active October 02, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location October 02, 2017

Registered at 736 BATTLEFIELD BLVD N, CHESAPEAKE, VA 233204941 (Tel: 7579678622)

📍

Updated Business Mailing Address October 02, 2017

Registered at PO BOX 7068, PORTSMOUTH, VA 237070068 (Tel: 7579678622)

👤

Provider Name / Credentials Updated October 02, 2017

Recorded as PRATIKKUMAR SHETH, M.D., M.P.H.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 02, 2017

Hospitalist (License #D81956 in MD)

✅

NPI Profile Active June 16, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location June 16, 2014

Registered at 736 BATTLEFIELD BLVD N, CHESAPEAKE, VA 233204941 (Tel: 7579678622)

📍

Updated Business Mailing Address June 16, 2014

Registered at PO BOX 7068, PORTSMOUTH, VA 237070068 (Tel: 7579678622)

👤

Provider Name / Credentials Updated June 16, 2014

Recorded as PRATIKKUMAR SHETH, M.D., M.P.H.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 16, 2014

Internal Medicine (License #0101256087 in VA)

🟢

Initial NPI Registration & Enumeration October 07, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1962711069

Entity Type:

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

Enumeration Date: October 07, 2010

Last Update: August 03, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 7068

Portsmouth, VA 237070068

Phone: 7579678622

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

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