Active NPI 1417190463 Individual Practitioner Female Practitioner

Dr. Hetal Prakash Kothari , MD

Internal Medicine • Olympia, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Hetal Kothari, MD is a certified Internal Medicine practicing in Olympia, WA. With approximately 23 years of clinical experience since completing medical education in 2003, Dr. Kothari delivers high-quality medical care to the local community at 413 LILLY RD NE.

Dr. Kothari is affiliated with Providence Health And Services Washington 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, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

413 Lilly Rd Ne

Olympia, WA 985065133

Telephone 3604934083

Fax 3604866436

Associated Practice Facility / Clinic

🏢 Credena Health Llc Facility NPI 1487696787

Medicare Profile & Education

Medical School

Other

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Olympia, WA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

23 Yrs +1.0 yrs vs City Avg

City Avg: 22.0 Yrs

State Avg: 23.4 Yrs

Regional Practice Density

80 Specialists

Practicing in Olympia, WA (3169 Statewide)

Telehealth Adoption Rate

12.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

68.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kothari (23 Years) 23 Yrs

Olympia Specialty Average (22.0 Years) 22.0 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	170	86	$241.00	$76.93
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	155	90	$361.86	$115.57
99239 Hospital discharge day management, more than 30 minutes	50	50	$349.00	$112.07
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	17	16	$528.00	$162.92

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	188	88	$227.00	$77.86
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	99	59	$341.00	$117.13
99239 Hospital discharge day management, more than 30 minutes	46	46	$329.00	$112.93

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	256	103	$269.00	$101.52
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	183	87	$187.00	$71.04
99239 Hospital discharge day management, more than 30 minutes	66	66	$277.00	$104.07
99231 Follow-up hospital inpatient care per day, typically 15 minutes	41	19	$102.00	$38.51
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	16	$521.00	$197.67

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	582	199	$180.00	$72.12
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	180	93	$258.00	$103.72
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	124	38	$200.00	$90.65
99239 Hospital discharge day management, more than 30 minutes	102	101	$266.00	$107.08
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	61	61	$503.00	$198.48
99231 Follow-up hospital inpatient care per day, typically 15 minutes	52	18	$97.00	$38.56
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	37	18	$150.00	$68.64
99225 Subsequent observation care, typically 25 minutes per day	36	19	$180.00	$72.16
99306 Initial nursing facility visit, typically 45 minutes per day	35	34	$400.00	$165.39
99497 Advance care planning, first 30 minutes	35	34	$200.00	$77.93
99217 Hospital observation care on day of discharge	17	17	$181.00	$72.67

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	657	212	$177.00	$73.79
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	208	47	$200.00	$92.16
99239 Hospital discharge day management, more than 30 minutes	125	123	$263.00	$109.56
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	94	48	$256.00	$107.00
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	68	66	$497.00	$204.41
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	66	26	$150.00	$69.69
99306 Initial nursing facility visit, typically 45 minutes per day	46	45	$400.00	$168.89
99497 Advance care planning, first 30 minutes	44	43	$200.00	$79.91
99225 Subsequent observation care, typically 25 minutes per day	35	19	$178.00	$74.19
99231 Follow-up hospital inpatient care per day, typically 15 minutes	31	14	$97.00	$40.23
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$338.00	$140.32
99238 Hospital discharge day management, 30 minutes or less	12	12	$179.00	$74.36
99217 Hospital observation care on day of discharge	11	11	$178.00	$74.14

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	327	118	$146.40	$73.02
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	205	201	$451.85	$201.85
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	122	122	$328.07	$135.73
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	96	54	$168.91	$104.81
99231 Follow-up hospital inpatient care per day, typically 15 minutes	29	14	$77.14	$39.59
99219 Hospital observation care, typically 50 minutes	27	27	$333.00	$135.68
99239 Hospital discharge day management, more than 30 minutes	19	19	$263.00	$107.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	251	242	$458.59	$200.78
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	203	200	$324.79	$136.64
99219 Hospital observation care, typically 50 minutes	58	58	$325.00	$136.16
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	54	34	$163.30	$99.31
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	44	27	$119.02	$69.53
99220 Hospital observation care, typically 70 minutes	27	26	$445.00	$186.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	198	195	$322.00	$132.95
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	178	76	$170.00	$71.36
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	118	115	$477.00	$198.91
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	52	30	$245.00	$103.05
99219 Hospital observation care, typically 50 minutes	46	46	$319.00	$134.18
99239 Hospital discharge day management, more than 30 minutes	21	21	$253.00	$106.61
99238 Hospital discharge day management, 30 minutes or less	11	11	$171.00	$71.83

Medical Specialties & State Licenses

CMS Verified: 2021-06-16

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License WA MD60076666

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.

Hospitalist

NUCC Taxonomy Code: 208M00000X

State License WA MD60076666

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

Providence Health And Services Washington

413 Lilly Rd Ne, Olympia, WA 985065133

Phone: 3604934083

Practice Associates & Co-Workers

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

19 Associated Practitioners

Dr. Shayna Mooney , MD

Internal Medicine

NPI 1164982245

Doctor of Medicine (M.D.)

Dr. Jawaid Behnawa , MD

Internal Medicine

NPI 1174722979

Doctor of Medicine (M.D.)

Kaitlin Maasdam , ARNP

Nurse Practitioner

NPI 1225681414

Advanced Registered Nurse Practitioner

Dr. Khaled Darwesh , MD

Internal Medicine

NPI 1265963805

Doctor of Medicine (M.D.)

Dr. David Newton , MD

Internal Medicine

NPI 1346503596

Doctor of Medicine (M.D.)

Peter Jorgenson , ARNP

Nurse Practitioner - Adult Health

NPI 1376156216

Advanced Registered Nurse Practitioner

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location January 21, 2019

Registered at 413 LILLY RD NE, OLYMPIA, WA 985065133 (Tel: 3604934083)

📍

Updated Business Mailing Address January 21, 2019

Registered at PO BOX 3360, PORTLAND, OR 972083360

✅

NPI Profile Active April 07, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location April 07, 2009

Registered at 413 LILLY RD NE, HOSPITALISTS DEPT, OLYMPIA, WA 985065133 (Tel: 3604934081)

📍

Updated Business Mailing Address April 07, 2009

Registered at 909 N BROADWAY, PBO, EVERETT, WA 982011409 (Tel: 4253170246)

👤

Provider Name / Credentials Updated April 07, 2009

Recorded as HETAL KOTHARI, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 07, 2009

Internal Medicine (License #MD60076666 in WA)

🟢

Initial NPI Registration & Enumeration April 07, 2009

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: 1417190463

Entity Type:

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

Enumeration Date: April 07, 2009

Last Update: June 16, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 3360

Portland, OR 972083360

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.