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SUJEETH K SHETTY M.D.
NPI 1063627727
Family Medicine in Marietta, OH

Active since May 14, 2007PECOS EnrolledAccepts Medicare Assignment
401 MATTHEW ST, MARIETTA, OH 45750(740) 376-1994(740) 374-7701 Get Directions Write a Review

NPPES record last updated: July 22, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 22, 2021, Jul 31, 2020, May 21, 2020 (3 updates tracked since 2020).

About Sujeeth K Shetty M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUJEETH K SHETTY M.D. (NPI 1063627727) is an individual family medicine provider in Marietta, Ohio, licensed in Ohio (35120548) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Marietta Memorial Hospital, and maintains a secondary practice location in Marietta.

NPPES Registry Identity

NPI1063627727
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSUJEETH K SHETTYCredential: M.D.
Location Address401 MATTHEW STMarietta, OH 45750-1635
Mailing AddressPo Box 449Marietta, OH 45750-0449 · (740) 374-4500 · Fax (740) 374-5887
Phone(740) 376-1994
Fax(740) 374-7701
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateMay 14, 2007
Last NPPES UpdateJuly 22, 20213 updates tracked since enumeration
NPPES CertifiedJuly 22, 2021
✔ NPI 1063627727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 35120548
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedHospitalistTaxonomy 208M00000X · License 35120548 (OH)
401 MATTHEW ST, Marietta, OH 45750
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Secondary Practice Location 1

Location 11106 Colegate DrMarietta, OH 45750-1323 · Phone (740) 374-7700 · Fax (740) 374-7701

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sujeeth K Shetty M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183762776
PECOS Enrollment IDI20130212000273
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
229 services146 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
214 services208 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
186 services183 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
150 services115 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
72 services48 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
47 services36 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Marietta Memorial Hospital

Acute Care Hospitals · Marietta, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360147
Location401 Matthew StreetMarietta, OH 45750 · Washington County
Emergency services Birthing friendly

Selby General Hospital

Critical Access Hospitals · Marietta, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361319
Location1106 Colegate DriveMarietta, OH 45750 · Washington County
Emergency services

Sistersville General Hospital

Critical Access Hospitals · Sistersville, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number511304
Location314 South Wells StreetSistersville, WV 26175 · Tyler County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45750 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers17 claims17 services$16.87 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
2 suppliers24 claims24 services$914.80 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers23 claims23 services$98.37 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CONSTANCE J OATES FNP
Nurse Practitioner
401 MATTHEW ST, EMERGENCY DEPARTMENT
MARIETTA, OH 45750
Washington County (740) 376-1939
JANELLE A THOMAS MD
Emergency Medicine
401 MATTHEW ST, EMERGENCY DEPT
MARIETTA, OH 45750
Washington County (740) 374-1400
LEXIE MULLEN MS, CCC-SLP
Speech-Language Pathologist
401 MATTHEW ST
MARIETTA, OH 45750
Washington County (740) 374-1422
DR. DIANA WHEELER DO
Family Medicine
401 MATTHEW ST
MARIETTA, OH 45750
Washington County (740) 374-7700
JULIAN ADAM JOHN JAKUBOWSKI DO
Emergency Medicine
401 MATTHEW ST, EMERGENCY DEPARTMENT
MARIETTA, OH 45750
Washington County (740) 376-1939
GEOFFREY SIROCKMAN DO
Emergency Medicine
401 MATTHEW ST, EMERGENCY DEPARTMENT
MARIETTA, OH 45750
Washington County (740) 568-5669
PUSHPA UPRETY FNP
Nurse Practitioner (Family)
401 MATTHEW ST
MARIETTA, OH 45750
Washington County (740) 374-1494
DR. DISHA SHAH MD
Student in an Organized Health Care Education/Training Program
401 MATTHEW ST
MARIETTA, OH 45750
Washington County (740) 374-1400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sujeeth Shetty's NPI number?

The NPI number for Sujeeth Shetty is 1063627727. It was assigned to this individual provider in the NPPES registry on May 14, 2007.

Where is Sujeeth Shetty located?

Sujeeth Shetty practices at 401 Matthew St, Marietta, OH 45750. The listed phone number is (740) 376-1994.

What is Sujeeth Shetty's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sujeeth Shetty enrolled in Medicare?

Yes. Sujeeth Shetty is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Sujeeth Shetty accept?

Health plans from CareSource list Sujeeth Shetty as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Sujeeth Shetty affiliated with any hospitals?

According to CMS data, Sujeeth Shetty is affiliated with Marietta Memorial Hospital, Selby General Hospital and Sistersville General Hospital.

When was this NPI record last updated?

The NPPES record for Sujeeth Shetty was last updated on July 22, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.