PRAVINA B SHETH MD
NPI 1700810561
Psychiatry & Neurology - Psychiatry in Orangeburg, SC

Q: What is Pravina Sheth's NPI number?

The NPI number for Pravina Sheth is 1700810561. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Q: What is Pravina Sheth's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Pravina Sheth was last updated on November 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 10, 2006PECOS Enrolled

96.08/100

CMS Quality Rating

2319 ST MATTHEWS ROAD, ORANGEBURG, SC 29118(803) 536-1571(803) 536-1463 Get Directions Write a Review

NPPES record last updated: November 3, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Pravina B Sheth Md NPPES

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

PRAVINA B SHETH MD (NPI 1700810561) is an individual psychiatry provider in Orangeburg, South Carolina, licensed in South Carolina (SC7926) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Maryville.

NPPES Registry Identity

NPI1700810561

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NamePRAVINA B SHETHCredential: MD

Location Address2319 ST MATTHEWS ROADOrangeburg, SC 29118

Mailing Address2319 St Matthews RoadOrangeburg, SC 29118 · (803) 536-1571 · Fax (803) 536-1463

Phone(803) 536-1571

Fax(803) 536-1463

Sole ProprietorNo

Enumeration DateJuly 10, 2006

Last NPPES UpdateNovember 3, 2021

NPPES CertifiedNovember 3, 2021

✔ NPI 1700810561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Licenses✔ Licensed in SC · SC7926✔ Licensed in MO · 2021036350

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

2319 ST MATTHEWS ROAD, Orangeburg, SC 29118

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Secondary Practice Location 1

Location 12016 S Main StMaryville, MO 64468-2655 · Phone (660) 562-7918

Other Identifiers 1

Medicaid079266SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include First Choice Next.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pravina B Sheth Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

Medicare enrollment records show Pravina Sheth reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

South Carolina Dept Of Mental Health Accounting Office

Same address

Mental Health (Including Community Mental Health Center)

2319 ST MATTHEWS ROAD
Orangeburg, SC 29118

Reassigned Medicare billing, South Carolina enrollment
Also billed through NPI 1861066854 (South Carolina)
79 clinicians in this Medicare group

NPI 1164457735 (803) 536-4571

Department Of Behavioral Health And Developmental Disabilities

68 mi

Psychiatric Hospital

3405 MIKE PADGETT HWY
Augusta, GA 30906

Reassigned Medicare billing, Georgia enrollment
168 clinicians in this Medicare group

NPI 1093046005 (706) 792-7026

Spartanburg Medical Center

93 mi

Obstetrics & Gynecology

319 W SOUTH ST
Union, SC 29379

Reassigned Medicare billing, South Carolina enrollment
308 clinicians in this Medicare group

NPI 1164807376 (864) 560-6563

North Atlanta Professional Services LLC

203 mi

Psychologist

1000 JOHNSON FERRY RD NE
Atlanta, GA 30342

Reassigned Medicare billing, Georgia enrollment
783 clinicians in this Medicare group

NPI 1316959869 (855) 709-4535

Mat-Su Valley Medical Center LLC

3,518 mi

General Acute Care Hospital

2500 S WOODWORTH LOOP
Palmer, AK 99645

Reassigned Medicare billing, Alaska enrollment
60 clinicians in this Medicare group

NPI 1417975061 (907) 861-6000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

131 services48 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

17 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29118 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

$163.84 typical visit price

range $53.57 – $163.84

Typical copayment $40.96 (range $13.39 – $40.96)

Most-billed visit code 99205

Established Patient

$67.12 typical visit price

range $16.96 – $133.52

Typical copayment $16.78 (range $4.24 – $33.38)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

96.08/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

92.17

Promoting Interoperability

100

Improvement Activities

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.

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