DR. ABHINAV SAXENA M.D.
NPI 1720378714
Psychiatry & Neurology - Psychiatry in Tifton, GA

Q: What is Abhinav Saxena's NPI number?

The NPI number for Abhinav Saxena is 1720378714. It was assigned to this individual provider in the NPPES registry on April 12, 2011.

Q: What is Abhinav Saxena'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 Abhinav Saxena was last updated on May 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 April 12, 2011PECOS EnrolledAccepts Medicare Assignment

78.41/100

CMS Quality Rating

2225 US HIGHWAY 41 N, TIFTON, GA 31794(229) 391-4100(229) 391-4307 Get Directions Write a Review

NPPES record last updated: May 17, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 17, 2023, Oct 15, 2020, Sep 19, 2019 (3 updates tracked since 2019).

On this page

About Dr. Abhinav Saxena M.d. NPPES

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

DR. ABHINAV SAXENA M.D. (NPI 1720378714) is an individual psychiatry provider in Tifton, Georgia, licensed in Georgia (73257) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, is affiliated with Tift Regional Medical Center, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1720378714

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameDR. ABHINAV SAXENACredential: M.D.

Location Address2225 US HIGHWAY 41 NTifton, GA 31794-2749

Mailing AddressPo Box 2650Tifton, GA 31793-2650 · (229) 353-3450

Phone(229) 391-4100

Fax(229) 391-4307

Sole ProprietorNo

Medical School CMSMercer University School Of MedicineGraduated 2011

Enumeration DateApril 12, 2011

Last NPPES UpdateMay 17, 20233 updates tracked since enumeration

NPPES CertifiedMay 17, 2023

✔ NPI 1720378714 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 GA · 73257✔ Licensed in TN · 59685

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.

2225 US HIGHWAY 41 N, Tifton, GA 31794

Open in Google Maps ↗

Secondary Practice Locations 5

Location 1719 Thompson Ln Ste 30330Nashville, TN 37204-4701 · Phone (615) 322-3000

Location 23601 The Vanderbilt ClinicNashville, TN 37232-2749 · Phone (615) 322-3000

Location 3416 E McPherson Ave Ste ANashville, GA 31639-2277 · Phone (229) 686-2093 · Fax (229) 868-2150

Location 4901 18th St ETifton, GA 31794-3648 · Phone (229) 382-7120

Location 5260 Mj Taylor RdAdel, GA 31620-3485 · Phone (229) 896-8000 · Fax (229) 896-4277

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Abhinav Saxena 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 ID7719296672

PECOS Enrollment IDI20151016001203

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 Abhinav Saxena reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Tift Regional Health System, Inc

Same address

Multi-Specialty

2225 US HIGHWAY 41 N
Tifton, GA 31794

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

NPI 1861022329 (229) 391-4100

Tift Regional Health System Inc.

1.6 mi

General Acute Care Hospital

901 18TH ST E
Tifton, GA 31794

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

NPI 1962462226 (229) 382-7120

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 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 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.

466 services73 patients

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.

354 services65 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.

70 services67 patients

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.

67 services47 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

41 services40 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

32 services31 patients

Hospital Affiliations CMS Care Compare 2

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

Tift Regional Medical Center

Acute Care Hospitals · Tifton, GA

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110095

Location901 E 18th StreetTifton, GA 31793 · Tift County

Emergency services Birthing friendly

Cook Medical Center A Campus Of Tift Reg Med Ctr

Acute Care Hospitals · Adel, GA

OwnershipProprietary

CMS Certification Number110101

Location260 Mj Taylor RoadAdel, GA 31620 · Cook County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31794 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

$164.04 typical visit price

range $53.31 – $164.04

Typical copayment $41.01 (range $13.32 – $41.01)

Most-billed visit code 99205

Established Patient

$66.89 typical visit price

range $16.68 – $133.24

Typical copayment $16.72 (range $4.17 – $33.31)

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.

78.41/100

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

Scored as part of a group practice

Quality

58.68

Promoting Interoperability

100

Improvement Activities

Cost

66.15

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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