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

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: August 02, 2026.

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

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
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

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

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

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.

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
Quality58.68
Promoting Interoperability100
Improvement Activities40
Cost66.15

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.

Family Medicine
2225 US HIGHWAY 41 N
TIFTON, GA 31794
Nurse Practitioner (Family)
2225 US HIGHWAY 41 N
TIFTON, GA 31794
Nurse Practitioner (Family)
2225 US HIGHWAY 41 N
TIFTON, GA 31794
Physician Assistant
2225 US HIGHWAY 41 N
TIFTON, GA 31794
Nurse Practitioner
2225 US HIGHWAY 41 N
TIFTON, GA 31794
Nurse Practitioner
2225 US HIGHWAY 41 N
TIFTON, GA 31794
Internal Medicine
2225 US HIGHWAY 41 N
TIFTON, GA 31794
Internal Medicine
2225 US HIGHWAY 41 N
TIFTON, GA 31794

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 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.

Where is Abhinav Saxena located?

Abhinav Saxena practices at 2225 Us Highway 41 N, Tifton, GA 31794. The listed phone number is (229) 391-4100.

What is Abhinav Saxena's specialty?

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

Is Abhinav Saxena enrolled in Medicare?

Yes. Abhinav Saxena 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 Abhinav Saxena accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Abhinav Saxena 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 Abhinav Saxena affiliated with any hospitals?

According to CMS data, Abhinav Saxena is affiliated with Tift Regional Medical Center and Cook Medical Center A Campus Of Tift Reg Med Ctr.

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.