Physician

Paresh V Sheth, M.D.

According to 2025 Medicare claims, Paresh Sheth, M.D. (NPI: 1669479911) practices neurology in the Clarksville, TN-KY market, with the plurality of this provider's patient population coming from Christian, KY. This provider's primary affiliated billing organization is JENNIE STUART MEDICAL CENTER INC (NPI: 1588384671; TIN: 61-0482973) and primary practice location at 42240-1981. Sheth is affiliated with the Imperium Clinical Partners (ACO ID: A4945), participating under the MSSP model.

Sheth's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 352 traditional Medicare patients, billed 1,231 HCPCS/CPT codes, and received $56,977 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 2,060 prescription claims across 275 beneficiaries totaling $79,312 in drug costs, led by Ubrelvy (Ubrogepant). 2021 DME data shows 16 claims. Open Payments data shows 25 records totaling $1,134. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has fallen sharply in recent years, from $235,189 to $56,977. Similarly, Part D prescription costs have fallen sharply in recent years, from $276,643 to $79,312. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	899	3,721	$235,189
2016	861	3,178	$196,402
2017	845	3,080	$210,912
2018	776	2,708	$192,115
2019	765	2,861	$198,529
2020	577	2,257	$138,466
2021	460	1,696	$136,084
2022	530	1,617	$137,074
2023	371	901	$52,790
2024	352	1,231	$56,977

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	361	2,835	$276,643
2016	378	2,916	$341,757
2017	366	2,936	$354,562
2018	369	3,026	$330,312
2019	362	2,922	$422,057
2020	312	2,735	$357,029
2021	260	2,417	$339,046
2022	304	2,338	$269,892
2023	289	2,426	$128,226
2024	275	2,060	$79,312

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	13	13	$776
2016	N/R	N/R	N/R
2017	16	27	$1,331
2018	19	19	$1,543
2019	18	19	$1,111
2020	15	15	$961
2021	16	16	$1,144
2022	N/R	N/R	N/R
2023	N/R	N/R	N/R
2024	N/R	N/R	N/R

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	80	80	$81
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	178	306	$62
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	153	267	$45
95886	Needle measurement of electrical activity in arm or leg muscles, complete study	58	84	$32
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	165	273	$12

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Ubrelvy	Ubrogepant	14	359	$14,978
Lamictal Xr	Lamotrigine	12	360	$10,826
Carbamazepine Er	Carbamazepine	52	1,860	$6,495
Levetiracetam	Levetiracetam	272	10,056	$5,122
Gabapentin	Gabapentin	372	12,120	$3,767

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	25	$1,134	LivaNova USA, Inc.
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Paresh V. Sheth, M.D.?

Tedicare shows public-source Medicare data for Paresh V. Sheth, M.D. (NPI 1669479911), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Paresh V. Sheth, M.D. have ACO affiliation data?

Paresh V. Sheth, M.D. is shown with ACO affiliation data for Imperium Clinical Partners (MSSP, ACO ID A4945).

What billing organization is linked to Paresh V. Sheth, M.D.?

Paresh V. Sheth, M.D. is linked to JENNIE STUART MEDICAL CENTER INC (billing NPI 1588384671) in the available physician profile data.

Does Paresh V. Sheth, M.D. have Open Payments data?

Paresh V. Sheth, M.D. has 25 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.