Doctor profile · Federal record
Dr. Hetal Karsan, MD
Gastroenterology Physician (CMS: Gastroenterology) · Atlanta, GA
- NPI 1063402881
- Accepts Medicare
- MIPS 86.9 / 100 · 2023
- 30 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
5671 Peachtree Dunwoody RD Ne, Suite 600
Atlanta, GA 303425000
(404) 257-9000
fax (404) 847-9792 - Mailing address
-
550 Peachtree Street, Suite 1620
Atlanta, GA 30308
Credentials & registration
- NPI registered
- October 2005 — 21 yrs on file
- Profile last updated
- January 14, 2011
- Year of graduation
- 1996 — 30 yrs since
- Specialty taxonomy
- 207RG0100X — NUCC code
- State license (1)
- Georgia #52756
- Medicaid
- GA #571656814A
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1063402881. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
425
Distinct HCPCS
10
Medicare allowed
$57,320
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
45385 |
Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 69 | 69 | $248 | |
43239 |
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 49 | 49 | $74 | |
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 45 | 30 | $78 | |
G0105 |
Colorectal cancer screening; colonoscopy on individual at high risk | 36 | 36 | $180 | |
45380 |
Biopsy of large bowel using a flexible endoscope | 32 | 32 | $95 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 26 | 26 | $111 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 23 | 23 | $90 | |
99221 |
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 23 | 23 | $82 | |
45385 |
Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 22 | 21 | $248 | |
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 20 | 20 | $128 |
In context: peer comparison
Among 30 peers in Atlanta Gastroenterology Physician, average services per provider: 61. This provider delivers 7.0× the peer median.Open Payments
Industry payments received
All-time total
$31,859
Transactions
80
Manufacturers
15
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Gilead Sciences, INC. | 13 | $12,201.62 | |
| Madrigal Pharmaceuticals | 12 | $9,493.00 | |
| Mallinckrodt Hospital Products INC. | 5 | $6,025.52 | |
| Exact Sciences Corporation | 4 | $2,564.92 | |
| Salix Pharmaceuticals, A Division of Bausch Health US, LLC | 4 | $270.23 | |
| Abbvie INC. | 7 | $198.91 | |
| Janssen Biotech, INC. | 4 | $189.26 | |
| Genzyme Corporation | 8 | $165.37 | |
| Ipsen Biopharmaceuticals, INC | 4 | $108.84 | |
| Takeda Pharmaceuticals U.S.A., INC. | 5 | $102.08 | |
| Intercept Pharmaceuticals, INC. | 4 | $87.51 | |
| Regeneron Healthcare Solutions, INC. | 3 | $76.17 | |
| Lilly USA, LLC | 3 | $74.05 | |
| Regeneron Pharmaceuticals, INC. | 1 | $63.61 | |
| Aimmune Therapeutics, INC. | 3 | $58.82 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
132
Patients
29
Total drug cost
$36,556
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Pantoprazole Sodium | Generic | 37 | 14 | $553 |
| Omeprazole | Generic | 25 | 0 | $364 |
| Vemlidy (Tenofovir Alafenamide) | Brand | 17 | 0 | $25,141 |
| Plenvu (Peg3350/Sod Sul/Nacl/Kcl/Asb/C) | Brand | 15 | 15 | $2,232 |
| Dexilant (Dexlansoprazole) | Brand | 13 | 0 | $4,276 |
| Entecavir | Generic | 13 | 0 | $809 |
| Lubiprostone | Generic | 12 | 0 | $3,181 |
Hospital affiliations
Frequently asked questions
What is Dr. Hetal Karsan's medical specialty?
Dr. Hetal Karsan practices Gastroenterology Physician in Atlanta, GA.
Where does Dr. Hetal Karsan practice?
Dr. Hetal Karsan practices at 5671 Peachtree Dunwoody RD Ne, Atlanta, GA 303425000. Office phone: 4042579000.
What is Dr. Hetal Karsan's NPI?
Dr. Hetal Karsan's National Provider Identifier (NPI) is 1063402881, issued by NPPES.
Does Dr. Hetal Karsan accept Medicare assignment?
Yes. Dr. Hetal Karsan accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Hetal Karsan commonly perform?
Top Medicare-reported procedures in 2023: Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS 45385); Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS 43239); Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232). Source: CMS Medicare Physician & Other Practitioners file.