Doctor profile · Federal record
Dr. Shanta Gautham, MD
Internal Medicine Physician (CMS: Internal Medicine) · Grand Forks, ND
- NPI 1851562375
- Accepts Medicare
- MIPS 93.3 / 100 · 2023
- 19 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
725 Hamline St - Altru Family Medicine Residency
Grand Forks, ND 58203
(701) 780-6800
fax (781) 744-5358 - Mailing address
-
2401 Demers Ave
Grand Forks, ND 58201
Credentials & registration
- NPI registered
- March 2008 — 18 yrs on file
- Profile last updated
- March 5, 2019
- Year of graduation
- 2007 — 19 yrs since
- Specialty taxonomy
- 207R00000X — NUCC code
- State license (1)
- North Dakota #11672
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1851562375. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,440
Distinct HCPCS
9
Medicare allowed
$175,262
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 577 | 303 | $140 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 481 | 316 | $95 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 240 | 240 | $128 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 41 | 41 | $80 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 31 | 31 | $130 | |
99496 |
Transitional care management services for problem of high complexity | 30 | 27 | $187 | |
G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 15 | 15 | $164 | |
G0402 |
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | 13 | 13 | $129 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 12 | 12 | $64 |
In context: peer comparison
Among 10 peers in Grand Forks Internal Medicine Physician, average services per provider: 156. This provider delivers 9.2× the peer median.Open Payments
Industry payments received
All-time total
$104
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Phathom Pharmaceuticals, INC. | 1 | $81.68 | |
| Abbott Laboratories | 1 | $22.11 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
3,608
Patients
953
Total drug cost
$52,673
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Simvastatin | Generic | 380 | 105 | $4,622 |
| Atorvastatin Calcium | Generic | 360 | 103 | $4,978 |
| Levothyroxine Sodium | Generic | 305 | 77 | $4,932 |
| Lisinopril | Generic | 296 | 74 | $3,076 |
| Losartan Potassium | Generic | 266 | 67 | $4,430 |
| Hydrochlorothiazide | Generic | 265 | 71 | $1,730 |
| Metoprolol Succinate | Generic | 265 | 68 | $5,426 |
| Rosuvastatin Calcium | Generic | 246 | 66 | $5,077 |
| Omeprazole | Generic | 225 | 67 | $3,718 |
| Amlodipine Besylate | Generic | 222 | 58 | $1,707 |
Hospital affiliations
Frequently asked questions
What is Dr. Shanta Gautham's medical specialty?
Dr. Shanta Gautham practices Internal Medicine Physician in Grand Forks, ND.
Where does Dr. Shanta Gautham practice?
Dr. Shanta Gautham practices at 725 Hamline St - Altru Family Medicine Residency, Grand Forks, ND 58203. Office phone: 7017806800.
What is Dr. Shanta Gautham's NPI?
Dr. Shanta Gautham's National Provider Identifier (NPI) is 1851562375, issued by NPPES.
Does Dr. Shanta Gautham accept Medicare assignment?
Yes. Dr. Shanta Gautham accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Shanta Gautham commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99215); Established patient office or other outpatient visit (HCPCS 99214); Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS G0439). Source: CMS Medicare Physician & Other Practitioners file.