Hetal Karsan, MD
NPI 1063402881 · Gastroenterology Physician · Atlanta, GA
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Hetal Karsan, MD is a Gastroenterology Physician provider in Atlanta, GA (NPI 1063402881).
Provider details
- NPI number
- 1063402881
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 52756 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
422 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 89 | $241 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 54 | $60 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 32 | $126 |
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 31 | $79 |
| Colorectal Cancer Screening; Colonoscopy on Individual at High RiskG0105 | 27 | $175 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 8 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Peg3350/Sod Sulf,bicarb,cl/Kclbrand: Gavilyte-G | 49 | 48 |
| Sodium, Potassium,mag Sulfatesbrand: Sod Sulf-Potass Sulf-Mag Sulf | 44 | 44 |
| Ondansetronbrand: Ondansetron Odt | 16 | 16 |
| Peg3350/Sod Sul/Nacl/Kcl/Asb/Cbrand: Plenvu | 13 | 13 |
| Omeprazole | 13 | — |
| Lubiprostone | 12 | — |
| Pantoprazole Sodium |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$31,859 across 89 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-10-24
- Last updated
- 2011-01-14
Frequently asked questions
- What is Hetal Karsan's NPI number?
- Hetal Karsan's National Provider Identifier (NPI) is 1063402881, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Hetal Karsan's specialty?
- Hetal Karsan is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Hetal Karsan located?
- Hetal Karsan's practice location on file with NPPES is 5671 Peachtree Dunwoody Rd Ne, Atlanta, GA 30342-5000.
- What is Hetal Karsan's phone number?
- The practice phone number listed in the NPPES registry for Hetal Karsan is (404) 257-9000.
- Does Hetal Karsan accept Medicare?
- Hetal Karsan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Hetal Karsan's NPI active?
- Yes — Hetal Karsan's NPI (1063402881) is active in the NPPES registry as of the last update on 2011-01-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.