Roopa Sethi, M.D.
NPI 1316107931 · Psychiatry Physician · Roanoke, VA
Enrolled with Medicare as Practitioner - Psychiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Roopa Sethi, M.D. is a Psychiatry Physician provider in Roanoke, VA (NPI 1316107931).
Provider details
- NPI number
- 1316107931
- Entity type
- Individual
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 0116020102 (VA)
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
18 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
80 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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 30 | $75 |
| 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'SG2211 | 28 | $16 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 22 | $90 |
Typical Medicare-allowed amounts for these services range $16–$90 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 13 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Buprenorphine Hcl/Naloxone Hclbrand: Buprenorphine-Naloxone | 218 | 25 |
| Buprenorphine Hcl | 72 | — |
| Clonazepam | 50 | — |
| Buspirone Hcl | 48 | — |
| Duloxetine Hcl | 41 | — |
| Escitalopram Oxalate | 33 | — |
| Gabapentin |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,953 across 3 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
- 2008-06-17
- Last updated
- 2008-06-17
Frequently asked questions
- What is Roopa Sethi's NPI number?
- Roopa Sethi's National Provider Identifier (NPI) is 1316107931, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Roopa Sethi's specialty?
- Roopa Sethi is listed in the NPPES registry with a primary specialty of Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Roopa Sethi located?
- Roopa Sethi's practice location on file with NPPES is 2017 Jefferson St Sw, Roanoke, VA 24014-2419.
- What is Roopa Sethi's phone number?
- The practice phone number listed in the NPPES registry for Roopa Sethi is (540) 981-7695.
- Does Roopa Sethi accept Medicare?
- Roopa Sethi is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Roopa Sethi's NPI active?
- Yes — Roopa Sethi's NPI (1316107931) is active in the NPPES registry as of the last update on 2008-06-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.