Pramodkumar Sethi, M.D.
NPI 1972560894 · Neurology Physician · Greensboro, NC
Enrolled with Medicare as Practitioner - Neurology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pramodkumar Sethi, M.D. is a Neurology Physician provider in Greensboro, NC (NPI 1972560894).
Provider details
- NPI number
- 1972560894
- Entity type
- Individual
- Primary specialty
- Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 2004-00969 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
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
603 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 96 | $118 |
| Critical Care, First 30-74 Minutes99291 | 80 | $198 |
| Ultrasound of Both Sides of Head and Neck Blood Flow93880 | 79 | $35 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 72 | $111 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 61 | $74 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 19 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Memantine Hcl | 121 | 34 |
| Topiramate | 99 | 31 |
| Clopidogrel Bisulfatebrand: Clopidogrel | 88 | 32 |
| Donepezil Hcl | 78 | 22 |
| Atorvastatin Calcium | 67 | 21 |
| Gabapentin | 56 | 19 |
| Levetiracetambrand: Levetiracetam Er | 46 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,275 across 77 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
- 2006-04-26
- Last updated
- 2023-06-08
- Certified
- 2023-06-08
Frequently asked questions
- What is Pramodkumar Sethi's NPI number?
- Pramodkumar Sethi's National Provider Identifier (NPI) is 1972560894, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Pramodkumar Sethi's specialty?
- Pramodkumar Sethi is listed in the NPPES registry with a primary specialty of Neurology Physician (Allopathic & Osteopathic Physicians).
- Where is Pramodkumar Sethi located?
- Pramodkumar Sethi's practice location on file with NPPES is 912 Third Street, Greensboro, NC 27405-6967.
- What is Pramodkumar Sethi's phone number?
- The practice phone number listed in the NPPES registry for Pramodkumar Sethi is (336) 273-2511.
- Does Pramodkumar Sethi accept Medicare?
- Pramodkumar Sethi is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Pramodkumar Sethi's NPI active?
- Yes — Pramodkumar Sethi's NPI (1972560894) is active in the NPPES registry as of the last update on 2023-06-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.