Medicare Enrolled

Dr. Ankur Sheth, M.D.

Pathology - Anatomic · Gainesville, GA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
2324 LIMESTONE OVERLOOK, Gainesville, GA 30501
7705368109
In practice since 2007 (19 years)
NPI: 1396956140 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Sheth from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
Are you Dr. Sheth? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Sheth

Dr. Ankur Sheth is a pathology - anatomic specialist in Gainesville, GA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Sheth performed 1,239 Medicare services across 919 unique beneficiaries.

Between the years covered by Open Payments, Dr. Sheth received a total of $7,364 from 46 pharmaceutical and/or device companies across 434 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in pathology - anatomic. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Sheth is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 19 years in practice ▲ 1,239 Medicare services $7,364 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,239
Medicare services
Bottom 42% in GA for pathology - anatomic
919
Unique beneficiaries
$74
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~65 Medicare services per year of practice

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Tissue pathology examination, moderate complexity
A laboratory test where a pathologist examines tissue samples under a microscope to analyze cellular details. This intermediate complexity procedure involves specialized techniques to identify abnormalities in the tissue.
440 $21 $147
Office visit, established patient (30-39 min)
A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition.
197 $84 $217
Colonoscopy with biopsy
A procedure to collect tissue samples from the large intestine using a flexible tube with a camera. The samples are examined to check for abnormalities or disease.
139 $113 $1,842
Upper GI endoscopy with biopsy
A procedure to collect tissue samples from the esophagus, stomach, or upper small intestine using a flexible tube with a camera. The samples are examined to check for abnormalities.
122 $71 $1,337
Office visit, established patient (20-29 min)
An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition.
100 $63 $144
Colon polyp removal with endoscopic snare
This procedure removes polyps or growths from the large bowel using a flexible tube with a camera and a wire loop tool. The snare is used to cut off the growths during the examination.
67 $198 $2,083
New patient office visit (45-59 min)
An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter.
57 $105 $336
Colonoscopy for colorectal cancer screening, high risk
A colonoscopy performed to screen for colorectal cancer in individuals identified as being at high risk for the disease.
33 $156 $1,151
Esophageal dilation with guide wire and endoscope
A flexible endoscope is used to insert a guide wire into the esophagus, followed by dilation to widen the esophageal passage.
32 $111 $910
Colonoscopy
A diagnostic exam of the large bowel using a flexible endoscope to visualize the interior of the colon.
21 $121 $1,534
New patient office visit (30-44 min)
An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range.
19 $73 $218
Pancreatic or bile duct stent insertion
A flexible endoscope is used to place a stent into the pancreatic or bile duct to keep it open.
12 $355 $1,653
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
1.0% high complexity
25.4% medium
73.6% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$7,364
Total received (2018-2024)
Avg $1,052/year across 7 years
Top 6% in GA for pathology - anatomic
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
46
Companies
434
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$7,157 (97.2%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$207 (2.8%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$1,218
2023
$1,319
2022
$1,157
2021
$1,091
2020
$431
2019
$1,322
2018
$825

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Lilly USA, LLC
$157
ABBVIE INC.
$138
Takeda Pharmaceuticals U.S.A., Inc.
$134
GENZYME CORPORATION
$132
Medtronic, Inc.
$93
Ardelyx, Inc.
$89
Janssen Biotech, Inc.
$84
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$74
Celgene Corporation
$71
Regeneron Healthcare Solutions, Inc.
$55
Intercept Pharmaceuticals, Inc.
$48
Celltrion USA Inc.
$30
Ipsen Biopharmaceuticals, Inc
$24
Merck Sharp & Dohme LLC
$19
Boston Scientific Corporation
$19
Madrigal Pharmaceuticals
$18
PFIZER INC.
$17
Phathom Pharmaceuticals, Inc.
$16
Top 3 companies account for 35.2% of 2024 payments
All-time payments by company (2018-2024) ›
AbbVie, Inc.
$977
AbbVie Inc.
$732
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$618
Gilead Sciences, Inc.
$617
Janssen Biotech, Inc.
$551
Takeda Pharmaceuticals U.S.A., Inc.
$543
ABBVIE INC.
$475
GENZYME CORPORATION
$311
Medtronic, Inc.
$293
Ardelyx, Inc.
$233
Celgene Corporation
$202
Intercept Pharmaceuticals, Inc.
$164
Lilly USA, LLC
$157
Daiichi Sankyo Inc.
$125
PFIZER INC.
$107
Ironwood Pharmaceuticals, Inc
$102
Regeneron Healthcare Solutions, Inc.
$101
UCB, Inc.
$101
Olympus America Inc.
$76
Amgen Inc.
$72
Ferring Pharmaceuticals Inc.
$71
E.R. Squibb & Sons, L.L.C.
$59
Merck Sharp & Dohme LLC
$57
Nestle HealthCare Nutrition Inc.
$51
Synergy Pharmaceuticals Inc
$49
Boehringer Ingelheim Pharmaceuticals, Inc.
$44
INTERCEPT PHARMACEUTICALS, INC.
$42
Braintree Laboratories, Inc.
$38
Organon LLC
$35
Fresenius Kabi USA, LLC
$33
Janssen Scientific Affairs, LLC
$32
Allergan Inc.
$30
Celltrion USA Inc.
$30
QOL Medical, LLC
$29
Mauna Kea Technologies, Inc.
$28
Shionogi Inc
$27
Ipsen Biopharmaceuticals, Inc
$24
BOSTON SCIENTIFIC CORPORATION
$20
Boston Scientific Corporation
$19
Madrigal Pharmaceuticals
$18
Phathom Pharmaceuticals, Inc.
$16
Covidien LP
$15
PORTOLA PHARMACEUTICALS, INC.
$15
RedHill Biopharma Inc.
$14
Merck Sharp & Dohme Corporation
$12
INTRA-SANA LABORATORIES
$3
Top 3 companies account for 31.6% of all-time payments
Associated products mentioned in payments ›
ANDEXXA · AVSOLA · Aemcolo · Amitiza · BARRX · CIMZIA · CLENPIQ · CREON · Cimzia · Creon · DIFICID · DUPIXENT · ENDOCAPSULE RECORDER SET · ENTYVIO · EOHILIA · EVIS EXERA · EndoFlip · Entyvio · Epclusa · GATTEX · GENERAL ENDOCHOICE · GI GENIUS · GI Genius · HUMIRA · Humira · IBSRELA · IDACIO · INJECTAFER · INTERSTIM · IQIRVO · LINZESS · Linzess · MAVYRET · MOTEGRITY · MOTOFEN · ManoScan · Mavyret · Motegrity · Mulpleta · NEXPLANON · NEXPOWDER · OCALIVA · OMVOH · Olympus EMR & ESD Devices · REBYOTA · RELTONE 200 MG · RENFLEXIS · RESMETIROM · RINVOQ · SKYRIZI · STELARA · SUCRAID · SUPREP · SUTAB · Single Use Electrosurgical Snare SD-400 · Sucraid · TREMFYA · TRULANCE · Trulance · VIBERZI · VOQUEZNA · WATCHMAN FLX · XELJANZ · XIFAXAN · ZENPEP · ZEPOSIA · ZYMFENTRA
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

Most payments (97%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 6% for pathology - anatomic in GA.

Looking for a pathology - anatomic specialist in Gainesville?
Compare pathology - anatomics in the Gainesville area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Pathology - anatomics within 10 mi
12
Per 100K population
5.8
County median income
$77,430
Nearest hospital
NORTHEAST GEORGIA MEDICAL CENTER, INC
0.0 mi

Data Sources

Provider Registry NPPES Weekly updates
Medicare Enrollment PECOS Monthly updates
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not public N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Sheth is a clinical cardiology specialist, with moderate Medicare volume, with low-engagement industry engagement in the top 6% of GA peers, with 19 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Sheth experienced with tissue pathology examination, moderate complexity?
Based on Medicare claims data, Dr. Sheth performed 440 tissue pathology examination, moderate complexity services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Sheth receive payments from pharmaceutical companies?
Yes. Dr. Sheth received a total of $7,364 from 46 companies across 434 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Sheth's costs compare to other pathology - anatomics in Gainesville?
Dr. Sheth's average Medicare payment per service is $74. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Sheth) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

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Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →