Hetal Karsan, MD
Gastroenterology Physician · Atlanta, GA
Hetal Karsan, MD is a gastroenterology physician with a practice address in Atlanta, Georgia, and NPI 1063402881, issued on Oct 24, 2005. Check the license (Georgia 52756, as entered in NPPES) on the Georgia Composite Medical Board; the Medicare figures below come from public CMS files.
- Name
- Hetal Karsan
- Credential
- MD
- Primary taxonomy
- Gastroenterology Physician 207RG0100X
- License number
- 52756 GA
Self-reported in NPPES; status is on the state search - Practice location
- 5671 Peachtree Dunwoody RD NE, Atlanta, GA 30342
- Phone
- (404) 257-9000
- Enumerated
- Oct 24, 2005
- Record last updated
- Jan 14, 2011 (not updated in 15 years: call before relying on the address or phone)
- Fax
- (404) 847-9792
- Medicaid ID
- 571656814A GA
- Medicare enrollment
- Enrolled (PECOS I20050520000083); accepts Medicare assignment
- Medical or professional school
- Indiana University School Of Medicine, 1996
- Entity
- Type 1 · individual
8 nearest gastroenterology physician records → All 530 in Georgia → Look up another NPI →
Also registered at 5671 Peachtree Dunwoody RD NE
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Peter Bennie, PAPhysician Assistant1164498903
- Richard Bernstein, M.D.Specialist1619978897
- David Brandenburg, MDGastroenterology Physician1821088790
- Jennifer Bridges, AT-CAthletic Trainer1063474062
- Krystal Chambers, M.D.Physical Medicine & Rehabilitation Physician1487649174
- Joseph Chandler, M.D.Orthopaedic Surgery Physician1972599306
Verify Hetal Karsan in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersGeorgia Composite Medical Board
Search for license 52756Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
74% fewer Medicare Part D claims than the average gastroenterology physician in 2024
208 Medicare Part D claims for 130 beneficiaries, against an average of 811 among the 16,445 providers of this specialty who prescribed in Part D. Brand-name drugs were 32% of claims.
Most prescribed
- Gavilyte-G49 claims
- Sod Sulf-Potass Sulf-Mag Sulf44 claims
- Ondansetron Odt16 claims
- Omeprazole13 claims
- Plenvu13 claims
- Lubiprostone12 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 92.3 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $31,858.59
89 payments; by number, the most common kind was food and beverage; the largest payer was Gilead Sciences, Inc. The 13,350 providers of this specialty with any payment received $5,015.95 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through 3 group practices
- Aga Professional Services LLCCumming, GA
- Aga, LLCCumming, GA
- The Emory Clinic IncAtlanta, GA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Hetal Karsan among 530 gastroenterology physician records in Georgia
Hetal Karsan, MD is one of 530 gastroenterology physician records with a practice address in Georgia. 85% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.
- NPI issued2005 · 0% of these records are older, 79% newer
- In a Medicare fileYes · 85% of these records are
- In the CMS Doctors and Clinicians fileYes · 75% of these records are
- Graduated1996 · median 2001 among the 397 with a school on file
- Record last updated2011 · 61% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RG0100X and a Georgia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Gastroenterology Physician providers in Georgia
There are 530 gastroenterology physician records in Georgia.
All 530 in Georgia → Every provider in Atlanta → Gastroenterology Physician nationwide →
The 8 gastroenterology physician records with the nearest ZIP codes
- David Brandenburg, MDAtlanta, GA 303421821088790
- Kelly Carson, M.D.Atlanta, GA 303421801859327
- Robert Eisenband, MDAtlanta, GA 303421053301390
- Richard Friedman, MDAtlanta, GA 303421518958537
- Luis Galvez, MDAtlanta, GA 303421326039231
- Agnes Han, M.D.Atlanta, GA 303421841268364
- Russell Kramer, MDAtlanta, GA 303421861476830
- Lori Lucas, M.D.Atlanta, GA 303421922069129
Common questions
What is Hetal Karsan, MD's NPI number?
Hetal Karsan, MD's National Provider Identifier (NPI) is 1063402881, issued on Oct 24, 2005. An NPI identifies a provider in billing; it is not a license.
Where is Hetal Karsan, MD located?
The NPPES record lists a practice address at 5671 Peachtree Dunwoody RD NE, Atlanta, GA, 30342. Phone: (404) 257-9000. Providers update this record themselves, so call before visiting.
How can I verify Hetal Karsan, MD's license?
NPPES lists Georgia license number 52756, as entered by the provider. Search the Georgia Composite Medical Board at https://medicalboard.georgia.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Hetal Karsan, MD prescribe under Medicare Part D?
In 2024, Hetal Karsan, MD had 208 Medicare Part D claims for 130 beneficiaries; the average among gastroenterology physician prescribers was 811. Part D covers Medicare prescriptions only.
What is Hetal Karsan, MD's MIPS final score?
The 2023 MIPS final score is 92.3 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.