# Pooja Sethi, MD

Source: https://ourhealthnetwork.com/doctor/pooja-sethi-md-1639458987
NPI: 1639458987
Data source: CMS NPI Registry (DAC), refreshed monthly

## Quick facts

Pooja Sethi, MD is a cardiovascular disease (cardiology) based in Alton, IL practicing at Fairview Heights Medical Group Sc with NPI 1639458987.

## Profile

- Primary specialty: Cardiovascular Disease (cardiology)
- Credential: MD
- Gender: Female
- Graduation year: 2010
- NPI: 1639458987 ([NPPES record](https://npiregistry.cms.hhs.gov/provider-view/1639458987))

## Practice and contact

- Practice name: Fairview Heights Medical Group Sc
- Address: 1 Memorial Dr, Alton, IL, 620026722
- Phone: (618) 463-7240
- Group practice size: 441 members

## CMS quality measures (MIPS)

- Overall MIPS final score: 100.00/100
- Quality category score: 91.19/100
- Promoting Interoperability score: 100.00/100
- Improvement Activities score: 40.00/100

Source: CMS Quality Payment Program. MIPS scores reflect Medicare provider performance on quality, cost, and care improvement measures.

## Insurance accepted (6 networks)

This provider is in network with the following insurance carriers, based on federal Transparency in Coverage filings and FHIR provider directories:

- [HCSC: BCBS Texas](https://ourhealthnetwork.com/insurance/hcsc-bcbs-texas) — 36 plans
- [Cigna](https://ourhealthnetwork.com/insurance/cigna) — 17 plans
- [Aetna](https://ourhealthnetwork.com/insurance/aetna) — 6 plans
- [Molina Healthcare](https://ourhealthnetwork.com/insurance/molina-healthcare) — 3 plans
- [Medicare](https://ourhealthnetwork.com/insurance/medicare) — 1 plan
- [UMR](https://ourhealthnetwork.com/insurance/umr) — 1 plan

To verify a specific plan covers Pooja Sethi, use the [OurHealthNetwork Insurance Matcher](https://ourhealthnetwork.com/tools/insurance-matcher?npis=1639458987).

## Industry payments disclosure (CMS Open Payments)

Per CMS Open Payments data (most recent year 2024), this provider has received 5 disclosed payments from medical industry sources totaling approximately $339.

Largest disclosed payer: Novartis Pharmaceuticals Corporation ($129 cumulative).

Source: CMS Open Payments program (federal financial-transparency dataset). Industry payment disclosures do not imply any wrongdoing; many are legitimate consulting fees, research support, or speaker honoraria.

## Related on OurHealthNetwork

- [More Cardiovascular Disease (cardiology) doctors in ALTON, IL](https://ourhealthnetwork.com/cardiovascular-disease-cardiology/il/alton)
- [Find insurance plans that cover this doctor](https://ourhealthnetwork.com/tools/insurance-matcher?npis=1639458987)
- [Browse all 5.5M US healthcare providers](https://ourhealthnetwork.com/find-doctors)
- [About our data and methodology](https://ourhealthnetwork.com/methodology)