Welcome to the SEAK National Directory of Medical File Review Consultants. The following list of Physician (MD or DO)s who are licensed in Pennsylvania are available to provide a Medical file review, Utilization review, Chart review, Peer review, Second opinion (2nd opinion), Underwriting report, Disability opinion, Pre-authorization, etc.
Yelena Vidgop, MD
Integrative Neurology Inc
Weston, Florida
Neurology, Neurophysiology
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Inpatient/outpatient, Stroke, Headaches, Migraines, Neuropathy, CIDP, MS Myasthenia, Encephalopathy, Tremors, Parkinson's, Back/Neck injuries, Radiculopathy, Epilepsy, Dementia, Concussions
Board Certified in Neurology and Fellowship trained in Neurophysiology. Currently practicing with Telespecialists, licensed in 36 states, privileges in 204 hospitals. Serves as a Stroke Medical Director and Regional Medical Director for multiple hospital systems. Associate Professor at Nova Southeastern Medical School. Experience in teaching and presenting. Experience with disability file review claims.
Richard S Kaplan, MD
Kaplan Rehab and EMG
Monroeville, Pennsylvania
Pain, Physical Medicine and Rehabilitation
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20+ Years File Review experience including State work injury guidelines, Disability, Medical Necessity Impairment Rating, Impairment Review, Auto Peer Review, Auto Biomechanical Review, Life Care Planning, Medical Cost Projections, Medicare Setaside Review, and Life Expectancy Analysis. Licensed in 10 states and proficient in multiple state guidelines including CA, TX, PA, NY, LA, WA, IN, FL, WV, and OH.
Richard E. Grant, M.D.
Fellow AAOS and ABOS
Ambler, Pennsylvania
Orthopaedic Surgery
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Clinical Professor Orthopedic Surgery UPenn Medical Center Philadelphia Pa
Arun Kapoor, MD
Orefield, Pennsylvania
Anesthesiology
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20 years of Pain Management experience
Over 1000 cases of File review including Worker's Comp, Pharmacy UR, ACT 6 reviews, Disability case reviews, and Anesthesia UR.
Prafulchandra U Bhatt, M.D.,FAAP
Praful U Bhatt, M.D.,LLC
Mill Hall, Pennsylvania
Pediatrics
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- Chief, Section of Pediatrics, Lock Haven Hospital, Lock Haven, PA, September 1981 -October 31, 2017
- Teaching PA students, Nurse Practitioners and Medical Students during their pediatric rotation with my practice
- Clinical research, workshop presentations and publications in peer reviewed journals on pediatric infectious disease topics
- Regional presentations, in-services on NRP, PALS, Infant Nutrition, Safety and injury prevention in children
- Clinical Assistant Professor, Geisinger Commonwealth School of Medicine
-Clinical Associate Professor, Commonwealth University, LH
Arthur D. Barnes, MD, PhD, MPH, FACOG
A.David Barnes,MD, PC
Salt Lake City, Utah
Obstetrics and Gynecology
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Reviewer of medical records for the standard of care for 20 years.
Experience with depositions and trials.
Active in both obstetrics and gynecology.
Multiple journals, chapters, and books.
Brian S. Wojciechowski, MD
Max Medical Consulting, LLC
Ardmore, Pennsylvania
Hematology, Oncology
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I have 10 years of experience as an expert witness. I maintain an active medical practice as well. I have been told that I am very good on the stand. I am committed to truth and honesty. I believe professionalism is key. I believe that an expert witness should be easy to work with and accessible at all times.
Michael C Raklewicz, MD
Kingston, Pennsylvania
Orthopaedic Surgery
Kenneth M. Rice, M.D.
Suwanee, Georgia
Emergency Medicine
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Diplomate, American Board of Emergency Medicine (ABEM)
Fellow, American College of Emergency Physicians (FACEP)
Founder, owner and Medical Director of an independent Urgent Care center for fourteen years.
Extensive clinical experience in Emergency Medicine, Urgent Care, Primary Care, Occupational Medicine, Worker's Compensation, DOT, Teaching, Supervision, Clinic Management, and Telemedicine.
Gaurang Mavani, MD
Carmel, Indiana
Internal Medicine, Nephrology
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I have experience in doing disability reviews. I have done more than 25 reviews in disability so far. I work for dane street and brown and brown.
I al also an expert in doing DRG validation. I have done more than 500 reviews so far.
I am also an expert in medical necessity review for inpatient and observation. I have seen more than 30,000 reviews so far.
I also have done more than 10 Medical review approval for Nephrology.
I want to develop my disability file review practice.
ANKUSH K BANSAL, MD FACP FACPM SFHM
Loxahatchee, Florida
Internal Medicine
Melissa Harrison, DO
Northeastern Anesthesia physicians.
Allentown, Pennsylvania
Anesthesiology
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Board certified by the American Board of Anesthesiologists. With 20 years of clinical experience in the OR both inpatient and outpatient based settings.
Ali Ekbatani, DO, MBA
Plymouth Meeting, Pennsylvania
Anesthesiology
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Medical staff credentialing
Facility agreements
Complex negotiations
Medical necessity
budget planning
strategic planning
revenue cycle
HR matters
Robert J Cooper, MD
Longmeadow, Massachusetts
Endocrinology, Diabetes and Metabolism, Internal Medicine
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20+ years practicing in the specialty of endocrinology, with experience in both private and academic practices. Diplomate of the ABIM in both IM and endocrinology. Fellow of the American College of Physicians (FACP) and Fellow of the American College of Endocrinology (FACE). Experienced in performing file reviews for medical necessity, peer reviews, pre-authorizations, chart reviews and coding reviews in endocrine; experienced in performing length of stay, chart reviews, and long/short term disability in both endocrine and IM. Previously served on QA/QI committee as Chief of Medicine.
Jonathan Wiesen, MD
Beachwood, Ohio
Critical Care Medicine, Internal Medicine, Pulmonary Disease
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My areas of expertise include: Critical Care Medicine (Cardio-pulmonary hemodynamics, respiratory physiology, mechanical ventilation, sepsis and septic shock); Pulmonary Medicine (Asthma, COPD, Smoking related diseases, Interstitial Lung Disease, Pulmonary Hypertension, Lung transplantation); Biomedical Ethics (End of life, conflict resolution, triage). I have received a number of teaching and research awards for my academic work at the Cleveland Clinic. I have extensive academic experience with over 75 publications including first authorship of over a dozen full length manuscripts.
Robin A Lawson, MD
Casewise Medical Legal Consulting
Mars, Pennsylvania
Anesthesiology, Critical Care Medicine
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Residency trained in anesthesiology and internal medicine. Fellowship trained in critical care medicine. 24 years clinical experience as anesthesiologist at level I trauma/burn center. Broad anesthesia experience including: trauma, burns, acute stroke, OB/labor & delivery, orthopedics, thoracic and major vascular cases, general and plastic surgery cases, and ambulatory anesthesia.
Previous clinical assistant professor of anesthesia , University of Pittsburgh School of Medicine.
Experience as anesthesia didactic instructor in the classroom and simulation lab,
La Roche University.
Richard Nass, MD
HealthAdvise
New York, New York
Otolaryngology
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Otolaryngologist/Head and Neck surgeon with a long career in both private medical practice and academia.
Professor Emeritus at the New York University School of Medicine.
Subspecialty is Rhinology/Endoscopic sinus surgery having taught ENT residents and practicing physicians in this sector.
I am exceptionally well-qualified, experienced, and interested in reviewing potential cases of medical malpractice in all area of otolaryngology.
SIVA P SIVAKUMAR, MBBS, MD
SOLUTIONHEALTH-SOUTHERN NH MEDICAL CENTER
NASHUA, New Hampshire
Critical Care Medicine, Internal Medicine, Pulmonary Disease
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I started doing file review and IME work 2 years ago. I plan to expand more in the future. I am available for independent reviews in Internal Medicine, Pulmonary diseases and Critical Care Medicine. I have 22 years of clinical practice in my specialties in both outpatient and inpatient management. I am qualified and capable of doing an excellent job in giving my independent opinion. With my clinical affiliations and researching skills, I am able to define the standard and quality of care for a given condition. I was an active clinician caring for the critically ill COVID patients.
Elaine Goldhammer, MD
West Chester , Pennsylvania
Internal Medicine
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I have been an Internal Medicine Hospitalist for over 20 years, a career that I love, and I am glad I was able to be a part of medicine through these last decades. I have a deep understanding of medicine and the business of medicine.
Additional Certifications and Experience:
Expert Witness with my company, ELG Expert MD
Certificate, Artificial Intelligence in Health Care, MIT Sloan School of Management
President and CEO of Non-Profit organizations
My writing and summarizing skills are efficient, precise, and thoughtful. I look forward to working with you.
Louise Banks, MD,MPH
Louise Banks,MD,LLC
Pittsburgh, Pennsylvania
Internal Medicine, Occupational Medicine
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Residency-trained and board certified in both occupational medicine and internal medicine with extensive disability file review experience. SEAK alumna.
Lisa Makrides, MD
Lancaster, Pennsylvania
Anesthesiology
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I am currently practicing pain management full time.
Michael D. Leibowitz, M.D.,C.M.D.
Advanced Pain Medicine and Rehabilitation, PC
Roslyn Heights, New York
Physical Medicine and Rehabilitation
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Board Certified American Board of Pain Medicine. Board Certified American Board of Physical Medicine & Rehabilitation. Certified Medical Director. Experienced medical file review consultant and medical expert. Providing solutions regarding Peer Reviews, Utilization Reviews, disability insurance claims, health insurance claims, Personal Injury, Motor Vehicle Accidents, Workers Comp claims, medical staff administration, and medical malpractice. Quality Litigation Support services. Current faculty NYU Long Island School of Medicine. Former faculty University of Medicine and Dentistry-New Jersey
Hazel A Nurse, MD
HAN Medical File Review Consultants
Mullica Hill, New Jersey
Internal Medicine
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Physician Advisor with Utilization Management Departments at several Hospitals and an IRO in the 1990s.
Director of Ambulatory Care Education at St. Barnabas Medical Center from 1993 to 1995.
Clininical Instructor of Medicine at Cooper Medical School at Rowan University from 2015 to 2021.
Alana J. Arnold, MD, MBA
AJA Medical Consulting LLC
Miami, Florida
Pediatric Emergency Medicine, Pediatrics
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I have served as medical director for a community hospital, for pediatric emergency medicine since 2020. I have trained at the world's largest free-standing children's hospital and trauma center. I have wide expertise for pediatrics, and pediatric emergency medicine, child abuse, neglect, trauma, and other injuries.
I have been an expert witness, and have worked well with lawyers and other professionals. My work network is large, and I am able to call on other pediatric specialists that can be of assistance [radiology, orthopedics, neurology, for example]. I have my MBA in healthcare as well.
Bethann Scarborough, M.D.
Penn Medicine - Lancaster General Health
Landisville, Pennsylvania
Hospice and Palliative Medicine
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Credentials:
Associate Professor of Palliative Medicine
University of Pennsylvania Health System.
Associate Professor of Palliative Medicine (through 2021)
Icahn School of Medicine at Mount Sinai.
File Experience:
Primarily disability and catastrophic reviews, some UM.
Completed same-day or within 3 days (medical record length 100-2000 pages).
Over 98% of reports accepted without revision.
Special Skills:
Assess disability & recovery potential from multiple serious illnesses (cancer, congestive heart failure, chronic lung disease, COVID, neurologic disorders, dementia, etc),
Daniel V. Loesch, MD, FACS, FAANS
Tristate Neurological Surgeons
Erie, Pennsylvania
Critical Care Medicine, Neurological Surgery
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ACT VI, URO, IME, Forensics, Consultation - Plaintiff and Defense
Life Care Plans
Catastrophic Injury, Cranial and Spinal Trauma, Hydrocephalus, Neurological Surgery, Personal Injury, Spine Surgery, Thoracic Disc, Surgical treatment of Pain - Neurostimulators,/Intrathecal pumps, Peripheral Nerve, Thoracic Disc, Trauma- Cranial and Spinal, Tumor
Full Time Practice in Neurological Surgery
Shannnon M Foster, MD FACS
SMF Coverage & Solutions LLC
Reading, Pennsylvania
General Surgery, Surgical Critical Care
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Policy and best practice creator via expansive leadership roles in multiple professional organizations and training/experience in areas of medical Ethics, Credentialing, By-Laws, and Surgical Quality.
Previous positions include oversight and responsibility to review all Performance Improvement and Quality efforts for Divisional and Departmental initiatives as well as individual provider performance/quality/utilization measures.
Areas of interest expand beyond General Surgery/Trauma/Surgical Critical Care spectrum to prevention + palliation.
Utilization review. Disability review.
Harris Gellman, MD
Broward Hand Center
Coral Springs, Florida
Hand Surgery, Orthopaedic Surgery
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Experienced Hand and Upper Extremity surgeon.
Clinical professor of Orthopedic and Plastic Surgery.
Jeffrey Knox, MD
Bronx, New York
Orthopaedic Surgery
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Experience in spinal surgery, general orthopedic surgery, and interventional pain management procedures
NYU Spine Surgery fellowship trained
NY State Worker's Compensation certified
Have performed thousands of file reviews
Taliba M Foster, MD
Main Line Psychiatric
Ardmore, Pennsylvania
Psychiatry
Matthew Budway, MD
Berwyn, Pennsylvania
Neurological Surgery, Spinal Cord Injury Medicine
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I have been in practice for over 20 years and have performed thousands of surgical procedures. Board certified in neurosurgery with fellowship training at Harvard, I currently maintain a busy neurosurgery practice. I have over a decade of experience as an expert medical witness.
Gloria Koskey, M.D.
Philadelphia, Pennsylvania
Pediatrics
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I am a pediatric physician with an educational background in neurobiology and child & adolescent development. I have experience working as a pediatric hospitalist and pediatric urgent care physician.
Stephanie Kao, MD, MPH
Wynnewood, Pennsylvania
Internal Medicine, Occupational Medicine
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Board certified Internal Medicine physician, in Occupational Medicine clinical practice for >20 years; with extensive background in the area of disability evaluation, personal injuries resulting from occupational injuries or motor vehicle accident, musculoskeletal issues and pain management procedures.
Sunny Gupta, DO
Robbinsville, New Jersey
Family Medicine/Family Practice, Sports Medicine
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Over 15 years experience performing medical necessity reviews (concurrent and retrospective), chart reviews and appeals with various organizations. Board certified in family medicine and sports medicine. Currently practice non-surgical sports medicine at a large multi-specialty orthopaedic practice and hold a clinical assistant professor faculty appointment at a large academic teaching hospital. Also serve as team physician for professional and high school sports teams.
Alexander R Szeles, DO
Harrisburg Eye Associates
Harrisburg, Pennsylvania
Ophthalmology
Odunayo Ogunnaike, MD
Newtown Square, Pennsylvania
Internal Medicine
Felix Rivera, MD
US Neurology Consulting, PLLC
Harlingen, Texas
Neurology
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Has experience with Outpatient General Neurology, Inpatient Neuro-Hospitalist and Outpatient Tele Neurology, as well as currently provides Telemedicine care in Neurology, Inpatient Telemedicine/ Tele Neuro-Hospitalist for hospitals in several states throughout the United States.
Dr. Rivera has experience in areas, including but not limited to : Stroke, Epilepsy, Headache, migraine, Traumatic Brain Injury,mild traumatic brain injury, closed head injury, concussion, Spinal Cord Injury, Nerve Injury, Complex Regional Pain Syndrome, CRPS, Memory Loss, Dementia, Encephalopathy, Parkinsons Disease.
Cyrus Kao, MD
Rehabilitation Consultants LLC
Nashville, Tennessee
Pain, Physical Medicine and Rehabilitation
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Consultant/Clinician in Physiatry and Pain Medicine for medical legal consultation, and physician management
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Proficient in performing medical/legal consultations for personal injury/WC cases
Independent Medical Reviews
Certified Life Care Planner (LCP-C)
Disability Reviews
Liability Reviews
Causality Reviews
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New York Worker’s Compensation Board – Certified – 278489-01 Coded CPMR, CPMR-PM, Issued 9/15/17
Colorado Worker’s Compensation Board - Level I Accreditation, Issued 8/30/2023
Rajeev Pillai, MD
Virginia Beach, Virginia
Cardiovascular Disease, Interventional Cardiology
Anika S Goodwin, MD
Greensboro, North Carolina
Ophthalmology
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Fellowship trained in ocular trauma and oculofacial plastic surgery. Prior faculty member and residency program director at The University of South Carolina SOM. Excellent communication and writing skills. Poised and confident.
Reena Ghosh, MD
Philadelphia, Pennsylvania
Pediatric Cardiology, Pediatrics
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Dr. Ghosh is board certified in Pediatrics and Pediatric Cardiology. She has additional training in advanced cardiac imaging (cardiac MRI/cardiac CT). She has clinical and research experience in the utilization of new MRI contrast agents. Dr. Ghosh has extensive expertise in using 3D techniques (3D printing, virtual reality, extended reality) for surgical and procedural planning. She has published numerous peer-reviewed papers.
Ashok Bharucha, MD, MA
Transformations Adult & Geriatric Psychiatry PC
South Abingtion Township, Pennsylvania
Geriatric Psychiatry, Psychiatry
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Fellowship-trained geriatric psychiatry with 30 years of academic, clinical, and research experience. I have published over 30 papers and over a dozen book chapters in my areas of expertise which include geriatric psychiatry, dementia assessment and management, and adult psychiatry. Consistently rated as a top clinician in the field, I bring years of clinical insight/experience to my work.
Abhi Kapuria, MD
Neurology Legal Consulting
Raleigh, North Carolina
Neurology, Neurophysiology
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I am a double-board-certified neurologist with extensive experience as a medical record reviewer. I Co-Founded Neurology Legal Consulting with my partner, Dr. Ovais Inamullah, to provide expert consultation on a wide range of neurological disorders ranging from stroke to seizure, critical care medicine, traumatic brain injury, spinal cord injury, and many others. Through meticulous examination of patient records, I analyze cases with attention to detail, providing valuable insights for legal proceedings.
Michael Jurenovich, DO, CIME, FAADEP
greenville, Pennsylvania
Occupational Medicine, Orthopaedic Surgery, Sports Medicine, Orthopaedic
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Board Certified Orthopedic Surgeon. Also certified with American Board of Independent Medical Examiners, American Association of Disability Evaluating Physicians, and the American Board of Disability Analysts. Associate Professor of Surgery at LECOM and OUCOM. IME and file review experience for over 20 years. Fellow of the American College of Osteopathic Surgeons.
Robert A Singer, MD
Cherry Hill, New Jersey
Cardiovascular Disease
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30 Years clinical cardiology experience. Echocardiography, Nuclear cardiology, Cardio-obstetrics
Jenny A. Graber, M.D.
Wynnewood, Pennsylvania
Obstetrics and Gynecology
Johannie Keith Y Uy, MD
New York, New York
Internal Medicine
Katherine Barton, M.D.
Mechanicsburg, Pennsylvania
General Surgery
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Specialize in Breast Cancer
Certified in Breast Ultrasound- 20 years of experience with ultrasound-guided lumpectomies, needle biopsies, placement of APBI catheters
Train all the CRNPs in my practice in Ultrasound
Teach residents (in and out of the operating room)
Practiced general surgery for 9 years out of residency with a focus on breast surgery and have been doing 100% Breast surgery for the last 11 years.
Started the high risk clinic at my organization
Developed and was medical director of Integrative Oncology for 7 years
Don A. Koenigsberg, DO
Philadelphia, Pennsylvania
Anesthesiology
Nadia Tereshchenko, MS, MD
Steamboat Springs, Colorado
Emergency Medicine
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Board Certified Emergency Medicine Physician with extensive experience working in Emergency Departments of various size and degree of specialization (Rural to Urban, Community to Tertiary) including specialized trauma, stroke and cardiac centers, nationwide. Prior experience as a Paramedic in a busy and high acuity 911 system. EMS Liaison Physician. Developed systems and guidelines for hypothermia and STEMI care with extensive knowledge of guidelines dictating appropriate care. Expertise in Health Care Improvement, Health Policy and Patient Decision Making