Welcome to the SEAK National Directory of Medical File Review Consultants. The following list of Physician (MD or DO)s who are licensed in Indiana 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.
Matthew D Hess, MD
Parkview
Fort Wayne, Indiana
Family Medicine/Family Practice
Carter L. Starr, MD
Starr Vitality and Wellness, PLLC
Charlotte, North Carolina
Emergency Medicine, Sports Medicine
Allen R. Dennis, MD, JD, MPH
Heal One Services
Powder Springs, Georgia
Internal Medicine, Preventive Medicine/Public Health
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He is board certified in the two specialties of Internal Medicine and General Preventive Medicine/Public Health . He has owned a private practice and is currently active as a Hospitalist. Dr. Dennis is licensed and treating patients in Georgia, Texas and Indiana. He has also received special training and waiver from Dept. of Health and Human Services for Opiod addiction treatment.
Alton Williams, MD, JD
Durham, North Carolina
Psychiatry, Psychiatry, Forensic
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I am a board-certified forensics psychiatrist with 20 years of experience. Performance of file reviews since 2015. I have completed over 500 file reviews with on time delivery. Additionally, I have performed over 100 independent medical examinations. I have extensive experience in utilization management and appeals regarding managed care claims.
Edna McKinstry, MD
HealthAdvise
Cary, North Carolina
Internal Medicine
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Dr. Edna S. Wong McKinstry is an internist in Asheville, North Carolina and is affiliated with multiple hospitals in the area, including Mission Hospital-Asheville and Moberly Regional Medical Center. She received her medical degree from Ross University School of Medicine and has been in practice between 11-20 years. Dr. Edna S. Wong McKinstry has expertise in treating chronic diabetes, heart failure, and obesity.
Training
Medical School
Ross University School of Medicine Class of 2007
Residency
University of Arizona College of Medicine-Tucson
Internal Medicine 2008-2012
John Cox, MD
C&D Medical Consulting
Wilmette, Illinois
Pediatric Emergency Medicine, Pediatrics
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Board certified in General Pediatrics and Pediatric Emergency Medicine; Robust clinical experience at Level 1 Trauma Hospital; Non-clinical work includes 4+ years of utilization management, reviewing thousands of cases to assess for medical necessity; UM experience also includes specialized reviews in oncology and genetic testing; Significant experience reviewing medical-legal documentation and preparing expert witness reports and affidavits; Broad experience in both clinical and multiple non-clinical healthcare domains.
Natalie Sadik, MD
Detroit, Michigan
Psychiatry
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I am a board certified Psychiatrist who regularly completes IMEs with a one day turn around for full reports. I perform utilization reviews to ensure that psychiatric care is effective, efficient, and in line with evidence-based standards of care.
jose rivera, MD
cresthill , Illinois
Internal Medicine
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Internal medicine. Hospital medicine. Primary care. Vein surgery.
Board Certified
Harmeet Sarao, M.D., M.P.H.
Carmel, Indiana
Family Medicine/Family Practice, Public Health
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I am board certified in Family Medicine, and am currently practicing as an Urgent Care Physician, including care through telemedicine. I completed residency at the Indiana University. I am available several hours each week to provide consultation and case reviews due to my part-time employement. My hours are very flexible and I am motivated to deliver quality reports in timely fashion
Thomas M. Banas, MD, MS
Discerning MD, Inc.
Fort Wayne, Indiana
Neurology
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All aspects of General Neurology, including: TBI, Concussion, Dementia, Epilepsy, Movement disorders and Stroke
25 + yrs in Neurorehabilitation- Former Rehab Hospital Director
25+ yrs in Stroke- Former Stroke Director
Additional training in Biomedical Engineering
Stroke,
15+ years in file review and expert witness experience
Defendant and Plaintiff considerate
ANKUSH K BANSAL, MD FACP FACPM SFHM
Loxahatchee, Florida
Internal Medicine
Susan E Lawrence, MD
Lancaster, California
Internal Medicine, Oncology
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40+ years of experience in internal medicine and medical oncology; 30+ years of experience in the treatment of HIV/AIDS, viral hepatitis and coccidiodomycosis; 19 years of experience in correctional medicine; 21 years of experience as Founder, CEO and Medical Director of a state licensed community clinic for HIV/AIDS care; and founded and served as Medical Director of a Federally Qualified Health Center (FQHC) for the medically indigent. Since 2018, I serve as outside physician of record for California prison inmates. I am a licensed attorney in California, having passed the Bar Exam in 2017
James P Murphy, MD, MMM
Murphy Pain Center
Louisville, Kentucky
Addiction Medicine, Anesthesiology, Pain
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Dr. Murphy is board-certified in Pain Management, Anesthesiology, and Addiction Medicine. He is the founder and CEO of Murphy Pain Center in New Albany, IN and practices interventional pain medicine (i.e. procedures) at Clark Memorial Hospital in Jeffersonville, IN. Dr. Murphy serves gratis on the faculty of the University of Louisville School of Medicine. His Pain Management fellowship was at the Mayo Clinic, where he served on the faculty of the Mayo Medical School. To learn more please visit Dr. Murphy's SEAK Expert Witness listing: https://www.seakexperts.com/members/11288-james-p-murphy
Michael B Platt, MD
File Review SP
Granger, Indiana
Psychiatry
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Board Certified Psychiatrist American Board of Psychiatry and Neurology since 2012. Actively licensed and practicing in the State of Indiana. I specialize in psychiatric disability reviews and utilization reviews. I have completed file 2000 reviews since 2016. I specialize in assessing medical records and reaching out to providers to make determinations on disability and medical needs. I work in the Community Mental Health Setting and treat patient’s with a wide range of illnesses including Depression, Bipolar, Psychotic, and Substance Use Disorders.
Andrew G Smith, MD
Fort Wayne, Indiana
Psychiatry
MA Flores, DO, MS, MMM
riverside, California
Family Medicine/Family Practice, Occupational Medicine
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Dual Board Certified in Occupational Medicine and Family Medicine. Masters in Environmental Toxicology and Medical Management. Licensed in 30 states. Expert reviewer capable of expedited turn around times, specializing in Worker's Comp Utilization Review and Peer Review.
Esteban F Ramirez, DO, MBA, FACP
E&E Medical Consulting, LLC
Lafayette, Indiana
Internal Medicine
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15+ years of practicing in Internal Medicine. Knowledgeable in both inpatient and outpatient care. Over 10 years of reviewing medical files for hospitals, law firms, and medical review boards. Adjunct Associate Professor of Clinical Medicine at Indiana University School of Medicine. Diplomat in both Internal Medicine and Obesity Medicine.
David A Koehler, MD
Evansville, Indiana
Family Medicine/Family Practice
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MCG Certified in Utilization Management.
High volume experience with utilization reviews in managed care.
Physician advisor experience.
Fred A Michael, M.D.
Fred Michael, M.D.
Mount Pleasant, South Carolina
Family Medicine/Family Practice
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Practicing adult Hospitalist with over 10 years full-time experience. Previously served as Director of Inpatient Education while assistant professor, MUSC Family Medicine residency. Extensive experience with Chart/File review as Department Chair, member of hospital committees, legal consultant, and SC board of medical examiners.
Paula Wilham, MD
Fishers, Indiana
Emergency Medicine
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.
Linda L Miller, DO
Linda L Miller DO
Tacoma, Washington
Psychiatry
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20 years of file review experience, 20 years of performing IMEs and defending my opinion in depositions, and20 years of patient care in my outpatient private practice.
I have a broad range of experience in psychiatry as I have taken several temporary work assignments over the years to keep myself on the cutting edge of my field of psychiatry.
My medical experience includes inpatient, outpatient, jail, prison, residential treatment centers. Special populations include injured workers with medical disease, chronic pain and mental conditions such as depression and PTSD.
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.
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.
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.
James J. Schuh, MD
JKS Medica, SC
Westby, Wisconsin
Anesthesiology
Ayo Ogunbameru, MD,MPH,FACP,CHCQM
Mansfield, Texas
Internal Medicine
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Board Certified Internal Medicine, Fellow of the American College of Physicians, Physician Advisor, Fellow of the American Board of Quality and Utilization Review Physicians. Hospitalist, Utilization Management Associate Medical Director for Radiology Benefits Management. Assistant Professor of Clinical Medicine. Experienced in providing expedited and thorough audit reviews, facility requested peer reviews, routine management reviews.
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.
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.
Joe D. Haines, MD, MPH
Chapel Hill, North Carolina
Family Medicine/Family Practice
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.
Kenya Everette, MD
Munster, Indiana
Family Medicine/Family Practice
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Specifically practicing with ages 18 and up
Detail focused
Reliable
Completing tasks in a timely fashion
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.