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Dr. Nitin Ajitkumar Pagedar, MD, MPH

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Specializes in: Otolaryngology (Ear, Nose, and Throat)

Case Western Reserve University School of Medicine

Professional interests include: cancer, reconstructive surgery, pheochromocytoma, and more.

105 East 9th Street
Coralville, IA 52241

(319) 356-2201

Dr. Nitin Ajitkumar Pagedar, MD, MPH is an otolaryngologist in Coralville, IA specializing in otolaryngology (ear, nose, and throat). He graduated from Case Western Reserve University School of Medicine. Dr. Nitin Ajitkumar Pagedar, MD, MPH is affiliated with University of Iowa and University of Iowa Health Care.

Office Locations

Address:

105 East 9th Street
Coralville, IA 52241

Address:

200 Hawkins Drive
Iowa City, IA 52242

Some issues Dr. Nitin Ajitkumar Pagedar, MD, MPH can help you with:

Parathyroid Surgery

Parathyroid surgery is a procedure done to identify and remove diseased parathyroid glands. These tiny glands in the neck regulate calcium levels in the body. Occasionally, one or more of the parathyroid glands can become hyperactive, swelling and causing too much calcium to be moved from the bones to the bloodstream. This is called hyperparathyroidism, and it can cause problems including weakness, nervous system disorders, and kidney problems. To treat hyperparathyroidism, overactive parathyroid glands are removed.

One kind of parathyroid surgery is called bilateral neck exploration. The surgeon finds and looks at all of the parathyroid glands on both sides of the neck, visually identifying any that are diseased and removing them. Minimally invasive, or focused, parathyroidectomy is done to remove a single diseased gland. The gland causing problems is identified before surgery using localization techniques such as hormonal or radiology testing. Since in most cases only one gland is causing problems, focused parathyroidectomy is a common alternative to bilateral neck exploration. Both procedures are safe and effective.

In the rare case that all four glands are diseased, the surgeon will either remove three and a half glands and leave one half in place, or all four will be removed and part of one gland will be transplanted into the forearm. This is done to keep calcium levels where they should be.

After surgery, patients will have a bandage on their neck and a sore throat. Patients may only want liquids or very soft food for the first day, and thy may be asked to take calcium supplements for a while until their remaining parathyroid glands begin functioning well again. Recovery is fairly quick, and within a few days patients should be feeling like themselves again.

Thyroid Surgery

Thyroid surgery is a procedure to remove all or part of the thyroid gland. The thyroid is a small, butterfly-shaped gland in the lower neck that regulates the hormones that manage metabolism. Thyroid surgery, also known as thyroidectomy, treats thyroid disorders such as hyperthyroidism (overactive thyroid), hypothyroidism (underactive thyroid), goiters (noncancerous thyroid inflammation), and thyroid cancer. It may also be used to remove thyroid nodules or cysts that have a risk of becoming cancerous.

Both hypothyroidism and goiters are caused by an autoimmune reaction where the body produces antibodies that attack the thyroid cells for unknown reasons. The thyroid reacts by releasing too little or too much T3 and T4 thyroid hormones, impairing thyroid function and causing irregular metabolism. Goiters develop from the autoimmune reaction causing continued antibody damage to the thyroid over time. Thyroid goiters are large, swollen lumps that can be felt near the base of the neck. Obstructive goiters can cause pain, coughing, and abnormal breathing. Hypothyroidism may also be caused by iodine deficiency, as iodine is needed to produce thyroid hormones.

The exact cause of thyroid cancer and thyroid nodules or cysts is unknown. While thyroid cancer and thyroid nodules or cysts can occur in individuals with thyroid disorders, they are not associated with a malfunctioning thyroid.

Physicians may prescribe thyroid surgery if blood tests reveal patients' thyroid stimulating hormones (TSA) are outside of the acceptable range, indicating a malfunctioning thyroid. Thyroid biopsies (tissue samples) and tests for thyroid-attacking antibodies are also criteria for surgery.

An ENT or general surgeon performs thyroid surgery. While a patient is placed under anesthesia, the surgeon makes an incision at the center of the neck and removes the thyroid gland. Two alternative methods of thyroid surgery are transoral (incision through the mouth) and endoscopic, where a surgeon operates a video camera for live footage to help guide the removal process.

Thyroid surgery requires minimal aftercare. Most patients recover quickly and resume normal activities within a few days of surgery. However, thyroid surgery patients must take daily synthetic thyroid medication (levothyroxine) for life to replace their removed thyroid.

In The News

“Nitin Pagedar, a UI assistant professor of otolaryngology, said he has seen an increase in the rate of oropharynx cancer because of the increase in HPV-related cancers.”—"Cancer briefing focuses on HPV", The Daily Iowan, March 2014

dissection	12
doctor visit	311
excision	12
laryngeal (voice box) procedures	162
lymph node procedures	12
minimally invasive procedures	161
neck surgery	12

**Gender**
Male	92
Female	86

**Age**
From 65 to 74	84
From 75 to 84	41
85 and over	18
Less than 65	35

Hypertension	60
High Cholesterol	40
Stroke	0
Ischemic Heart Disease	28
Depression	21
Chronic Kidney Disease	18
Asthma	0
Osteoperosis	7
Atrial Fibrilation	11
Heart Failure	11
Chronic Obstructive Pulmonary Disease	15
Diabetes	21
Dementia	6
Cancer	11

dissection	10
doctor visit	355
excision	10
laryngeal (voice box) procedures	181
lymph node procedures	10
minimally invasive procedures	180
neck surgery	10

**Gender**
Male	123
Female	106

**Ethnicity**
Non-Hispanic White	214
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	108
From 75 to 84	57
85 and over	19
Less than 65	45

Hypertension	58
High Cholesterol	44
Stroke	0
Ischemic Heart Disease	29
Depression	21
Chronic Kidney Disease	24
Asthma	5
Osteoperosis	0
Atrial Fibrilation	9
Heart Failure	12
Chronic Obstructive Pulmonary Disease	21
Diabetes	22
Dementia	7
Cancer	13

dissection	16
doctor visit	359
excision	16
laryngeal (voice box) procedures	153
lymph node procedures	16
minimally invasive procedures	152
neck surgery	16

**Gender**
Male	232
Female	196

**Age**
From 65 to 74	184
From 75 to 84	144
85 and over	24
Less than 65	76

Hypertension	67
High Cholesterol	49
Stroke	6
Ischemic Heart Disease	34
Depression	18
Chronic Kidney Disease	25
Asthma	15
Osteoperosis	9
Atrial Fibrilation	12
Heart Failure	15
Chronic Obstructive Pulmonary Disease	20
Diabetes	28
Dementia	0
Cancer	10

dissection	12
doctor visit	330
excision	12
laryngeal (voice box) procedures	112
lymph node procedures	12
minimally invasive procedures	111
neck surgery	12

**Gender**
Male	117
Female	100

**Age**
From 65 to 74	99
From 75 to 84	54
85 and over	20
Less than 65	44

Hypertension	58
High Cholesterol	45
Stroke	0
Ischemic Heart Disease	30
Depression	16
Chronic Kidney Disease	24
Asthma	22
Osteoperosis	6
Atrial Fibrilation	12
Heart Failure	11
Chronic Obstructive Pulmonary Disease	21
Diabetes	24
Dementia	7
Cancer	11

**Gender**
Male	111
Female	100

**Ethnicity**
Non-Hispanic White	198
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	91
From 75 to 84	61
85 and over	12
Less than 65	47

Hypertension	65
High Cholesterol	45
Stroke	6
Ischemic Heart Disease	34
Depression	22
Chronic Kidney Disease	27
Asthma	6
Osteoperosis	7
Atrial Fibrilation	13
Heart Failure	20
Chronic Obstructive Pulmonary Disease	20
Diabetes	24
Dementia	6
Cancer	10

diagnostic procedures	10
dissection	14
doctor visit	354
excision	14
laryngeal (voice box) procedures	156
lymph node procedures	14
minimally invasive procedures	155
neck surgery	14

**Gender**
Male	140
Female	107

**Ethnicity**
Non-Hispanic White	228
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	114
From 75 to 84	71
85 and over	18
Less than 65	44

Hypertension	62
High Cholesterol	51
Stroke	0
Ischemic Heart Disease	33
Depression	22
Chronic Kidney Disease	30
Asthma	7
Osteoperosis	9
Atrial Fibrilation	12
Heart Failure	13
Chronic Obstructive Pulmonary Disease	20
Diabetes	27
Dementia	9
Cancer	14

dissection	17
doctor visit	333
excision	17
laryngeal (voice box) procedures	132
lymph node procedures	17
minimally invasive procedures	131
neck imaging	12
neck surgery	17
ultrasound (sonogram)	12

**Gender**
Male	135
Female	113

**Ethnicity**
Non-Hispanic White	228
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	125
From 75 to 84	65
85 and over	23
Less than 65	35

Hypertension	68
High Cholesterol	60
Stroke	6
Ischemic Heart Disease	36
Depression	24
Chronic Kidney Disease	33
Asthma	5
Osteoperosis	6
Atrial Fibrilation	16
Heart Failure	17
Chronic Obstructive Pulmonary Disease	21
Diabetes	29
Dementia	9
Cancer	14

dissection	15
doctor visit	245
excision	15
laryngeal (voice box) procedures	80
lymph node procedures	15
minimally invasive procedures	79
neck imaging	11
neck surgery	15
ultrasound (sonogram)	11

**Gender**
Male	109
Female	90

**Ethnicity**
Non-Hispanic White	184
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	106
From 75 to 84	62
85 and over	13
Less than 65	18

Hypertension	67
High Cholesterol	59
Stroke	0
Ischemic Heart Disease	36
Depression	22
Chronic Kidney Disease	38
Asthma	0
Osteoperosis	6
Atrial Fibrilation	11
Heart Failure	17
Chronic Obstructive Pulmonary Disease	18
Diabetes	31
Dementia	10
Cancer	16

dissection	13
doctor visit	511
excision	13
laryngeal (voice box) procedures	189
lymph node procedures	13
minimally invasive procedures	188
neck imaging	10
neck surgery	13
ultrasound (sonogram)	10

Average Medicare Procedure Volume From 2013 - 2021

Volume of procedures performed by Dr. Nitin Ajitkumar Pagedar, MD, MPH for Medicare patients.

The highest averages for the top procedures that Dr. Nitin Ajitkumar Pagedar, MD, MPH treated as an otolaryngologist in Coralville, IA were minimally invasive procedures, laryngeal (voice box) procedures, minor procedures and aspiration.

aspiration	14
diagnostic procedures	12
dissection	13
doctor visit	344
excision	13
image guided procedures	14
laryngeal (voice box) procedures	141
lymph node procedures	13
minimally invasive procedures	142
minor procedures	14
neck imaging	12
neck surgery	13
ultrasound (sonogram)	12

Average Medicare Patient Data From 2013 - 2021

Information about Medicare patients treated by Dr. Nitin Ajitkumar Pagedar, MD, MPH.

**Gender**
Male	105
Female	89

**Ethnicity**
Black / African American	0
Asian / Pacific Islander	0
Non-Hispanic White	105
Native American / Alaskan Native	0
Hispanic	0
Other	0

**Age**
85 and over	14
75 to 84	55
Less than 65	34
65 to 74	91

Average of Total of Conditions of Medicare patients treated by Dr. Nitin Ajitkumar Pagedar, MD, MPH From 2013 - 2021

The highest averages of the most common conditions of Medicare patients that Dr. Nitin Ajitkumar Pagedar, MD, MPH treated were hypertension, high cholesterol, ischemic heart disease and chronic kidney disease.

Hypertension	50
High Cholesterol	39
Stroke	1
Ischemic Heart Disease	26
Depression	16
Chronic Kidney Disease	21
Asthma	6
Osteoporosis	5
Heart Failure	11
Chronic Obstructive Pulmonary Disease	15
Diabetes	20
Atrial Fibrillation	9
Dementia	5
Cancer	9

Education & Training

Dr. Nitin Ajitkumar Pagedar, MD, MPH graduated from Case Western Reserve University School of Medicine. He has a state license in Iowa.

Medical School: Case Western Reserve University School of Medicine

Licensed In: Iowa

Affiliations & Hospitals

Dr. Nitin Ajitkumar Pagedar, MD, MPH is associated with these hospitals and organizations:

University of Iowa

University of Iowa Health Care

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General Payments

These charts describe general payments received by Dr. Nitin Ajitkumar Pagedar, MD, MPH. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Stryker Corporation	$90 MAXFACE $90
KARL STORZ Endoscopy-America	$18 TELE PACK $18

**Types of Payments**
Travel and Lodging	$90
Food and Beverage	$18

Biography

Dr. Nitin Pagedar is a specialist in otolaryngology (ear, nose, and throat). Dr. Pagedar's clinical interests include microsurgery, paraganglioma, and thyroid cancer. He studied medicine at Case Western Reserve University School of Medicine. He is affiliated with the University of Iowa Health Care.

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Dr. Nitin Ajitkumar Pagedar, MD, MPH

Office Locations

Some issues Dr. Nitin Ajitkumar Pagedar, MD, MPH can help you with:

In The News

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

2013 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Nitin Ajitkumar Pagedar, MD, MPH in 2013

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

2014 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Nitin Ajitkumar Pagedar, MD, MPH in 2014

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

2015 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Nitin Ajitkumar Pagedar, MD, MPH in 2015

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

2016 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Nitin Ajitkumar Pagedar, MD, MPH in 2016

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

2017 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Nitin Ajitkumar Pagedar, MD, MPH in 2017

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

2018 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Nitin Ajitkumar Pagedar, MD, MPH in 2018

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

2019 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Nitin Ajitkumar Pagedar, MD, MPH in 2019

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

2020 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Nitin Ajitkumar Pagedar, MD, MPH in 2020

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

Average Medicare Procedure Volume From 2013 - 2021

Average Medicare Patient Data From 2013 - 2021

Average of Total of Conditions of Medicare patients treated by Dr. Nitin Ajitkumar Pagedar, MD, MPH From 2013 - 2021

Education & Training

Affiliations & Hospitals

Ratings & Reviews

General Payments

Biography

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