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IndividualActiveMedicare EnrolledPrescriberCan Order/Refer

Dr. Pankaj J Patel

M.D.

Internal Medicine - Gastroenterology

NPI: 1053374256Sebring, Florida, 33870(863) 385-5129Male

About Dr. Pankaj J Patel

Dr. Pankaj J Patel, M.D., is a male healthcare professional specializing in Internal Medicine - Gastroenterology with a focus on Gastroenterology, registered under National Provider Identifier (NPI) number 1053374256.

Dr. Pankaj J Patel received his medical education at OTHER, graduating in 1996. Their primary practice is located at 3581 S HIGHLANDS AVE, Sebring, Florida 33870. Patients can reach the office at (863) 385-5129.

Dr. Pankaj J Patel is affiliated with 3 hospitals in the area. Dr. Pankaj J Patel is enrolled in Medicare and accepts Medicare patients, is authorized to order and refer Medicare services, is authorized to prescribe medications.

Under the Merit-based Incentive Payment System (MIPS), Dr. Pankaj J Patel achieved a quality score of 16.9 out of 100 for 2023, reflecting below-average clinical performance. The quality category score is 0.0/100.

As a prescriber, Dr. Pankaj J Patel has 1,573 prescription claims processed, totaling $751,209 in drug costs. Dr. Pankaj J Patel received $889 in Medicare payments in 2018 across 41 claims. Dr. Pankaj J Patel has been NPI-registered since 2006.

Key Metrics

17

MIPS Quality Score

Merit-based Incentive Payment System score for 2023. Satisfactory performance.

Quality Category Score: 0.0/100

Medicare Payments

$889.43

Year 2018

Payment Count

41

Year 2018

Rx Claims

1,573

$751,208.92

Practice Locations

1

Affiliated Hospitals

3

Doctor Details

Identity & Credentials

NPI Number
1053374256
Entity Type
Individual
First Name
Pankaj
Last Name
Patel
Credential
M.D.
Gender
Male
Medical School
OTHER
Graduation Year
1996
Sole Proprietor
No
Status
active

Primary Practice Location

Address
3581 S HIGHLANDS AVE
City
Sebring
State
Florida
ZIP
33870-5410
Country
United States
Phone
(863) 385-5129
Fax
(863) 385-7162

Specialty & Taxonomy

Primary Specialty
Internal Medicine - Gastroenterology
Classification
Internal Medicine
Specialization
Gastroenterology
Taxonomy Code
207RG0100X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
3581 S HIGHLANDS AVE
City
SEBRING
State
FL
ZIP
338705410

Medicare Enrollment

Medicare Enrolled
Yes
Can Order/Refer
Yes
Telehealth
No
Excluded
No

Prescriber Information

Authorized Prescriber
Yes
Total Rx Claims
1,573
Total Rx Cost
$751,208.92

Frequently Asked Questions

What is Dr. Pankaj J Patel's NPI number?
Dr. Pankaj J Patel's National Provider Identifier (NPI) is 1053374256. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Dr. Pankaj J Patel specialize in?
Dr. Pankaj J Patel specializes in Internal Medicine - Gastroenterology. They received their medical education at OTHER (class of 1996).
Where is Dr. Pankaj J Patel located?
Dr. Pankaj J Patel practices at 3581 S HIGHLANDS AVE, Sebring, Florida 33870. You can reach them by phone at (863) 385-5129.
Does Dr. Pankaj J Patel accept Medicare?
Yes, Dr. Pankaj J Patel is enrolled in the Medicare program and accepts Medicare patients. They are also authorized to order and refer services under Medicare.
Does Dr. Pankaj J Patel offer telehealth or virtual visits?
Dr. Pankaj J Patel does not currently offer telehealth services. In-person visits are required at their practice location.
What is Dr. Pankaj J Patel's quality rating?
Dr. Pankaj J Patel has a MIPS quality score of 16.9 out of 100 for 2023. This reflects satisfactory performance.
Can Dr. Pankaj J Patel prescribe medications?
Yes, Dr. Pankaj J Patel is an authorized prescriber. They have processed 1,573 prescription claims totaling $751,208.92.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Dr. Pankaj J Patel is 1053374256.