Active NPI 1942259908 Individual Practitioner Male Practitioner

Dr. Vipul R Patel , MD

Urology • Celebration, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Vipul Patel, MD is a certified Urology practicing in Celebration, FL. With approximately 31 years of clinical experience since graduating from Baylor College Of Medicine in 1995, Dr. Patel delivers high-quality medical care to the local community at 380 CELEBRATION PL STE 401.

Dr. Patel is affiliated with Florida Hospital Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml, automated urinalysis test, surgical removal of prostate and surrounding lymph nodes using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

380 Celebration Pl Ste 401

Celebration, FL 347474606

Telephone 4073034673

Fax 4073034674

Associated Practice Facility / Clinic

🏢 Advent Health Facility NPI 1215591565

Medicare Profile & Education

Medical School

Baylor College Of Medicine

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Celebration, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs +3.5 yrs vs City Avg

City Avg: 27.5 Yrs

State Avg: 29.7 Yrs

Regional Practice Density

8 Specialists

Practicing in Celebration, FL (1082 Statewide)

Telehealth Adoption Rate

37.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

71.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Patel (31 Years) 31 Yrs

Celebration Specialty Average (27.5 Years) 27.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	11,800	236	$0.52	$0.13
81003 Automated urinalysis test	311	287	$7.00	$2.17
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	277	277	$3639.00	$1167.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	243	197	$382.00	$123.44
51600 Injection procedure for X-ray imaging of the bladder or during voiding	236	236	$624.00	$195.14
74430 Radiological supervision and interpretation X-ray of urinary bladder, minimum of 3 views	236	236	$123.00	$38.80
38571 Removal of lymph nodes of both sides of pelvis using an endoscope	232	232	$1963.90	$324.87
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	202	202	$661.00	$213.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	115	115	$500.00	$159.79
76857 Limited ultrasound scan of pelvis	74	59	$145.00	$47.08
76872 Ultrasound scan of pelvic region through rectum	29	29	$97.00	$31.21
55700 Biopsy of prostate gland	29	29	$395.00	$128.92
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	24	$535.00	$176.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	11,350	225	$0.52	$0.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	299	299	$498.64	$165.42
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	286	286	$3630.91	$1204.80
38571 Removal of lymph nodes of both sides of pelvis using an endoscope	251	251	$2008.72	$338.00
81003 Automated urinalysis test	202	198	$7.00	$2.17
74430 Radiological supervision and interpretation X-ray of urinary bladder, minimum of 3 views	193	191	$122.88	$40.71
51600 Injection procedure for X-ray imaging of the bladder or during voiding	193	191	$623.34	$207.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	164	156	$381.02	$126.43
99213 Established patient office or other outpatient visit, typically 15 minutes	82	79	$269.06	$89.04
76857 Limited ultrasound scan of pelvis	47	44	$144.66	$48.07
55700 Biopsy of prostate gland	18	18	$394.50	$131.74
76872 Ultrasound scan of pelvic region through rectum	18	18	$123.83	$32.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	850	16	$0.37	$0.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	292	292	$506.68	$166.77
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	285	285	$4434.00	$1457.37
38571 Removal of lymph nodes of both sides of pelvis using an endoscope	233	233	$2034.82	$335.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	201	178	$384.00	$127.09
81003 Automated urinalysis test	127	125	$7.00	$2.18
99213 Established patient office or other outpatient visit, typically 15 minutes	118	113	$271.25	$89.05
55700 Biopsy of prostate gland	39	39	$666.28	$129.83
76872 Ultrasound scan of pelvic region through rectum	38	38	$99.00	$31.87
74430 Radiological supervision and interpretation X-ray of urinary bladder, minimum of 3 views	18	17	$122.00	$39.95
51600 Injection procedure for X-ray imaging of the bladder or during voiding	18	17	$647.00	$213.53
99443 Telephone medical discussion with physician, 21-30 minutes	16	16	$378.63	$125.54
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	15	$545.00	$181.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	365	328	$7.00	$2.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	350	350	$508.00	$169.40
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	305	305	$4458.40	$1493.61
38571 Removal of lymph nodes of both sides of pelvis using an endoscope	257	257	$2053.75	$344.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	144	130	$388.19	$129.23
99213 Established patient office or other outpatient visit, typically 15 minutes	126	106	$274.00	$88.26
55700 Biopsy of prostate gland	36	36	$753.00	$131.33
76872 Ultrasound scan of pelvic region through rectum	36	36	$99.00	$32.29
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	14	$545.00	$182.99
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	13	13	$95.00	$31.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	331	331	$4568.43	$1511.95
81003 Automated urinalysis test	326	315	$7.73	$2.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	276	276	$500.00	$166.23
38571 Removal of lymph nodes of both sides of pelvis using an endoscope	270	270	$2060.73	$349.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	119	115	$328.00	$107.57
99213 Established patient office or other outpatient visit, typically 15 minutes	106	101	$226.00	$74.30
99443 Telephone medical discussion with physician, 21-30 minutes	51	51	$247.61	$110.03
55700 Biopsy of prostate gland	31	31	$753.06	$136.88
76872 Ultrasound scan of pelvic region through rectum	31	31	$102.52	$33.22
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	30	30	$97.93	$31.41
99442 Telephone medical discussion with physician, 11-20 minutes	16	16	$209.25	$71.34
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$230.00	$76.34
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$441.00	$148.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81002 Urinalysis, manual test	674	536	$11.00	$3.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	324	324	$499.00	$163.46
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	306	306	$4570.00	$1468.65
81003 Automated urinalysis test	256	248	$8.00	$2.42
38571 Removal of lymph nodes of both sides of pelvis using an endoscope	238	238	$1968.30	$338.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	229	192	$328.00	$105.92
99213 Established patient office or other outpatient visit, typically 15 minutes	203	184	$224.00	$73.62
76872 Ultrasound scan of pelvic region through rectum	50	50	$103.00	$33.89
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	50	50	$99.00	$32.63
55700 Biopsy of prostate gland	50	50	$758.00	$136.87
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	44	44	$628.00	$207.93
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	22	$440.00	$145.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81002 Urinalysis, manual test	889	638	$11.00	$3.34
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	304	304	$4545.00	$1472.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	271	214	$322.00	$104.92
38571 Removal of lymph nodes of both sides of pelvis using an endoscope	233	233	$2021.36	$341.77
99213 Established patient office or other outpatient visit, typically 15 minutes	224	194	$219.00	$70.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	223	223	$498.00	$162.14
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	113	113	$625.00	$205.56
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	60	60	$100.00	$31.02
76872 Ultrasound scan of pelvic region through rectum	60	60	$102.00	$32.23
55700 Biopsy of prostate gland	60	60	$750.00	$133.34
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	24	$435.00	$144.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81002 Urinalysis, manual test	532	446	$11.00	$3.34
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	298	298	$4545.00	$1456.19
38571 Removal of lymph nodes of both sides of pelvis using an endoscope	219	219	$2030.03	$339.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	180	165	$322.00	$104.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	160	160	$498.00	$161.96
99213 Established patient office or other outpatient visit, typically 15 minutes	84	83	$219.00	$70.09
55700 Biopsy of prostate gland	40	40	$750.00	$135.66
76872 Ultrasound scan of pelvic region through rectum	40	40	$102.00	$33.43
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	38	38	$625.00	$201.02
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	29	29	$100.00	$32.50

Medical Specialties & State Licenses

CMS Verified: 2020-12-16

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License FL ME100187

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Urology

NUCC Taxonomy Code: 208800000X

State License OH 35085793

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

280317800 (FL)

Commercial Insurance / Payer ID Bcbs

44312 (FL)

Hospital & Practice Group Affiliations

Florida Hospital Medical Group Inc

380 Celebration Pl, Celebration, FL 347474606

Phone: 3219393553

Florida Hospital Medical Group Inc

400 Celebration Pl, Celebration, FL 347474970

Florida Hospital Medical Group Inc

2600 Westhall Ln, Maitland, FL 327517102

Phone: 4072002700

Florida Hospital Medical Group Inc

400 Celebration Pl, Kissimmee, FL 347474970

Phone: 4073033827

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners

John Andrich , PA-C

Physician Assistant

NPI 1043640782

Physician Assistant (Certified)

Edmund Abate , PA-C

Physician Assistant - Surgical

NPI 1205820206

Physician Assistant (Certified)

Jason Descalso , PA

Physician Assistant

NPI 1215090279

Physician Assistant

Dr. Yu Ozawa , MD

Student in an Organized Health Care Education/Training Program

NPI 1285468041

Doctor of Medicine (M.D.)

Dr. Shady Saikali , MD

Urology

NPI 1356076087

Doctor of Medicine (M.D.)

Kevin Boerner , PA-C

Physician Assistant - Surgical

NPI 1457346959

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Practice Location December 16, 2020

Registered at 380 CELEBRATION PL STE 401, CELEBRATION, FL 347474606 (Tel: 4073034673)

📍

Updated Business Mailing Address December 16, 2020

Registered at 380 CELEBRATION PL STE 401, CELEBRATION, FL 347474606 (Tel: 4073034673)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 16, 2020

Urology (License #35085793 in OH)

✅

NPI Profile Active February 05, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location February 05, 2015

Registered at 410 CELEBRATION PL, SUITE 200, CELEBRATION, FL 347475433 (Tel: 4073034673)

📍

Updated Business Mailing Address February 05, 2015

Registered at 410 CELEBRATION PL, SUITE 200, CELEBRATION, FL 347475433 (Tel: 4073034673)

👤

Provider Name / Credentials Updated February 05, 2015

Recorded as VIPUL PATEL, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 05, 2015

Urology (License #ME100187 in FL)

🟢

Initial NPI Registration & Enumeration May 08, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1942259908

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 08, 2006

Last Update: December 16, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

380 Celebration Pl Ste 401

Celebration, FL 347474606

Phone: 4073034673

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.