Active NPI 1689012932 Individual Practitioner Male Practitioner

Dr. Pratik Shashikant Patel , MD

Emergency Medicine • Gainesville, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Pratik Patel, MD is a certified Emergency Medicine practicing in Gainesville, FL. With approximately 20 years of clinical experience since completing medical education in 2006, Dr. Patel delivers high-quality medical care to the local community at 1329 SW 16TH ST STE 1210.

Dr. Patel maintains professional affiliations with Cep America Llc, Jasper Emergency Physicians Pllc, Jefferson Emergency Physicians Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only, critical care, first. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1329 Sw 16th St Ste 1210
Box 100371

Gainesville, FL 326100186

Telephone 3522650559

Medicare Profile & Education

Medical School

Other

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Gainesville, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

20 Yrs +7.3 yrs vs City Avg

City Avg: 12.7 Yrs

State Avg: 21.4 Yrs

Regional Practice Density

218 Specialists

Practicing in Gainesville, FL (4182 Statewide)

Telehealth Adoption Rate

1.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

84.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Patel (20 Years) 20 Yrs

Gainesville Specialty Average (12.7 Years) 12.7 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
99285 Emergency department visit for life threatening or functioning severity	460	432	$1143.97	$167.85
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	165	158	$67.00	$7.68
99291 Critical care, first 30-74 minutes	136	133	$1339.58	$204.63
99284 Emergency department visit with moderate level of medical decision making	103	101	$727.26	$116.04
99283 Emergency department visit with low level of medical decision making	15	15	$409.40	$69.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	312	305	$1163.82	$165.48
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	204	192	$60.17	$7.66
99284 Emergency department visit with moderate level of medical decision making	181	174	$783.79	$114.73
99291 Critical care, first 30-74 minutes	136	134	$1487.35	$200.34
99283 Emergency department visit with low level of medical decision making	54	53	$417.83	$68.08
12002 Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.6-7.5 cm	11	11	$489.73	$51.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	695	658	$1488.85	$167.67
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	305	288	$64.46	$7.88
99291 Critical care, first 30-74 minutes	118	115	$1622.72	$205.51
99284 Emergency department visit with moderate level of medical decision making	115	115	$965.56	$114.57
99283 Emergency department visit with low level of medical decision making	71	71	$627.59	$68.38
31500 Emergent insertion of breathing tube into windpipe cartilage using an endoscope	11	11	$1171.26	$133.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	789	714	$1421.15	$172.36
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	405	385	$54.94	$8.09
99291 Critical care, first 30-74 minutes	240	235	$1519.57	$210.76
99284 Emergency department visit with moderate level of medical decision making	133	126	$901.34	$118.53
99283 Emergency department visit with low level of medical decision making	67	66	$557.46	$69.65
31500 Emergent insertion of breathing tube into windpipe cartilage using an endoscope	12	12	$1144.33	$136.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	558	538	$1001.79	$175.53
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	271	246	$53.63	$8.36
99291 Critical care, first 30-74 minutes	179	176	$1367.25	$218.78
99284 Emergency department visit with moderate level of medical decision making	88	85	$682.07	$121.36
99283 Emergency department visit with low level of medical decision making	44	43	$531.48	$64.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	618	604	$759.07	$181.89
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	129	115	$78.80	$8.59
99284 Emergency department visit with moderate level of medical decision making	94	94	$654.61	$121.64
99291 Critical care, first 30-74 minutes	71	68	$2015.77	$226.78
99283 Emergency department visit with low level of medical decision making	38	38	$373.26	$64.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	475	458	$1330.64	$173.67
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	177	170	$83.47	$8.71
99284 Emergency department visit with moderate level of medical decision making	152	150	$909.10	$117.66
99291 Critical care, first 30-74 minutes	133	131	$1586.51	$224.41
99283 Emergency department visit with low level of medical decision making	56	56	$451.79	$61.87
31500 Emergent insertion of breathing tube into windpipe cartilage using an endoscope	16	16	$967.50	$147.44
99282 Emergency department visit with straightforward medical decision making	13	13	$209.62	$41.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	607	584	$1112.27	$174.07
99291 Critical care, first 30-74 minutes	485	465	$1448.30	$224.30
99284 Emergency department visit with moderate level of medical decision making	220	213	$728.74	$118.58
99283 Emergency department visit with low level of medical decision making	163	160	$435.69	$62.49
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	56	55	$93.71	$8.26
99282 Emergency department visit with straightforward medical decision making	31	31	$205.00	$41.95

Medical Specialties & State Licenses

CMS Verified: 2020-10-14

Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License IN 01083350A

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Emergency Medicine

NUCC Taxonomy Code: 207P00000X

State License FL ME126466

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

017514200 (FL)

Hospital & Practice Group Affiliations

Cep America Llc

1606 N 7th St, Terre Haute, IN 478042706

Phone: 8122387523

Jasper Emergency Physicians Pllc

1275 Marvin Hancock Dr, Jasper, TX 759514935

Phone: 4093845461

Jefferson Emergency Physicians Pllc

8801 9th Ave, Port Arthur, TX 776428013

Phone: 4098997187

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dmitriy Maslikov , APRN

Student in an Organized Health Care Education/Training Program

NPI 1144010554

Advanced Practice Registered Nurse

Career & Practice History Timeline

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

12 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 14, 2020

Emergency Medicine (License #01083350A in IN)

✅

NPI Profile Active January 23, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location January 23, 2017

Registered at 1329 SW 16TH ST STE 1210, BOX 100371, GAINESVILLE, FL 326100186 (Tel: 3522650559)

📍

Updated Business Mailing Address January 23, 2017

Registered at 1329 SW 16TH ST STE 1210, BOX 100371, GAINESVILLE, FL 326100186 (Tel: 3522650559)

👤

Provider Name / Credentials Updated January 23, 2017

Recorded as PRATIK PATEL, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 23, 2017

Emergency Medicine (License #ME126466 in FL)

✅

NPI Profile Active June 08, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location June 08, 2016

Registered at 1515 SW ARCHER RD, GAINESVILLE, FL 326081134 (Tel: 3522655911)

📍

Updated Business Mailing Address June 08, 2016

Registered at PO BOX 100186, GAINESVILLE, FL 326100186 (Tel: 3522655911)

👤

Provider Name / Credentials Updated June 08, 2016

Recorded as PRATIK PATEL, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 08, 2016

Emergency Medicine (License #ME126466 in FL)

🟢

Initial NPI Registration & Enumeration June 10, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1689012932

Entity Type:

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

Enumeration Date: June 10, 2013

Last Update: October 14, 2020

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1329 Sw 16th St Ste 1210, Box 100371

Gainesville, FL 326100186

Phone: 3522650559

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.