Active NPI 1114176419 Individual Practitioner Male Practitioner

Dr. Pranav Babulal Patel , MD

Internal Medicine - Gastroenterology • Ocoee, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Pranav Patel, MD is a certified Internal Medicine - Gastroenterology practicing in Ocoee, 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 10000 W COLONIAL DR STE 289.

Dr. Patel is affiliated with Orlando Health Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

10000 W Colonial Dr Ste 289

Ocoee, FL 347613432

Telephone 3218424765

Fax 3218424767

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 Internal Medicine - Gastroenterology in Ocoee, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

20 Yrs -7.8 yrs vs City Avg

City Avg: 27.8 Yrs

State Avg: 28.7 Yrs

Regional Practice Density

5 Specialists

Practicing in Ocoee, FL (1556 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

83.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Patel (20 Years) 20 Yrs

Ocoee Specialty Average (27.8 Years) 27.8 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
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	71	71	$500.00	$160.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	70	54	$381.00	$124.18
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	52	50	$1113.00	$86.87
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	45	44	$1357.00	$236.14
99213 Established patient office or other outpatient visit, typically 15 minutes	17	17	$269.00	$88.08
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$534.64	$168.24
45380 Biopsy of large bowel using an endoscope	13	13	$1291.00	$57.23
45378 Diagnostic exam of large bowel using a flexible endoscope	13	13	$1015.00	$174.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	56	56	$498.54	$164.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	49	40	$344.94	$125.17
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	41	41	$1311.02	$242.98
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	38	38	$1055.76	$92.36
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	34	23	$224.91	$78.60
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	26	20	$328.46	$118.20
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	24	23	$592.29	$172.23
45380 Biopsy of large bowel using an endoscope	17	17	$1245.71	$134.43
99213 Established patient office or other outpatient visit, typically 15 minutes	15	15	$242.87	$88.40
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	11	$420.00	$129.62
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	11	11	$966.09	$183.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	68	68	$498.00	$168.44
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	34	23	$319.00	$102.54
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	26	24	$1026.00	$84.31
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	19	$420.00	$136.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	15	$324.00	$127.58
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	20	18	$221.00	$71.25
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	17	$620.00	$198.85
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	19	18	$1292.00	$260.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	186	127	$141.00	$70.36
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	86	84	$707.00	$86.99
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	80	78	$263.00	$133.11
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	68	48	$201.00	$101.09
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	48	46	$391.00	$195.98
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	40	39	$1290.00	$236.95
99231 Follow-up hospital inpatient care per day, typically 15 minutes	30	18	$78.00	$37.63
45380 Biopsy of large bowel using an endoscope	28	27	$1077.00	$106.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	24	$204.00	$118.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$311.00	$163.17
80053 Blood test, comprehensive group of blood chemicals	20	20	$27.00	$10.12
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	17	17	$602.00	$113.65
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	17	17	$20.00	$7.41
99213 Established patient office or other outpatient visit, typically 15 minutes	14	14	$138.00	$88.32
43255 Control of bleeding of esophagus, stomach, and/or upper small bowel using a flexible endoscope	14	14	$1271.00	$190.69
45378 Diagnostic exam of large bowel using a flexible endoscope	13	13	$912.00	$183.07
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$194.00	$98.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	125	64	$201.00	$101.31
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	93	73	$141.00	$70.11
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	92	88	$707.00	$86.08
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	63	62	$263.00	$133.24
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	59	58	$391.00	$196.07
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	56	54	$1290.00	$223.95
45380 Biopsy of large bowel using an endoscope	47	46	$1077.00	$78.41
99291 Critical care, first 30-74 minutes	40	30	$624.00	$216.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	35	$204.00	$100.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$311.00	$146.15
80053 Blood test, comprehensive group of blood chemicals	20	18	$27.00	$9.99
36415 Insertion of needle into vein for collection of blood sample	18	16	$7.00	$2.99
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	17	16	$20.00	$7.29
45378 Diagnostic exam of large bowel using a flexible endoscope	17	17	$912.00	$170.50
99443 Telephone medical discussion with physician, 21-30 minutes	16	16	$92.00	$91.17
43255 Control of bleeding of esophagus, stomach, and/or upper small bowel using a flexible endoscope	15	13	$1271.00	$183.76
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	11	11	$602.00	$119.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	124	120	$707.00	$98.62
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	120	77	$140.93	$68.73
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	100	97	$263.00	$129.06
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	74	74	$1290.00	$218.13
80053 Blood test, comprehensive group of blood chemicals	59	49	$27.00	$11.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	57	42	$204.00	$96.65
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	46	38	$20.00	$8.09
45380 Biopsy of large bowel using an endoscope	42	42	$1077.00	$95.87
85610 Blood test, clotting time	34	25	$12.00	$4.03
99221 Initial hospital inpatient care per day, typically 30 minutes	28	28	$196.46	$95.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$311.00	$152.75
99213 Established patient office or other outpatient visit, typically 15 minutes	26	24	$138.00	$67.15
45378 Diagnostic exam of large bowel using a flexible endoscope	23	22	$912.00	$173.39
83516 Analysis of substance using immunoassay technique	23	15	$31.00	$12.55
82784 Gammaglobulin (immune system protein) measurement	19	15	$53.00	$10.13
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	16	12	$201.00	$98.31
99231 Follow-up hospital inpatient care per day, typically 15 minutes	15	13	$78.00	$37.16
83550 Iron binding capacity	14	13	$22.00	$9.52
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$391.00	$191.02
83540 Iron level	14	13	$16.00	$7.05
82728 Ferritin (blood protein) level	14	13	$34.00	$14.85
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	13	13	$16.00	$7.04
43450 Dilation of esophagus	13	13	$370.00	$35.69
86706 Hepatitis b surface antibody measurement	11	11	$27.00	$11.69
45390 Removal of large bowel tissue using an endoscope	11	11	$654.00	$320.27
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	11	11	$602.00	$111.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	163	104	$135.26	$68.83
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	143	140	$707.00	$91.84
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	129	127	$254.75	$129.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	69	49	$196.00	$100.38
80053 Blood test, comprehensive group of blood chemicals	67	50	$23.64	$12.78
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	59	47	$17.08	$9.40
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	59	58	$1290.00	$221.82
83516 Analysis of substance using immunoassay technique	50	22	$31.00	$13.96
99213 Established patient office or other outpatient visit, typically 15 minutes	49	42	$133.10	$66.67
45380 Biopsy of large bowel using an endoscope	42	42	$1077.00	$123.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$301.00	$153.16
99221 Initial hospital inpatient care per day, typically 30 minutes	29	29	$187.45	$95.28
85610 Blood test, clotting time	29	21	$12.00	$4.75
45378 Diagnostic exam of large bowel using a flexible endoscope	21	21	$912.00	$164.89
99231 Follow-up hospital inpatient care per day, typically 15 minutes	20	17	$78.00	$37.08
43248 Insertion of guide wire with dilation of esophagus using a flexible endoscope	17	15	$818.00	$141.16
82784 Gammaglobulin (immune system protein) measurement	13	13	$53.00	$11.25
43255 Control of bleeding of esophagus, stomach, and/or upper small bowel using a flexible endoscope	13	13	$1271.00	$186.06
83540 Iron level	12	12	$13.25	$7.83
82728 Ferritin (blood protein) level	12	12	$28.50	$16.49
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	12	12	$912.00	$169.50
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	12	12	$592.08	$107.78
43450 Dilation of esophagus	11	11	$433.45	$38.03
83550 Iron binding capacity	11	11	$18.36	$10.57
86803 Hepatitis c antibody measurement	11	11	$29.64	$17.26
84443 Blood test, thyroid stimulating hormone (TSH)	11	11	$36.91	$20.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	90	88	$707.00	$84.87
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	85	81	$249.60	$123.81
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	85	60	$132.00	$66.22
45380 Biopsy of large bowel using an endoscope	54	54	$1077.00	$117.13
80053 Blood test, comprehensive group of blood chemicals	54	44	$22.00	$13.72
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	53	45	$16.00	$10.45
99213 Established patient office or other outpatient visit, typically 15 minutes	46	38	$130.00	$64.52
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	43	43	$368.00	$185.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	33	$192.00	$96.59
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	39	39	$1290.00	$203.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$295.00	$148.09
99231 Follow-up hospital inpatient care per day, typically 15 minutes	31	25	$78.00	$35.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$192.00	$96.88
45378 Diagnostic exam of large bowel using a flexible endoscope	24	24	$912.00	$172.59
85610 Blood test, clotting time	16	11	$12.00	$5.28
82728 Ferritin (blood protein) level	15	15	$28.00	$18.33
83540 Iron level	15	15	$13.00	$8.70
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$187.83	$92.30

Medical Specialties & State Licenses

CMS Verified: 2021-10-18

Internal Medicine - Gastroenterology Primary Specialty

NUCC Taxonomy Code: 207RG0100X

State License FL ME152044

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Internal Medicine - Gastroenterology

NUCC Taxonomy Code: 207RG0100X

State License AL 34883

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Al License

MD34883 (AL)

Hospital & Practice Group Affiliations

Orlando Health Medical Group Inc

10000 W Colonial Dr, Ocoee, FL 347613400

Phone: 4075780033

Practice Associates & Co-Workers

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

5 Associated Practitioners

Dr. Satish Arora , MD

Internal Medicine - Gastroenterology

NPI 1063480440

Doctor of Medicine (M.D.)

Jensine Caudill , FNP-C

Nurse Practitioner - Adult Health

NPI 1114681525

Family Nurse Practitioner (Certified)

Luciana Moreira

Nurse Practitioner - Adult Health

NPI 1174418446

Dr. Silvia Fernandez Perez , MD

Internal Medicine - Gastroenterology

NPI 1184026007

Doctor of Medicine (M.D.)

Herlieni Escalera , APRN

Nurse Practitioner - Adult Health

NPI 1194330175

Advanced Practice Registered Nurse

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location November 05, 2021

Registered at 10000 W COLONIAL DR STE 289, OCOEE, FL 347613432 (Tel: 3218424765)

📍

Updated Business Mailing Address November 05, 2021

Registered at 10000 W COLONIAL DR STE 289, OCOEE, FL 347613432 (Tel: 3218424765)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 05, 2021

Student in an Organized Health Care Education/Training Program

✅

NPI Profile Active August 05, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location August 05, 2016

Registered at 2119 E SOUTH BLVD, SUITE 200, MONTGOMERY, AL 361162454 (Tel: 3346137070)

📍

Updated Business Mailing Address August 05, 2016

Registered at 301 BROWN SPRINGS RD, MONTGOMERY, AL 361177005 (Tel: 3342734508)

👤

Provider Name / Credentials Updated August 05, 2016

Recorded as PRANAV PATEL, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 05, 2016

Internal Medicine (License #34883 in AL)

🟢

Initial NPI Registration & Enumeration September 11, 2008

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: 1114176419

Entity Type:

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

Enumeration Date: September 11, 2008

Last Update: November 05, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

10000 W Colonial Dr Ste 289

Ocoee, FL 347613432

Phone: 3218424765

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.