Active NPI 1801844071 Individual Practitioner Male Practitioner

Dr. Ashwinkumar Ratilal Patel , MD, FACP

Internal Medicine • Sanford, FL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Ashwinkumar Patel, MD, FACP is a certified Internal Medicine practicing in Sanford, FL. With approximately 50 years of clinical experience since completing medical education in 1976, Dr. Patel delivers high-quality medical care to the local community at 401 TOWNE CENTER BLVD.

Dr. Patel is affiliated with Adventhealth Senior Care Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, hemoglobin a1c level, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

401 Towne Center Blvd

Sanford, FL 327717407

Telephone 8333236724

Medicare Profile & Education

Medical School

Other

Graduation Year

1976

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Sanford, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

50 Yrs +25.7 yrs vs City Avg

City Avg: 24.3 Yrs

State Avg: 26.5 Yrs

Regional Practice Density

18 Specialists

Practicing in Sanford, FL (10650 Statewide)

Telehealth Adoption Rate

22.2% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

67.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Patel (50 Years) 50 Yrs

Sanford Specialty Average (24.3 Years) 24.3 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	232	173	$382.00	$124.73
99213 Established patient office or other outpatient visit, typically 15 minutes	45	40	$270.00	$88.32
83036 Hemoglobin A1C level	24	23	$30.00	$9.52
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	21	21	$385.00	$125.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$500.00	$163.76
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	13	12	$221.00	$68.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	153	136	$380.76	$123.79
99213 Established patient office or other outpatient visit, typically 15 minutes	50	49	$269.72	$70.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$497.26	$164.91
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	17	17	$383.94	$125.73
90662 Influenza vaccine split virus, preservative free	14	14	$209.82	$69.75
G0008 Administration of influenza virus vaccine	14	14	$67.10	$30.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
83036 Hemoglobin A1C level	51	49	$31.00	$10.57
82962 Blood glucose (sugar) test performed by hand-held instrument	48	39	$10.00	$3.21
82043 Urine microalbumin (protein) level	21	21	$5.00	$4.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	670	195	$154.00	$106.77
99213 Established patient office or other outpatient visit, typically 15 minutes	139	86	$134.78	$72.21
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	118	36	$121.00	$72.03
G0008 Administration of influenza virus vaccine	61	61	$50.00	$19.91
90662 Influenza vaccine split virus, preservative free	58	58	$68.00	$52.30
93000 Routine ekg using at least 12 leads including interpretation and report	27	25	$45.00	$16.79
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	26	26	$144.62	$115.14
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	26	21	$100.00	$53.14
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	21	$313.00	$204.31
99496 Transitional care management services for problem of high complexity	20	19	$240.00	$229.63
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	15	$78.00	$43.35
94640 Inhalation treatment for airway obstruction or sputum production	14	12	$39.00	$18.04
99238 Hospital discharge day management, 30 minutes or less	12	11	$115.00	$73.28
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	11	11	$30.00	$25.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	827	217	$154.00	$106.13
99213 Established patient office or other outpatient visit, typically 15 minutes	145	98	$120.00	$72.09
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	131	47	$120.98	$72.25
G0008 Administration of influenza virus vaccine	129	128	$50.00	$24.61
90662 Influenza vaccine split virus, preservative free	114	114	$68.00	$48.05
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	55	55	$180.00	$168.51
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	53	43	$30.00	$25.65
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	33	24	$100.00	$53.05
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	30	30	$45.00	$16.88
99496 Transitional care management services for problem of high complexity	26	24	$234.62	$224.47
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	18	$313.00	$203.47
99238 Hospital discharge day management, 30 minutes or less	17	15	$118.06	$72.27
93000 Routine ekg using at least 12 leads including interpretation and report	17	17	$45.00	$16.79
94640 Inhalation treatment for airway obstruction or sputum production	17	16	$39.00	$17.72
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	16	$78.00	$43.16
81002 Urinalysis, manual test	15	14	$30.00	$3.43
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	15	15	$64.00	$17.48
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	12	11	$85.00	$40.71
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	12	12	$107.00	$91.06
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	12	12	$140.00	$113.94
G0009 Administration of pneumococcal vaccine	12	12	$50.00	$24.61

Medical Specialties & State Licenses

CMS Verified: 2023-02-13

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License FL ME48259

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License FL ME 0048259

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

043785900 (FL)

Hospital & Practice Group Affiliations

Adventhealth Senior Care Inc

401 Towne Ctr Blvd, Sanford, FL 327717407

Phone: 8333236724

Secondary Practice Locations

400 Clyde Morris Blvd Ste A

Ormond Beach, FL 321748172

Phone: 3862596026

Practice Associates & Co-Workers

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

3 Associated Practitioners

Camita Charite , NP

Nurse Practitioner - Family

NPI 1013532142

Nurse Practitioner

Dr. Jessica Montes , MD

Internal Medicine - Geriatric Medicine

NPI 1659778033

Doctor of Medicine (M.D.)

Dr. Kristen Gray , MD

Family Medicine

NPI 1861481517

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

10 Historical Events

📍

Updated Practice Location February 13, 2023

Registered at 401 TOWNE CENTER BLVD, SANFORD, FL 327717407 (Tel: 8333236724)

📍

Updated Business Mailing Address February 13, 2023

Registered at 401 TOWNE CENTER BLVD, SANFORD, FL 327717407 (Tel: 8333236724)

📍

Updated Practice Location April 24, 2019

Registered at 220 N TUTTLE AVE, SARASOTA, FL 34237 (Tel: 9413660800)

📍

Updated Business Mailing Address April 24, 2019

Registered at 700 8TH AVE W STE 101, PALMETTO, FL 342214737 (Tel: 9417764000)

✅

NPI Profile Active August 24, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location August 24, 2010

Registered at 1403 MEDICAL PLAZA DR, SUITE 106, SANFORD, FL 327711000 (Tel: 4073281575)

📍

Updated Business Mailing Address August 24, 2010

Registered at 1403 MEDICAL PLAZA DR, SUITE 106, SANFORD, FL 327711000 (Tel: 4073281575)

👤

Provider Name / Credentials Updated August 24, 2010

Recorded as ASHWINKUMAR PATEL, M.D.,F.A.C.P.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 24, 2010

Internal Medicine (License #ME 0048259 in FL)

🟢

Initial NPI Registration & Enumeration May 04, 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: 1801844071

Entity Type:

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

Enumeration Date: May 04, 2006

Last Update: February 13, 2023

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

401 Towne Center Blvd

Sanford, FL 327717407

Phone: 8333236724

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.