Active NPI 1407210313 Individual Practitioner Male Practitioner

Vishal N Patel

Urology • Macon, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Vishal Patel is a certified Urology practicing in Macon, GA. With approximately 10 years of clinical experience since graduating from Wayne State University School Of Medicine in 2016, Vishal Patel delivers high-quality medical care to the local community at 5400 BOWMAN RD.

Vishal Patel is affiliated with Urology Specialists Of Georgia and accepts Medicare assignment.

Frequently performed procedures and clinical services include low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml, urinalysis, manual test, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5400 Bowman Rd

Macon, GA 312108879

Telephone 4787456576

Fax 4787460018

Associated Practice Facility / Clinic

🏢 Urology Specialists Of Georgia Facility NPI 1699786590

Medicare Profile & Education

Medical School

Wayne State University School Of Medicine

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Macon, GA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

10 Yrs -12.9 yrs vs City Avg

City Avg: 22.9 Yrs

State Avg: 27.0 Yrs

Regional Practice Density

11 Specialists

Practicing in Macon, GA (422 Statewide)

Telehealth Adoption Rate

9.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

72.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Patel (10 Years) 10 Yrs

Macon Specialty Average (22.9 Years) 22.9 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	1,480	15	$6.57	$0.12
81002 Urinalysis, manual test	432	281	$9.89	$3.34
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	393	279	$50.00	$15.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	311	204	$209.47	$116.82
99213 Established patient office or other outpatient visit, typically 15 minutes	127	109	$132.69	$84.09
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	88	15	$1328.92	$173.22
51798 Ultrasound measurement of bladder capacity after voiding	63	52	$34.84	$9.83
76770 Complete ultrasound scan behind abdominal cavity	62	59	$204.00	$63.95
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	51	51	$304.00	$156.68
81003 Automated urinalysis test	48	41	$9.61	$2.17
51702 Simple insertion of temporary bladder tube	47	20	$165.00	$56.36
74019 X-ray of abdomen, 2 views	37	34	$63.00	$22.26
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	35	15	$122.81	$30.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$211.68	$96.45
52332 Insertion of stent in urinary duct (ureter) using an endoscope	30	26	$1040.67	$133.33
74420 Imaging of urinary tract	28	26	$249.00	$22.91
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	28	24	$136.00	$74.68
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	19	$390.26	$163.71
52356 Crushing of stone of ureter with insertion of stent using an endoscope	18	18	$1287.50	$391.73
74176 Ct scan of abdomen and pelvis without contrast	17	15	$363.00	$92.24
52000 Diagnostic exam of bladder and urethra using an endoscope	15	14	$359.00	$214.93
74178 Ct scan of abdomen and pelvis before and after contrast	14	14	$917.14	$215.82
55700 Biopsy of prostate gland	12	12	$483.75	$118.37
76872 Ultrasound scan of pelvic region through rectum	12	12	$80.67	$29.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	1,350	14	$5.16	$0.16
81003 Automated urinalysis test	340	236	$7.37	$2.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	255	163	$173.11	$113.06
99213 Established patient office or other outpatient visit, typically 15 minutes	143	119	$109.65	$79.68
81002 Urinalysis, manual test	113	109	$10.31	$3.30
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	102	17	$1131.67	$168.19
51798 Ultrasound measurement of bladder capacity after voiding	68	56	$29.01	$9.03
76770 Complete ultrasound scan behind abdominal cavity	58	54	$171.12	$61.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	55	55	$255.68	$150.05
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	44	17	$103.34	$28.96
51702 Simple insertion of temporary bladder tube	42	22	$135.02	$53.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$158.68	$100.61
74420 Imaging of urinary tract	21	20	$197.46	$22.11
74019 X-ray of abdomen, 2 views	21	18	$53.92	$21.93
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	20	14	$112.96	$69.12
52332 Insertion of stent in urinary duct (ureter) using an endoscope	20	17	$760.96	$125.01
93000 Routine ekg using at least 12 leads including interpretation and report	20	20	$22.15	$12.81
52000 Diagnostic exam of bladder and urethra using an endoscope	19	17	$302.27	$200.41
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	18	$334.02	$152.14
76872 Ultrasound scan of pelvic region through rectum	14	13	$48.21	$29.31
55700 Biopsy of prostate gland	14	13	$345.97	$117.46
52005 Insertion of tube into ureter using an endoscope through bladder area	14	14	$392.69	$117.92
74178 Ct scan of abdomen and pelvis before and after contrast	13	13	$468.33	$220.35
74176 Ct scan of abdomen and pelvis without contrast	12	12	$302.43	$89.54
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$252.93	$149.14
51701 Insertion of temporary bladder tube	12	12	$58.02	$39.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	347	241	$6.49	$2.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	189	145	$129.65	$120.03
99213 Established patient office or other outpatient visit, typically 15 minutes	112	93	$84.70	$79.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	70	70	$191.46	$156.83
51798 Ultrasound measurement of bladder capacity after voiding	67	59	$21.70	$9.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	54	54	$133.22	$105.25
51702 Simple insertion of temporary bladder tube	36	14	$103.13	$57.73
52332 Insertion of stent in urinary duct (ureter) using an endoscope	32	25	$687.04	$127.80
76770 Complete ultrasound scan behind abdominal cavity	22	22	$127.36	$67.11
74420 Imaging of urinary tract	20	17	$172.63	$22.73
55700 Biopsy of prostate gland	19	19	$304.41	$120.36
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	19	19	$49.40	$28.81
76872 Ultrasound scan of pelvic region through rectum	19	19	$50.54	$30.31
93000 Routine ekg using at least 12 leads including interpretation and report	17	16	$19.35	$13.36
52005 Insertion of tube into ureter using an endoscope through bladder area	16	16	$381.10	$113.21
52000 Diagnostic exam of bladder and urethra using an endoscope	13	13	$222.12	$218.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	107	90	$5.81	$2.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	52	48	$127.17	$121.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$187.25	$157.96
51798 Ultrasound measurement of bladder capacity after voiding	44	39	$20.57	$9.20
99213 Established patient office or other outpatient visit, typically 15 minutes	19	19	$92.63	$77.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$132.15	$101.70

Medical Specialties & State Licenses

CMS Verified: 2025-04-01

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License GA 89320

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.

Hospital & Practice Group Affiliations

Urology Specialists Of Georgia

5400 Bowman Rd, Macon, GA 312108879

Phone: 47874565761204

Practice Associates & Co-Workers

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

9 Associated Practitioners

Dr. H Carpenter , MD

Urology

NPI 1053322990

Doctor of Medicine (M.D.)

Dr. Frank Casey , MD

Urology

NPI 1174645329

Doctor of Medicine (M.D.)

Dr. Brian Geary , MD

Urology

NPI 1275737223

Doctor of Medicine (M.D.)

Gail Conley , FNP

Nurse Practitioner - Family

NPI 1346587573

Family Nurse Practitioner

Dr. Amos Anderson , MD

Urology

NPI 1568473429

Doctor of Medicine (M.D.)

Dr. Joshua Perkel , MD

Urology

NPI 1700897691

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location April 01, 2025

Registered at 5400 BOWMAN RD, MACON, GA 312108879 (Tel: 4787456576)

📍

Updated Business Mailing Address April 01, 2025

Registered at 5400 BOWMAN RD, MACON, GA 312108879 (Tel: 4787456576)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 01, 2025

Urology (License #89320 in GA)

✅

NPI Profile Active April 06, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location April 06, 2016

Registered at 4201 SAINT ANTOINE ST # 9C, DETROIT, MI 482012153 (Tel: 3135775009)

📍

Updated Business Mailing Address April 06, 2016

Registered at 2513 JOHN R ST, DETROIT, MI 482013158 (Tel: 8476302736)

👤

Provider Name / Credentials Updated April 06, 2016

Recorded as VISHAL PATEL

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 06, 2016

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration April 06, 2016

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: 1407210313

Entity Type:

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

Enumeration Date: April 06, 2016

Last Update: April 01, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5400 Bowman Rd

Macon, GA 312108879

Phone: 4787456576

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.