Active NPI 1639192164 Individual Practitioner Male Practitioner

Dr. Alpesh Ashwin Patel , MD

Orthopaedic Surgery • Chicago, IL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Alpesh Patel, MD is a certified Orthopaedic Surgery practicing in Chicago, IL. With approximately 26 years of clinical experience since graduating from Northwestern University Feinberg Medical School in 2000, Dr. Patel delivers high-quality medical care to the local community at 675 N. ST. CLAIR.

Dr. Patel is affiliated with Northwestern Medical Faculty Foundation 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, new patient outpatient office visit, x-ray of knee, 3 views. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

675 N. St. Clair
Galter Pavilion 17-100

Chicago, IL 60611

Telephone 3126956800

Fax 3126952772

Associated Practice Facility / Clinic

🏢 Northwestern Medical Faculty Foundation Facility NPI 1275759789

Medicare Profile & Education

Medical School

Northwestern University Feinberg Medical School

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Chicago, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

26 Yrs +4.4 yrs vs City Avg

City Avg: 21.6 Yrs

State Avg: 27.0 Yrs

Regional Practice Density

290 Specialists

Practicing in Chicago, IL (1064 Statewide)

Telehealth Adoption Rate

5.5% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

85.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Patel (26 Years) 26 Yrs

Chicago Specialty Average (21.6 Years) 21.6 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
99213 Established patient office or other outpatient visit, typically 15 minutes	105	85	$219.00	$96.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	74	74	$505.00	$179.41
73562 X-ray of knee, 3 views	54	47	$141.00	$34.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	52	49	$323.00	$134.33
73502 X-ray of hip, 2-3 views	45	34	$171.00	$39.14
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	45	31	$1630.00	$308.58
73030 X-ray of shoulder, minimum of 2 views	41	29	$132.00	$27.75
72100 X-ray of lower and sacral spine, 2-3 views	29	18	$160.00	$31.21
72040 X-ray of upper spine, 2-3 views	25	14	$147.00	$30.96
22216 Incision or removal of spine bone segment, each additional segment	21	14	$3759.00	$428.53
72082 X-ray of entire middle and lower spine, 2-3 views	16	13	$262.00	$58.92
22214 Incision of spine to correct deformity at lower spinal column	15	15	$12530.00	$892.37
22845 Placement of stabilizing device to front, 2-3 spine bone segments	14	14	$9929.00	$873.99
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	14	14	$10983.00	$2044.88
22633 Fusion of spine in lower back with partial removal of spine bone and disc	13	13	$11609.00	$2157.72
72050 X-ray of upper spine, 4 or 5 views	13	11	$214.00	$43.68
99442 Telephone medical discussion with physician, 11-20 minutes	13	13	$175.00	$96.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$330.00	$119.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	142	112	$219.00	$95.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	96	96	$505.00	$177.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	93	80	$323.00	$135.62
22614 Fusion of additional segment of spine	62	20	$3972.00	$448.55
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	38	23	$1630.00	$306.59
22216 Incision or removal of spine bone segment, each additional segment	28	15	$3759.00	$426.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$330.00	$120.72
22842 Placement of stabilizing device to back, 3-6 spine bone segments	16	15	$9515.00	$907.76
22214 Incision of spine to correct deformity at lower spinal column	14	14	$12530.00	$907.48
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$132.00	$60.18
22845 Placement of stabilizing device to front, 2-3 spine bone segments	13	13	$9929.00	$866.66
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	13	13	$10983.00	$1947.60
22612 Fusion of spine in lower back	12	11	$14066.00	$1727.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	139	117	$219.00	$97.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	94	94	$505.00	$179.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	88	80	$323.00	$135.88
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	39	29	$1630.00	$308.17
22614 Fusion of additional segment of spine	35	14	$3972.00	$466.39
63048 Partial removal of spine bone with release of spinal cord and/or nerves	34	16	$3207.00	$251.02
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	26	$132.00	$61.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$330.00	$122.22
22845 Placement of stabilizing device to front, 2-3 spine bone segments	19	19	$9929.00	$871.34
22842 Placement of stabilizing device to back, 3-6 spine bone segments	14	14	$9515.00	$908.40
72100 X-ray of lower and sacral spine, 2-3 views	11	11	$160.00	$32.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
72100 X-ray of lower and sacral spine, 2-3 views	167	144	$174.14	$33.75
99213 Established patient office or other outpatient visit, typically 15 minutes	153	127	$219.00	$97.51
72110 X-ray of lower and sacral spine, minimum of 4 views	152	151	$242.07	$44.64
72082 X-ray of entire middle and lower spine, 2-3 views	145	145	$265.48	$59.48
72040 X-ray of upper spine, 2-3 views	92	79	$170.74	$35.52
72050 X-ray of upper spine, 4 or 5 views	83	82	$231.86	$45.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	75	75	$505.00	$180.00
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	64	54	$132.00	$59.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	59	59	$330.00	$121.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	52	50	$323.00	$139.54
22614 Fusion of additional segment of spine	52	15	$3972.00	$469.24
72083 X-ray of entire middle and lower spine, 4-5 views	43	43	$284.00	$66.35
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	42	28	$1630.00	$310.32
63048 Partial removal of spine bone with release of spinal cord and/or nerves	29	14	$3207.00	$253.53
22216 Incision or removal of spine bone segment, each additional segment	18	13	$3759.00	$433.29
22845 Placement of stabilizing device to front, 2-3 spine bone segments	14	14	$9929.00	$875.60
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	13	13	$10983.00	$2036.41
72120 X-ray lower and sacral spine including bending views 2 or 3 views	13	13	$216.00	$32.22
72070 X-ray of middle spine, 2 views	13	13	$164.23	$27.80
22842 Placement of stabilizing device to back, 3-6 spine bone segments	13	13	$9515.00	$913.40
22214 Incision of spine to correct deformity at lower spinal column	12	12	$12530.00	$915.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	130	99	$132.00	$49.28
99213 Established patient office or other outpatient visit, typically 15 minutes	102	80	$219.00	$80.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	91	91	$330.00	$116.11
72100 X-ray of lower and sacral spine, 2-3 views	74	51	$216.00	$40.05
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	42	24	$1630.00	$319.33
72040 X-ray of upper spine, 2-3 views	40	33	$203.00	$40.86
22614 Fusion of additional segment of spine	32	13	$3972.00	$471.44
63048 Partial removal of spine bone with release of spinal cord and/or nerves	26	16	$3207.00	$245.01
72110 X-ray of lower and sacral spine, minimum of 4 views	23	23	$298.00	$50.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$323.00	$113.28
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	15	15	$10983.00	$2015.59
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc	15	12	$2536.00	$492.31
99443 Telephone medical discussion with physician, 21-30 minutes	13	13	$250.00	$116.90
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	13	13	$9223.00	$988.87
99442 Telephone medical discussion with physician, 11-20 minutes	13	13	$175.00	$81.34
22845 Placement of stabilizing device to front, 2-3 spine bone segments	12	12	$9929.00	$900.81
22842 Placement of stabilizing device to back, 3-6 spine bone segments	12	12	$9515.00	$885.44
72050 X-ray of upper spine, 4 or 5 views	12	12	$292.00	$53.99
72082 X-ray of entire middle and lower spine, 2-3 views	11	11	$346.00	$72.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	194	155	$219.00	$78.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	120	120	$330.00	$116.53
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	116	96	$132.00	$48.10
72100 X-ray of lower and sacral spine, 2-3 views	110	63	$214.55	$38.53
72040 X-ray of upper spine, 2-3 views	57	39	$187.63	$35.96
22614 Fusion of additional segment of spine	53	19	$3972.00	$480.58
63048 Partial removal of spine bone with release of spinal cord and/or nerves	47	25	$3207.00	$259.74
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	34	22	$1630.00	$317.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	29	$323.00	$113.05
72050 X-ray of upper spine, 4 or 5 views	23	19	$292.00	$51.99
72110 X-ray of lower and sacral spine, minimum of 4 views	22	22	$298.00	$54.26
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	20	19	$9223.00	$944.89
22842 Placement of stabilizing device to back, 3-6 spine bone segments	16	16	$9515.00	$939.53
22612 Fusion of spine in lower back	14	14	$14066.00	$1833.47
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	12	12	$10983.00	$2082.35
22845 Placement of stabilizing device to front, 2-3 spine bone segments	12	12	$9929.00	$902.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	225	173	$219.00	$76.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	92	92	$330.00	$114.88
72100 X-ray of lower and sacral spine, 2-3 views	72	46	$216.00	$36.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	56	54	$323.00	$113.28
72040 X-ray of upper spine, 2-3 views	51	28	$200.14	$34.44
63048 Partial removal of spine bone with release of spinal cord and/or nerves	50	26	$3207.00	$255.99
22614 Fusion of additional segment of spine	49	19	$3972.00	$472.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$505.00	$175.31
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	37	34	$132.00	$46.30
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	26	22	$1630.00	$290.06
72110 X-ray of lower and sacral spine, minimum of 4 views	23	23	$298.00	$51.21
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	20	20	$9223.00	$1055.77
22612 Fusion of spine in lower back	16	16	$14066.00	$1751.48
22842 Placement of stabilizing device to back, 3-6 spine bone segments	15	15	$9515.00	$922.38
22845 Placement of stabilizing device to front, 2-3 spine bone segments	13	13	$9929.00	$888.42
72050 X-ray of upper spine, 4 or 5 views	13	12	$292.00	$47.70
22840 Placement of stabilizing device to back of 1 spine bone in neck	13	13	$8165.00	$890.13
72082 X-ray of entire middle and lower spine, 2-3 views	13	11	$346.00	$61.99
22633 Fusion of spine in lower back with partial removal of spine bone and disc	11	11	$11609.00	$2122.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	180	145	$219.00	$76.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	118	118	$507.92	$172.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	88	83	$323.00	$111.00
72100 X-ray of lower and sacral spine, 2-3 views	70	47	$216.00	$36.74
22614 Fusion of additional segment of spine	70	16	$3972.00	$477.99
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	69	63	$132.00	$45.92
63048 Partial removal of spine bone with release of spinal cord and/or nerves	49	21	$3207.00	$258.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$331.77	$114.98
72040 X-ray of upper spine, 2-3 views	40	24	$203.00	$34.54
72110 X-ray of lower and sacral spine, minimum of 4 views	31	30	$298.00	$51.27
72082 X-ray of entire middle and lower spine, 2-3 views	22	19	$346.00	$65.12
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	20	20	$9223.00	$986.46
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	16	13	$1630.00	$320.86
72050 X-ray of upper spine, 4 or 5 views	13	13	$292.00	$47.57
22612 Fusion of spine in lower back	13	13	$14282.40	$1808.02

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License IL 036.128125

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Orthopaedic Surgery

NUCC Taxonomy Code: 207X00000X

State License PA MT185463

Hospital & Practice Group Affiliations

Northwestern Medical Faculty Foundation

251 E Huron, Chicago, IL 606112908

Northwestern Medical Faculty Foundation

675 N Saint Clair St, Chicago, IL 606115975

Northwestern Medical Faculty Foundation

251 E Huron St, Chicago, IL 606112908

Northwestern Medical Faculty Foundation

1001 Commerce Dr, Oak Brook, IL 605238865

Northwestern Medical Faculty Foundation

660 N Westmoreland Rd, Lake Forest, IL 600451673

Phone: 3129266146

Northwestern Medical Faculty Foundation

675 N St Clair, Chicago, IL 606115975

Northwestern Medical Faculty Foundation

259 E Erie St, Chicago, IL 606112930

Phone: 3125031944

Practice Associates & Co-Workers

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

40 Associated Practitioners

Jeremy Larva , PA-C

Physician Assistant

NPI 1003021916

Physician Assistant (Certified)

Dr. Vehniah Tjong , MD

Orthopaedic Surgery - Sports Medicine

NPI 1003201419

Doctor of Medicine (M.D.)

Katherine Mccrossen

Physician Assistant

NPI 1013446731

Dr. Guido Marra , MD

Orthopaedic Surgery

NPI 1023082328

Doctor of Medicine (M.D.)

Dr. Michael Stover , MD

Orthopaedic Surgery

NPI 1033183363

Doctor of Medicine (M.D.)

Joseph Boutet , PA-C

Physician Assistant

NPI 1033369343

Physician Assistant (Certified)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active November 07, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location November 07, 2013

Registered at 675 N. ST. CLAIR, GALTER PAVILION 17-100, CHICAGO, IL 60611 (Tel: 3126956800)

📍

Updated Business Mailing Address November 07, 2013

Registered at 676 N. ST. CLAIR SUITE 1350, NORTHWESTERN MEDICAL FACULTY FOUNDATION, CHICAGO, IL 60611 (Tel: 3126956800)

👤

Provider Name / Credentials Updated November 07, 2013

Recorded as ALPESH PATEL, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 07, 2013

Orthopaedic Surgery (License #036.128125 in IL)

🟢

Initial NPI Registration & Enumeration July 25, 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: 1639192164

Entity Type:

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

Enumeration Date: July 25, 2006

Last Update: November 07, 2013

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

676 N. St. Clair Suite 1350, Northwestern Medical Faculty Foundation

Chicago, IL 60611

Phone: 3126956800

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.