Active NPI 1992077887 Individual Practitioner Male Practitioner

Dr. Ashish Patel , MD

Orthopaedic Surgery • Elmhurst, IL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Ashish Patel, MD is a certified Orthopaedic Surgery practicing in Elmhurst, IL. With approximately 19 years of clinical experience since completing medical education in 2007, Dr. Patel delivers high-quality medical care to the local community at 133 E BRUSH HILL RD STE 100.

Dr. Patel is affiliated with Dupage Medical Group Ltd and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include x-ray of lower and sacral spine, minimum of 4 views, x-ray of lower and sacral spine, 2-3 views, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

133 E Brush Hill Rd Ste 100

Elmhurst, IL 601265660

Telephone 6305010630

Associated Practice Facility / Clinic

🏢 Dupage Medical Group Ltd Facility NPI 1659704708

Medicare Profile & Education

Medical School

Other

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Elmhurst, IL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

19 Yrs -12.0 yrs vs City Avg

City Avg: 31.0 Yrs

State Avg: 27.0 Yrs

Regional Practice Density

15 Specialists

Practicing in Elmhurst, IL (1064 Statewide)

Telehealth Adoption Rate

13.3% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

84.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Patel (19 Years) 19 Yrs

Elmhurst Specialty Average (31.0 Years) 31.0 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
72110 X-ray of lower and sacral spine, minimum of 4 views	217	207	$166.00	$53.48
72100 X-ray of lower and sacral spine, 2-3 views	183	120	$123.00	$41.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	181	150	$229.00	$131.15
99213 Established patient office or other outpatient visit, typically 15 minutes	88	74	$157.00	$93.24
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	75	48	$929.00	$281.11
72050 X-ray of upper spine, 4 or 5 views	59	51	$161.00	$54.12
22614 Fusion of additional segment of spine	47	24	$2299.20	$410.25
72040 X-ray of upper spine, 2-3 views	45	35	$120.00	$40.86
22612 Fusion of spine in lower back	41	41	$9376.00	$1677.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$359.00	$172.65
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	36	36	$8993.00	$864.22
72082 X-ray of entire middle and lower spine, 2-3 views	25	21	$165.00	$72.51
22842 Placement of stabilizing device to back, 3-6 spine bone segments	24	22	$5304.15	$803.81
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	22	20	$6581.93	$719.24
22840 Placement of stabilizing device to back of 1 spine bone in neck	20	20	$4625.00	$820.35
63048 Partial removal of spine bone with release of spinal cord and/or nerves	19	11	$2003.37	$201.79
72072 X-ray of middle spine, 3 views	13	12	$129.00	$40.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$235.00	$115.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
72110 X-ray of lower and sacral spine, minimum of 4 views	153	152	$166.00	$54.11
72100 X-ray of lower and sacral spine, 2-3 views	150	79	$123.00	$42.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	136	120	$229.00	$131.99
99213 Established patient office or other outpatient visit, typically 15 minutes	113	94	$157.00	$93.79
22614 Fusion of additional segment of spine	77	28	$2267.05	$398.12
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	57	31	$929.00	$284.12
72040 X-ray of upper spine, 2-3 views	53	29	$120.00	$41.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$359.00	$173.32
72082 X-ray of entire middle and lower spine, 2-3 views	37	30	$165.00	$74.22
72050 X-ray of upper spine, 4 or 5 views	34	33	$161.00	$54.95
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	25	25	$8993.00	$798.64
22612 Fusion of spine in lower back	25	24	$9376.00	$1703.65
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	21	21	$6735.00	$918.47
22842 Placement of stabilizing device to back, 3-6 spine bone segments	17	16	$5417.00	$840.94
22585 Fusion of spine bones through front of body with partial removal of disc, each additional disc	14	11	$2100.00	$337.76
22840 Placement of stabilizing device to back of 1 spine bone in neck	12	12	$4625.00	$833.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
72100 X-ray of lower and sacral spine, 2-3 views	129	53	$123.00	$43.10
99213 Established patient office or other outpatient visit, typically 15 minutes	125	93	$157.00	$94.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	81	74	$229.00	$132.87
72110 X-ray of lower and sacral spine, minimum of 4 views	75	73	$166.00	$55.27
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	51	29	$929.00	$288.10
22614 Fusion of additional segment of spine	38	19	$2375.00	$414.35
72040 X-ray of upper spine, 2-3 views	32	17	$120.00	$41.89
72082 X-ray of entire middle and lower spine, 2-3 views	31	24	$165.00	$76.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$359.00	$176.91
22612 Fusion of spine in lower back	27	27	$9376.00	$1569.76
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	26	26	$9131.35	$870.37
22842 Placement of stabilizing device to back, 3-6 spine bone segments	19	19	$5417.00	$850.83
22585 Fusion of spine bones through front of body with partial removal of disc, each additional disc	17	12	$2100.00	$362.58
72050 X-ray of upper spine, 4 or 5 views	16	16	$161.00	$57.55
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	16	$94.00	$60.17
22840 Placement of stabilizing device to back of 1 spine bone in neck	12	12	$4625.00	$848.57
27279 Fusion of pelvic joint using imaging guidance	11	11	$2630.87	$541.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	186	125	$157.00	$98.49
72100 X-ray of lower and sacral spine, 2-3 views	94	43	$123.00	$43.31
72110 X-ray of lower and sacral spine, minimum of 4 views	89	89	$166.00	$55.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	69	69	$229.00	$137.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	58	58	$359.00	$179.01
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	36	25	$929.00	$292.15
72082 X-ray of entire middle and lower spine, 2-3 views	31	22	$165.00	$76.34
72040 X-ray of upper spine, 2-3 views	30	16	$120.00	$43.02
22614 Fusion of additional segment of spine	28	12	$2375.00	$412.68
72050 X-ray of upper spine, 4 or 5 views	23	23	$161.00	$57.57
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	18	18	$9117.90	$914.00
22612 Fusion of spine in lower back	17	17	$9376.00	$1811.19
22840 Placement of stabilizing device to back of 1 spine bone in neck	16	16	$4625.00	$823.98
22842 Placement of stabilizing device to back, 3-6 spine bone segments	13	13	$5500.34	$873.88
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$94.00	$60.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	132	92	$157.00	$80.56
72100 X-ray of lower and sacral spine, 2-3 views	91	37	$123.00	$41.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	79	79	$359.00	$177.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	64	64	$229.00	$116.92
72110 X-ray of lower and sacral spine, minimum of 4 views	44	44	$166.00	$52.06
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	42	28	$929.00	$296.86
22614 Fusion of additional segment of spine	36	12	$2111.11	$371.26
72050 X-ray of upper spine, 4 or 5 views	20	20	$161.00	$54.31
72082 X-ray of entire middle and lower spine, 2-3 views	18	14	$165.00	$72.80
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	15	$94.00	$47.74
22842 Placement of stabilizing device to back, 3-6 spine bone segments	14	14	$5223.54	$837.25
22840 Placement of stabilizing device to back of 1 spine bone in neck	13	13	$4625.00	$827.82
22612 Fusion of spine in lower back	13	13	$9376.00	$1667.25
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	12	12	$8993.00	$863.55
22630 Fusion of lower spine bone and partial removal of spine bone or disc through back, 1 disc	11	11	$9135.00	$1833.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	134	110	$142.11	$76.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	64	61	$219.00	$113.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	60	60	$352.45	$174.55
72100 X-ray of lower and sacral spine, 2-3 views	35	23	$123.00	$39.06
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	34	19	$903.18	$293.11
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	29	$84.81	$45.71
72110 X-ray of lower and sacral spine, minimum of 4 views	29	29	$166.00	$54.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$235.00	$115.94
72082 X-ray of entire middle and lower spine, 2-3 views	14	14	$165.00	$69.43
22842 Placement of stabilizing device to back, 3-6 spine bone segments	14	14	$5306.71	$881.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	128	95	$100.00	$67.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	65	57	$149.00	$101.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	61	61	$228.00	$151.65
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	27	$73.00	$40.34
22842 Placement of stabilizing device to back, 3-6 spine bone segments	16	15	$3873.00	$616.79
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$284.00	$194.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	164	98	$100.00	$66.17
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	80	80	$284.00	$183.45
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	37	30	$73.00	$39.71
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	34	34	$229.00	$134.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$149.00	$99.58
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$281.00	$189.99
20931 Donor bone graft for spine surgery	12	12	$300.00	$101.28

Medical Specialties & State Licenses

CMS Verified: 2021-01-26

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License IL 036149060

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 NY 937805

Orthopaedic Surgery - Orthopaedic Surgery of the Spine

NUCC Taxonomy Code: 207XS0117X

State License IL 36149060

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

Hospital & Practice Group Affiliations

Dupage Medical Group Ltd

133 E Brush Hill Rd, Elmhurst, IL 601265660

Phone: 6305010630

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. Denise Ibrahim , DO

Orthopaedic Surgery

NPI 1164418869

Doctor of Osteopathic Medicine (D.O.)

Jessica Genslinger , PA-C

Physician Assistant

NPI 1235674128

Physician Assistant (Certified)

Dr. Joanne Labriola , MD

Orthopaedic Surgery

NPI 1518904739

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 26, 2021

Orthopaedic Surgery (License #036149060 in IL)

📍

Updated Practice Location April 22, 2019

Registered at 133 E BRUSH HILL RD STE 100, ELMHURST, IL 601265660 (Tel: 6305010630)

📍

Updated Business Mailing Address April 22, 2019

Registered at 1860 PAYSPHERE CIR, CHICAGO, IL 606742420 (Tel: 6304692000)

✅

NPI Profile Active February 07, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location February 07, 2012

Registered at 10 STUYVESANT OVAL, 1G, NEW YORK, NY 100092420 (Tel: 6467846536)

📍

Updated Business Mailing Address February 07, 2012

Registered at 10 STUYVESANT OVAL, 1G, NEW YORK, NY 100092420 (Tel: 6467846536)

👤

Provider Name / Credentials Updated February 07, 2012

Recorded as ASHISH PATEL, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 07, 2012

Orthopaedic Surgery (License #937805 in NY)

🟢

Initial NPI Registration & Enumeration February 07, 2012

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: 1992077887

Entity Type:

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

Enumeration Date: February 07, 2012

Last Update: January 26, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1860 Paysphere Cir

Chicago, IL 606742420

Phone: 6304692000

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.