Active NPI 1457769218 Individual Practitioner Male Practitioner

Dr. Nirav Patel , MD

Emergency Medicine • Hazard, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Nirav Patel, MD is a certified Emergency Medicine practicing in Hazard, KY. With approximately 14 years of clinical experience since completing medical education in 2012, Dr. Patel delivers high-quality medical care to the local community at 750 MORTON BLVD.

Dr. Patel is affiliated with Acs Primary Care Physicians - Southeast Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only, emergency department visit with moderate level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

750 Morton Blvd

Hazard, KY 417019469

Telephone 6064396600

Associated Practice Facility / Clinic

🏢 North Fork Valley Community Health Board, Inc. Facility NPI 1164594511

Medicare Profile & Education

Medical School

Other

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Hazard, KY

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

14 Yrs -9.0 yrs vs City Avg

City Avg: 23.0 Yrs

State Avg: 23.7 Yrs

Regional Practice Density

4 Specialists

Practicing in Hazard, KY (946 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

89.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Patel (14 Years) 14 Yrs

Hazard Specialty Average (23.0 Years) 23.0 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
99285 Emergency department visit for life threatening or functioning severity	173	156	$1624.16	$168.27
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	112	99	$78.21	$7.68
99284 Emergency department visit with moderate level of medical decision making	44	42	$1110.34	$116.75
99283 Emergency department visit with low level of medical decision making	13	13	$596.38	$68.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	130	125	$1582.18	$171.17
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	70	70	$76.03	$7.79
99284 Emergency department visit with moderate level of medical decision making	52	50	$1063.46	$117.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	187	181	$1586.97	$172.40
99284 Emergency department visit with moderate level of medical decision making	52	52	$1042.56	$116.03
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	49	49	$75.16	$7.97
99283 Emergency department visit with low level of medical decision making	27	27	$642.74	$70.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	255	237	$1558.62	$177.25
99284 Emergency department visit with moderate level of medical decision making	89	88	$1042.16	$121.41
99283 Emergency department visit with low level of medical decision making	38	37	$690.84	$71.45
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	31	31	$75.13	$8.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	302	287	$1438.32	$174.49
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	236	218	$72.59	$8.49
99284 Emergency department visit with moderate level of medical decision making	69	69	$978.22	$117.55
99283 Emergency department visit with low level of medical decision making	25	25	$678.04	$65.43
99291 Critical care, first 30-74 minutes	13	13	$1616.54	$222.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	240	219	$2034.86	$169.85
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	191	173	$100.38	$8.30
99284 Emergency department visit with moderate level of medical decision making	111	102	$1378.92	$115.53
99291 Critical care, first 30-74 minutes	58	58	$2617.81	$217.36
99283 Emergency department visit with low level of medical decision making	34	33	$726.94	$60.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	315	279	$1953.17	$168.06
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	257	227	$96.54	$8.20
99284 Emergency department visit with moderate level of medical decision making	151	138	$1326.36	$114.08
99291 Critical care, first 30-74 minutes	84	78	$2521.71	$214.91
99283 Emergency department visit with low level of medical decision making	70	60	$700.00	$60.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	104	98	$1905.24	$167.42
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	80	72	$93.65	$8.15
99284 Emergency department visit with moderate level of medical decision making	48	47	$1291.75	$113.38
99291 Critical care, first 30-74 minutes	24	24	$2461.67	$214.27
99283 Emergency department visit with low level of medical decision making	21	21	$681.00	$59.71

Medical Specialties & State Licenses

CMS Verified: 2020-06-10

Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License KY 50755

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Family Medicine

NUCC Taxonomy Code: 207Q00000X

State License KY R3584

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Hospital & Practice Group Affiliations

Acs Primary Care Physicians - Southeast Pc

163 Hospital Dr, Toccoa, GA 305776820

Phone: 7068866841

Practice Associates & Co-Workers

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

31 Associated Practitioners

Dr. Raymond Elsoueidi , MD

Internal Medicine - Hematology & Oncology

NPI 1033348768

Doctor of Medicine (M.D.)

Dr. Jeffrey Meadows , PharmD

Pharmacist

NPI 1104273416

Doctor of Pharmacy (Pharm.D.)

Dr. Chandan Sahay , MD

Internal Medicine

NPI 1164462958

Doctor of Medicine (M.D.)

Brad Adams , CRNA

Nurse Anesthetist, Certified Registered

NPI 1245653211

Certified Registered Nurse Anesthetist

Michael Shilot , CRNA

Nurse Anesthetist, Certified Registered

NPI 1255664629

Certified Registered Nurse Anesthetist

James Lunsford , CRNA

Nurse Anesthetist, Certified Registered

NPI 1285648592

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 07, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location July 07, 2015

Registered at 750 MORTON BLVD, HAZARD, KY 417019469 (Tel: 6064396600)

📍

Updated Business Mailing Address July 07, 2015

Registered at 750 MORTON BLVD, HAZARD, KY 41701 (Tel: 6064393557)

👤

Provider Name / Credentials Updated July 07, 2015

Recorded as NIRAV PATEL, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 07, 2015

Family Medicine (License #R3584 in KY)

🟢

Initial NPI Registration & Enumeration July 24, 2014

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: 1457769218

Entity Type:

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

Enumeration Date: July 24, 2014

Last Update: June 10, 2020

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

750 Morton Blvd

Hazard, KY 41701

Phone: 6064393557

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.