Active NPI 1265407241 Individual Practitioner Male Practitioner

Dr. Nitinkumar K Patel , MD

Internal Medicine • Middlesboro, KY

Professional Overview & Biography Verified Profile Summary

Dr. Nitinkumar Patel, MD is a registered healthcare professional specializing in Internal Medicine in Middlesboro, KY. Practice services are available at 3501 W CUMBERLAND AVE under active NPI credentials.

Frequently performed procedures and clinical services include routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only, established patient outpatient office visit, chronic care management services, first. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3501 W Cumberland Ave

Middlesboro, KY 40965

Telephone 6062485191

Fax 6062480651

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Middlesboro, KY

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 29.7 Yrs

State Avg: 26.6 Yrs

Regional Practice Density

9 Specialists

Practicing in Middlesboro, KY (1608 Statewide)

Telehealth Adoption Rate

11.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

87.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	145	107	$64.00	$8.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	373	247	$64.00	$8.20
99213 Established patient office or other outpatient visit, typically 15 minutes	184	109	$49.20	$48.74
99213 Established patient office or other outpatient visit, typically 15 minutes	80	70	$97.17	$61.27
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	67	20	$80.00	$30.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	63	60	$72.80	$72.16
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	38	14	$182.00	$100.22
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	37	19	$80.00	$31.31
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	33	11	$124.00	$69.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	20	$89.18	$76.09
99238 Hospital discharge day management, 30 minutes or less	19	18	$152.00	$69.78
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	16	16	$191.00	$108.73
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	14	11	$126.00	$65.94
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	12	$351.00	$194.71
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	12	12	$191.00	$108.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	703	412	$64.00	$8.16
99213 Established patient office or other outpatient visit, typically 15 minutes	490	155	$49.20	$48.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	174	119	$72.80	$71.86
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	160	25	$80.00	$30.73
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	113	113	$191.00	$107.36
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	60	19	$182.00	$99.68
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	51	18	$126.00	$65.27
99238 Hospital discharge day management, 30 minutes or less	23	18	$152.00	$68.83
99217 Hospital observation care on day of discharge	14	14	$135.00	$69.12

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License KY 23451

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

417621 (TN)

Medicaid State Provider ID

64231459 (KY)

Medicaid State Provider ID

6044786 (VA)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active February 25, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location February 25, 2015

Registered at 3501 W CUMBERLAND AVE, MIDDLESBORO, KY 40965 (Tel: 6062485191)

📍

Updated Business Mailing Address February 25, 2015

Registered at PO BOX 2270, MIDDLESBORO, KY 40965 (Tel: 6062485191)

👤

Provider Name / Credentials Updated February 25, 2015

Recorded as NITINKUMAR PATEL, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 25, 2015

Internal Medicine (License #23451 in KY)

🟢

Initial NPI Registration & Enumeration February 22, 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: 1265407241

Entity Type:

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

Enumeration Date: February 22, 2006

Last Update: February 25, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 2270

Middlesboro, KY 40965

Phone: 6062485191

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.