Active NPI 1013279454 Individual Practitioner Male Practitioner

Dr. Nilay K Patel , MD

Internal Medicine • Boston, MA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Nilay Patel, MD is a certified Internal Medicine practicing in Boston, MA. With approximately 14 years of clinical experience since graduating from Warren Alpert Medical School Of Brown University in 2012, Dr. Patel delivers high-quality medical care to the local community at MASSACHUSETTS GENERAL HOSPITAL.

Dr. Patel is affiliated with Massachusetts General Physicians Organization Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include routine ekg using at least 12 leads including interpretation and report, subsequent hospital care with moderate levelof medical decision making, if using time, at least, 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

Massachusetts General Hospital
55 Fruit St.

Boston, MA 02114

Telephone 6177262865

Medicare Profile & Education

Medical School

Warren Alpert Medical School Of Brown University

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Boston, MA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

14 Yrs -3.4 yrs vs City Avg

City Avg: 17.4 Yrs

State Avg: 29.3 Yrs

Regional Practice Density

2379 Specialists

Practicing in Boston, MA (7127 Statewide)

Telehealth Adoption Rate

24.8% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

81.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Patel (14 Years) 14 Yrs

Boston Specialty Average (17.4 Years) 17.4 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
93000 Routine ekg using at least 12 leads including interpretation and report	298	223	$98.00	$15.63
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	278	145	$331.29	$82.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	207	167	$554.86	$139.52
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	193	170	$51.00	$12.51
92978 Ultrasound evaluation of heart blood vessel or graft	106	90	$409.53	$95.03
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	100	96	$805.00	$179.97
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	100	100	$1000.20	$237.75
92928 Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch	94	72	$2737.78	$536.18
92979 Ultrasound evaluation of heart blood vessel or graft with review by radiologist, each additional vessel	90	62	$328.11	$75.43
33361 Replacement of aortic valve through the skin and femoral artery	89	89	$5569.00	$762.33
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	72	48	$498.65	$122.99
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	59	58	$1257.75	$210.56
93571 Ultrasound evaluation of heart blood vessel during diagnosis or treatment, initial vessel	52	50	$379.00	$72.62
93460 Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist	38	38	$1596.61	$296.44
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	33	33	$775.55	$195.70
99291 Critical care, first 30-74 minutes	30	12	$882.00	$216.94
92972 Shockwave destruction of calcified plaque in coronary artery accessed through skin using catheter	26	22	$604.46	$149.68
93456 Insertion of tube in right heart chambers and coronary artery for diagnosis with review by radiologist	25	25	$1346.60	$232.38
93454 Insertion of tube in coronary artery for diagnosis with review by radiologist	19	19	$1003.32	$184.05
92933 Removal of plaque, insertion of stent and balloon dilation of single coronary artery or branch	19	17	$3956.49	$597.48
93572 Ultrasound evaluation of heart blood vessel during diagnosis or treatment, each additional vessel	17	17	$304.00	$52.93
93451 Insertion of tube in right heart chambers for measurement	15	14	$551.60	$127.72
33370 Placement and subsequent removal of device to protect brain from embolism through catheter using imaging guidance	13	13	$541.38	$128.71
33418 Replacement of aortic valve with prosthetic valve accessed through the skin	11	11	$9490.00	$1812.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93000 Routine ekg using at least 12 leads including interpretation and report	346	209	$93.49	$15.74
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	318	146	$298.81	$84.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	208	166	$544.12	$139.76
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	178	163	$51.00	$13.07
92978 Ultrasound evaluation of heart blood vessel or graft	92	86	$381.59	$97.37
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	92	92	$988.87	$237.10
92928 Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch	89	69	$2565.62	$524.75
33361 Replacement of aortic valve through the skin and femoral artery	83	83	$5602.55	$772.97
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	80	73	$805.00	$184.36
92979 Ultrasound evaluation of heart blood vessel or graft with review by radiologist, each additional vessel	58	46	$304.40	$77.71
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	57	57	$1186.00	$209.22
93571 Ultrasound evaluation of heart blood vessel during diagnosis or treatment, initial vessel	47	47	$379.00	$74.53
99291 Critical care, first 30-74 minutes	38	18	$881.00	$224.60
93454 Insertion of tube in coronary artery for diagnosis with review by radiologist	32	30	$963.06	$172.05
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	26	25	$764.69	$189.78
93456 Insertion of tube in right heart chambers and coronary artery for diagnosis with review by radiologist	25	25	$1250.84	$280.61
99231 Follow-up hospital inpatient care per day, typically 15 minutes	19	14	$167.32	$52.55
93460 Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist	18	18	$1506.00	$330.13
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	17	16	$435.06	$126.45
93451 Insertion of tube in right heart chambers for measurement	13	13	$528.15	$129.74
99443 Telephone medical discussion with physician, 21-30 minutes	13	12	$544.77	$139.78
93572 Ultrasound evaluation of heart blood vessel during diagnosis or treatment, each additional vessel	12	11	$304.00	$53.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	235	100	$284.49	$76.38
93000 Routine ekg using at least 12 leads including interpretation and report	167	110	$92.00	$15.98
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	155	140	$49.49	$13.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	117	90	$533.08	$141.92
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	103	55	$411.02	$109.43
92978 Ultrasound evaluation of heart blood vessel or graft	76	70	$374.25	$100.51
33361 Replacement of aortic valve through the skin and femoral artery	72	72	$5685.02	$794.84
92928 Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch	69	55	$2621.07	$576.66
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	46	43	$538.04	$144.62
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	45	45	$924.89	$243.96
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	44	40	$793.00	$211.82
93571 Ultrasound evaluation of heart blood vessel during diagnosis or treatment, initial vessel	43	42	$379.00	$76.58
93456 Insertion of tube in right heart chambers and coronary artery for diagnosis with review by radiologist	37	37	$1281.00	$285.15
92979 Ultrasound evaluation of heart blood vessel or graft with review by radiologist, each additional vessel	36	28	$313.17	$80.26
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	33	33	$1209.33	$212.69
93454 Insertion of tube in coronary artery for diagnosis with review by radiologist	28	28	$981.86	$177.11
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	23	21	$746.00	$200.14
93505 Biopsy of heart muscle	18	14	$892.56	$214.60
99220 Hospital observation care, typically 70 minutes	17	16	$745.06	$190.78
93460 Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist	16	16	$1810.75	$310.51
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$718.00	$186.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	98	87	$49.49	$13.46
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	63	39	$287.76	$77.74
93000 Routine ekg using at least 12 leads including interpretation and report	34	26	$89.94	$16.88
92928 Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch	34	22	$2545.56	$531.79
92978 Ultrasound evaluation of heart blood vessel or graft	34	27	$379.82	$102.32
93571 Ultrasound evaluation of heart blood vessel during diagnosis or treatment, initial vessel	29	28	$379.00	$78.30
93454 Insertion of tube in coronary artery for diagnosis with review by radiologist	28	26	$989.00	$202.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	18	$507.17	$145.75
93456 Insertion of tube in right heart chambers and coronary artery for diagnosis with review by radiologist	21	21	$1287.00	$295.27
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	18	13	$414.00	$111.74
93505 Biopsy of heart muscle	16	15	$910.88	$227.09
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	15	$807.00	$216.68
92979 Ultrasound evaluation of heart blood vessel or graft with review by radiologist, each additional vessel	15	12	$315.00	$81.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$703.00	$187.56
33361 Replacement of aortic valve through the skin and femoral artery	13	13	$5676.10	$811.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	13	12	$50.00	$13.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	303	67	$276.00	$78.44
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	65	63	$523.00	$147.34
99238 Hospital discharge day management, 30 minutes or less	48	45	$281.00	$79.49
99231 Follow-up hospital inpatient care per day, typically 15 minutes	36	17	$150.00	$42.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	178	53	$272.87	$76.15
99231 Follow-up hospital inpatient care per day, typically 15 minutes	44	28	$147.16	$41.28
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	44	42	$518.09	$144.12
99238 Hospital discharge day management, 30 minutes or less	27	27	$278.11	$77.23

Medical Specialties & State Licenses

CMS Verified: 2020-02-22

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License MA L-251841

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.

Internal Medicine - Cardiovascular Disease

NUCC Taxonomy Code: 207RC0000X

State License MA 260830

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Hospital & Practice Group Affiliations

Massachusetts General Physicians Organization Inc

50 Staniford St, Boston, MA 021142517

Massachusetts General Physicians Organization Inc

55 Fruit St, Boston, MA 021142696

Phone: 6177240287

Practice Associates & Co-Workers

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

40 Associated Practitioners

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Dr. Darrick Li , MD, PhD

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Dr. Robert Rogers , MD

Internal Medicine - Pulmonary Disease

NPI 1063859221

Doctor of Medicine (M.D.)

Dr. Katie Famous , MD, PhD

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Career & Practice History Timeline

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

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 22, 2020

Internal Medicine (License #260830 in MA)

✅

NPI Profile Active June 12, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location June 12, 2012

Registered at MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT ST., BOSTON, MA 02114 (Tel: 6177262865)

📍

Updated Business Mailing Address June 12, 2012

Registered at MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT ST., BOSTON, MA 02114 (Tel: 6177262865)

👤

Provider Name / Credentials Updated June 12, 2012

Recorded as NILAY PATEL, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 12, 2012

Internal Medicine (License #L-251841 in MA)

🟢

Initial NPI Registration & Enumeration June 12, 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: 1013279454

Entity Type:

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

Enumeration Date: June 12, 2012

Last Update: February 22, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Massachusetts General Hospital, 55 Fruit St.

Boston, MA 02114

Phone: 6177262865

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.