Niravkumar Patel

Professional Overview & Biography Verified Profile Summary

Niravkumar Patel is a certified Internal Medicine practicing in Lexington, MA. With approximately 19 years of clinical experience since completing medical education in 2007, Niravkumar Patel delivers high-quality medical care to the local community at 4 HADLEY RD.

Niravkumar Patel is affiliated with Lynn Urgent Care Llc and does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4 Hadley Rd

Lexington, MA 02420

Telephone 6178939901

Associated Practice Facility / Clinic

🏢 Regis College Facility NPI 1912445222

Medicare Profile & Education

Medical School

Other

Graduation Year

2007

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Lexington, MA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

19 Yrs -13.6 yrs vs City Avg

City Avg: 32.6 Yrs

State Avg: 29.3 Yrs

Regional Practice Density

38 Specialists

Practicing in Lexington, MA (7127 Statewide)

Telehealth Adoption Rate

34.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

51.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Patel (19 Years) 19 Yrs

Lexington Specialty Average (32.6 Years) 32.6 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
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$227.44	$109.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	53	53	$346.60	$161.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	53	50	$229.68	$124.06
87637 Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus	39	37	$285.26	$139.78
81003 Automated urinalysis test	26	26	$25.00	$2.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$227.44	$108.97
71046 X-ray of chest, 2 views	17	16	$69.84	$33.09
99213 Established patient office or other outpatient visit, typically 15 minutes	12	12	$158.52	$87.82
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	11	11	$33.06	$16.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99220 Hospital observation care, typically 70 minutes	80	78	$753.00	$183.22
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	48	48	$789.00	$202.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	47	47	$346.60	$163.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	30	$229.68	$126.08
87637 Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus	27	26	$285.26	$140.46
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	25	24	$200.00	$50.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$227.44	$110.64
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	14	13	$33.06	$16.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	245	237	$814.27	$208.58
99220 Hospital observation care, typically 70 minutes	170	166	$753.00	$186.62
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	12	12	$175.00	$51.31
99291 Critical care, first 30-74 minutes	11	11	$884.82	$225.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	210	203	$811.40	$211.46
99220 Hospital observation care, typically 70 minutes	169	168	$744.05	$193.42
99291 Critical care, first 30-74 minutes	20	19	$885.70	$231.38
99219 Hospital observation care, typically 50 minutes	15	15	$546.33	$142.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	316	311	$801.02	$208.42
99220 Hospital observation care, typically 70 minutes	221	215	$734.65	$191.96
99291 Critical care, first 30-74 minutes	23	22	$875.09	$230.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	403	378	$779.41	$210.22
99220 Hospital observation care, typically 70 minutes	172	170	$716.27	$193.30
99291 Critical care, first 30-74 minutes	43	43	$850.63	$230.55
99236 Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes	35	35	$835.97	$226.57
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$523.00	$141.88
99219 Hospital observation care, typically 50 minutes	14	14	$519.00	$141.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	422	403	$761.73	$206.24
99220 Hospital observation care, typically 70 minutes	176	175	$699.27	$189.96
99291 Critical care, first 30-74 minutes	35	33	$893.97	$227.37
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	21	$510.57	$140.23
99219 Hospital observation care, typically 50 minutes	20	19	$507.00	$139.56
99236 Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes	16	16	$819.25	$222.66

Medical Specialties & State Licenses

CMS Verified: 2020-04-17

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License MA 264097

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

NUCC Taxonomy Code: 207R00000X

State License CT 54385

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Lynn Urgent Care Llc

776 Western Ave, Lynn, MA 019052408

Phone: 7812817081

Practice Associates & Co-Workers

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

1 Associated Practitioners

Rina Patel

Nurse Practitioner - Family

NPI 1235615659

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active September 28, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location September 28, 2015

Registered at 4 HADLEY RD, LEXINGTON, MA 02420 (Tel: 6178939901)

📍

Updated Business Mailing Address September 28, 2015

Registered at 4 HADLEY RD, LEXINGTON, MA 024201438 (Tel: 6178939901)

👤

Provider Name / Credentials Updated September 28, 2015

Recorded as NIRAVKUMAR PATEL

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 28, 2015

Internal Medicine (License #54385 in CT)

🟢

Initial NPI Registration & Enumeration August 26, 2014

First registered as active Individual Practitioner in NPPES Database.

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