Active NPI 1457779407 Individual Practitioner Male Practitioner

Dr. Parth Patel , MD

Internal Medicine • Worcester, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Parth Patel, MD is a certified Internal Medicine practicing in Worcester, MA. With approximately 16 years of clinical experience since completing medical education in 2010, Dr. Patel delivers high-quality medical care to the local community at 123 SUMMER ST STE 7350.

Dr. Patel is affiliated with Questcare Hospitalists Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with moderate level of medical decision making, if using time, at least, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

123 Summer St Ste 7350

Worcester, MA 016081216

Telephone 5083636849

Fax 5083637461

Associated Practice Facility / Clinic

🏢 Umass Memorial Medical Center Facility NPI 1679574933

Medicare Profile & Education

Medical School

Other

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Worcester, MA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

16 Yrs -3.4 yrs vs City Avg

City Avg: 19.4 Yrs

State Avg: 29.3 Yrs

Regional Practice Density

460 Specialists

Practicing in Worcester, MA (7127 Statewide)

Telehealth Adoption Rate

15.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

82.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Patel (16 Years) 16 Yrs

Worcester Specialty Average (19.4 Years) 19.4 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
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	490	185	$536.00	$114.66
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	215	209	$1042.00	$168.40
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	174	166	$46.00	$7.87
99239 Hospital discharge day management, more than 30 minutes	161	157	$685.00	$111.38
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	42	24	$373.00	$76.45
99291 Critical care, first 30-74 minutes	24	23	$1157.00	$206.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	376	138	$536.00	$116.96
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	184	176	$1012.11	$169.53
99239 Hospital discharge day management, more than 30 minutes	162	148	$685.00	$113.23
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	162	62	$373.00	$78.13
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	139	131	$46.00	$8.04
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	32	32	$326.91	$122.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	504	168	$534.65	$101.54
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	226	212	$986.93	$195.45
99239 Hospital discharge day management, more than 30 minutes	209	194	$638.68	$104.13
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	158	150	$46.00	$8.25
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	95	49	$225.84	$68.38
93042 Interpretation and report of electrical activity of heart using 1-3 leads	87	71	$38.00	$6.87
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$325.06	$127.52
99238 Hospital discharge day management, 30 minutes or less	12	12	$349.00	$70.32
99358 Prolonged patient service without direct patient contact first hour	11	11	$273.00	$109.62

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	77	76	$502.26	$191.43
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	66	20	$447.64	$97.18
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	40	40	$276.17	$128.58
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	37	23	$139.46	$68.02
99239 Hospital discharge day management, more than 30 minutes	20	19	$443.95	$103.63
99220 Hospital observation care, typically 70 minutes	15	14	$434.67	$173.54
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	13	13	$46.00	$8.41
99219 Hospital observation care, typically 50 minutes	12	12	$251.00	$126.94

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	188	81	$332.19	$72.34
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	97	97	$305.34	$130.62
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	62	36	$507.90	$104.77
99239 Hospital discharge day management, more than 30 minutes	56	55	$528.08	$107.80
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	47	47	$397.70	$193.54
99219 Hospital observation care, typically 50 minutes	34	34	$250.76	$129.48

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	233	113	$367.09	$72.75
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	154	150	$374.78	$128.34
99219 Hospital observation care, typically 50 minutes	78	76	$315.81	$128.22
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	66	66	$475.41	$192.52
99239 Hospital discharge day management, more than 30 minutes	65	64	$632.59	$108.90
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	62	36	$495.89	$103.37
99238 Hospital discharge day management, 30 minutes or less	34	34	$247.06	$70.83
99221 Initial hospital inpatient care per day, typically 30 minutes	25	25	$300.28	$97.03
99231 Follow-up hospital inpatient care per day, typically 15 minutes	21	14	$133.35	$37.90
99218 Hospital observation care typically 30 minutes	18	18	$176.61	$94.86
99217 Hospital observation care on day of discharge	14	14	$346.97	$72.61

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	331	144	$255.89	$74.99
99239 Hospital discharge day management, more than 30 minutes	90	86	$390.20	$112.11
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	52	52	$373.96	$135.14
99238 Hospital discharge day management, 30 minutes or less	40	40	$257.00	$76.10
99217 Hospital observation care on day of discharge	40	39	$335.17	$76.16
99225 Subsequent observation care, typically 25 minutes per day	29	24	$288.62	$75.95
99231 Follow-up hospital inpatient care per day, typically 15 minutes	19	15	$124.00	$38.54
99219 Hospital observation care, typically 50 minutes	14	14	$359.50	$135.15

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	112	43	$255.00	$73.79
99238 Hospital discharge day management, 30 minutes or less	24	24	$257.00	$74.43
99217 Hospital observation care on day of discharge	19	19	$266.00	$74.72
99239 Hospital discharge day management, more than 30 minutes	17	17	$386.00	$110.37

Medical Specialties & State Licenses

CMS Verified: 2026-02-19

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License TX R8639

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 WV WV-SE-1766

Hospitalist

NUCC Taxonomy Code: 208M00000X

State License WV WV-SE-1766

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

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

Questcare Hospitalists Pllc

11970 N Central Expy, Dallas, TX 752433768

Phone: 9729408000

Secondary Practice Locations

11109 Parkview Plaza Dr

Fort Wayne, IN 468451701

Phone: 2602662020

1200 J D Anderson Dr

Morgantown, WV 265053494

Phone: 3045981200

55 Lake Ave N

Worcester, MA 016550002

Phone: 5083341000

Practice Associates & Co-Workers

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

8 Associated Practitioners

Dr. Madaiah Lokeshwari , MD

Hospitalist

NPI 1003091935

Doctor of Medicine (M.D.)

Dr. Ahmed Gayed , MD

Hospitalist

NPI 1184682346

Doctor of Medicine (M.D.)

Dr. Ahmer Ishtiaq , MD

Internal Medicine

NPI 1508205535

Doctor of Medicine (M.D.)

John Buckley , PA-C

Physician Assistant - Medical

NPI 1578006540

Physician Assistant (Certified)

Dr. Susan George , MD

Internal Medicine

NPI 1609850759

Doctor of Medicine (M.D.)

Dr. Jayanthi Krishnaprakash , MD

Hospitalist

NPI 1811196009

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

13 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 02, 2021

Internal Medicine (License #WV-SE-1766 in WV)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 05, 2018

Internal Medicine (License #01081311A in IN)

✅

NPI Profile Active January 02, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location January 02, 2018

Registered at 123 SUMMER ST STE 7350, WORCESTER, MA 016081216 (Tel: 5083636849)

📍

Updated Business Mailing Address January 02, 2018

Registered at 55 LAKE AVE N, WORCESTER, MA 016550002 (Tel: 5083341000)

👤

Provider Name / Credentials Updated January 02, 2018

Recorded as PARTH PATEL, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 02, 2018

Student in an Organized Health Care Education/Training Program

✅

NPI Profile Active July 06, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location July 06, 2016

Registered at 55 LAKE AVE N, WORCESTER, MA 016550002 (Tel: 5083341000)

📍

Updated Business Mailing Address July 06, 2016

Registered at 55 LAKE AVE N, WORCESTER, MA 016550002 (Tel: 5083341000)

👤

Provider Name / Credentials Updated July 06, 2016

Recorded as PARTH PATEL, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 06, 2016

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration April 06, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1457779407

Entity Type:

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

Enumeration Date: April 06, 2014

Last Update: February 19, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

55 Lake Ave N

Worcester, MA 016550002

Phone: 5083341000

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.