Active NPI 1942597158 Individual Practitioner Male Practitioner

Dr. Mayur H Pathak , MD, MBBS

Internal Medicine • Worcester, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mayur Pathak, MD, MBBS is a certified Internal Medicine practicing in Worcester, MA. With approximately 17 years of clinical experience since completing medical education in 2009, Dr. Pathak delivers high-quality medical care to the local community at 123 SUMMER ST.

Dr. Pathak maintains professional affiliations with Mvhe Inc, Sinclair Physician Services, Llc 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, hospital discharge day management, more than, initial hospital care with moderate level of medical decision making, if using time, at least. 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

Worcester, MA 016081216

Telephone 5083636177

Associated Practice Facility / Clinic

🏢 Laboratory Corporation Of America Holdings Facility NPI 1093793200

Medicare Profile & Education

Medical School

Other

Graduation Year

2009

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

17 Yrs -2.4 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

82.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pathak (17 Years) 17 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	232	86	$509.38	$112.29
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	154	69	$439.52	$74.93
99239 Hospital discharge day management, more than 30 minutes	53	53	$615.36	$108.16
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$1110.07	$164.23

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	350	115	$153.00	$116.80
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	154	80	$120.00	$77.34
99239 Hospital discharge day management, more than 30 minutes	81	80	$182.00	$109.55
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	19	$300.00	$162.17

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	286	110	$153.02	$99.77
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	133	62	$120.00	$69.88
99239 Hospital discharge day management, more than 30 minutes	62	62	$182.00	$100.98
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	16	$300.00	$194.83
99217 Hospital observation care on day of discharge	11	11	$121.00	$69.79

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	378	144	$155.00	$99.86
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	141	68	$120.00	$70.29
99239 Hospital discharge day management, more than 30 minutes	67	67	$180.00	$100.48
99291 Critical care, first 30-74 minutes	38	25	$400.00	$220.18
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$300.00	$198.39

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	429	185	$149.00	$102.32
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	155	86	$175.41	$70.67
99239 Hospital discharge day management, more than 30 minutes	125	123	$158.00	$103.64
99291 Critical care, first 30-74 minutes	53	23	$392.00	$223.05
99217 Hospital observation care on day of discharge	27	27	$101.00	$65.96
99220 Hospital observation care, typically 70 minutes	23	23	$266.00	$174.98
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	21	$301.00	$200.82

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	276	157	$149.00	$100.74
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	119	83	$101.00	$70.15
99239 Hospital discharge day management, more than 30 minutes	107	107	$158.00	$102.47
99217 Hospital observation care on day of discharge	61	61	$101.00	$69.03
99220 Hospital observation care, typically 70 minutes	48	48	$266.00	$181.34
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	36	36	$301.00	$189.23
99225 Subsequent observation care, typically 25 minutes per day	21	15	$133.00	$68.83
99238 Hospital discharge day management, 30 minutes or less	13	13	$98.00	$71.09

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	425	212	$389.27	$107.78
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	345	201	$274.41	$75.33
99239 Hospital discharge day management, more than 30 minutes	192	187	$409.85	$111.98
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	80	80	$734.42	$207.71
99217 Hospital observation care on day of discharge	64	64	$266.94	$75.75
99220 Hospital observation care, typically 70 minutes	32	32	$585.13	$190.30
99238 Hospital discharge day management, 30 minutes or less	25	25	$274.00	$75.90
99231 Follow-up hospital inpatient care per day, typically 15 minutes	21	14	$150.00	$40.68
99219 Hospital observation care, typically 50 minutes	16	16	$520.06	$141.33

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	516	231	$390.85	$106.66
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	486	269	$271.36	$73.82
99239 Hospital discharge day management, more than 30 minutes	196	191	$408.34	$110.40
99217 Hospital observation care on day of discharge	72	72	$275.85	$74.73
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	63	63	$758.43	$207.21
99238 Hospital discharge day management, 30 minutes or less	48	48	$278.85	$74.43
99219 Hospital observation care, typically 50 minutes	31	31	$510.87	$138.83
99220 Hospital observation care, typically 70 minutes	23	23	$701.65	$190.01
99231 Follow-up hospital inpatient care per day, typically 15 minutes	16	11	$145.94	$40.06
99225 Subsequent observation care, typically 25 minutes per day	12	12	$274.92	$74.55
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$512.09	$139.71

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License MA 249242

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.

Hospital & Practice Group Affiliations

Mvhe Inc

2451 Wayne Ave, Dayton, OH 454201893

Phone: 9372521831

Mvhe Inc

1 Wyoming St, Dayton, OH 454092722

Phone: 9372088394

Sinclair Physician Services, Llc

1 Wyoming St, Dayton, OH 454092722

Phone: 9372088000

Practice Associates & Co-Workers

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

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Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 08, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2011

Registered at 123 SUMMER ST, WORCESTER, MA 016081216 (Tel: 5083636177)

📍

Updated Business Mailing Address July 08, 2011

Registered at 123 SUMMER ST, WORCESTER, MA 016081216 (Tel: 5083636177)

👤

Provider Name / Credentials Updated July 08, 2011

Recorded as MAYUR PATHAK, M.D. , M.B.B.S.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2011

Internal Medicine (License #249242 in MA)

🟢

Initial NPI Registration & Enumeration July 08, 2011

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: 1942597158

Entity Type:

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

Enumeration Date: July 08, 2011

Last Update: July 08, 2011

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

123 Summer St

Worcester, MA 016081216

Phone: 5083636177

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.