Active NPI 1700838091 Individual Practitioner Male Practitioner

Dr. Abhay R Patel , MD

Orthopaedic Surgery • Worcester, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Abhay Patel, MD is a certified Orthopaedic Surgery practicing in Worcester, MA. With approximately 26 years of clinical experience since graduating from Boston University School Of Medicine in 2000, Dr. Patel delivers high-quality medical care to the local community at 119 BELMONT ST.

Dr. Patel is affiliated with Umass Memorial Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, smoking and tobacco use intermediate counseling, greater than. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

119 Belmont St
Department Of Orthopedics

Worcester, MA 016052903

Telephone 5083345113

Fax 5083349762

Associated Practice Facility / Clinic

🏢 Coordinated Primary Care, Inc. Facility NPI 1649241019

Medicare Profile & Education

Medical School

Boston University School Of Medicine

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Worcester, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

26 Yrs +1.7 yrs vs City Avg

City Avg: 24.3 Yrs

State Avg: 28.0 Yrs

Regional Practice Density

46 Specialists

Practicing in Worcester, MA (746 Statewide)

Telehealth Adoption Rate

13.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

76.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Patel (26 Years) 26 Yrs

Worcester Specialty Average (24.3 Years) 24.3 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
99213 Established patient office or other outpatient visit, typically 15 minutes	119	88	$300.00	$65.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$547.00	$131.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	39	$445.24	$93.19
99213 Established patient office or other outpatient visit, typically 15 minutes	22	18	$300.00	$91.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	126	85	$276.44	$67.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	79	79	$547.00	$134.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	38	$406.79	$97.19
99213 Established patient office or other outpatient visit, typically 15 minutes	22	20	$289.82	$90.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$359.00	$84.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$547.00	$171.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	216	115	$244.00	$69.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	78	78	$547.00	$138.90
99213 Established patient office or other outpatient visit, typically 15 minutes	31	23	$244.00	$95.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	28	$359.00	$102.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$359.00	$86.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$547.00	$175.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$359.00	$134.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	173	104	$240.36	$70.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	72	72	$537.33	$140.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	50	50	$351.26	$104.22
99213 Established patient office or other outpatient visit, typically 15 minutes	36	25	$244.00	$90.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$547.00	$173.56
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	17	13	$58.00	$13.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$357.33	$87.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	166	106	$214.00	$53.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	63	63	$489.00	$135.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	39	$316.00	$83.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	250	147	$212.80	$53.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	80	80	$485.96	$133.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	54	54	$313.04	$82.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$348.09	$79.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	198	134	$199.00	$52.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	104	104	$479.00	$132.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	38	$296.00	$80.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$342.00	$79.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	194	122	$199.00	$51.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	73	73	$337.21	$78.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$479.00	$132.45
99213 Established patient office or other outpatient visit, typically 15 minutes	45	39	$199.00	$52.05
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	19	19	$58.00	$12.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$296.00	$80.30
27687 Lengthening of calf muscle	11	11	$2208.00	$365.27

Medical Specialties & State Licenses

CMS Verified: 2020-10-28

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License MA 235241

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Orthopaedic Surgery

NUCC Taxonomy Code: 207X00000X

State License MI AP087056

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2157705 (MA)

Hospital & Practice Group Affiliations

Umass Memorial Medical Group Inc

154 E Main St, Westborough, MA 015811764

Umass Memorial Medical Group Inc

55 Lake Ave N, Worcester, MA 016550002

Phone: 5083341000

Umass Memorial Medical Group Inc

119 Belmont St, Worcester, MA 016052903

Phone: 5083341000

Practice Associates & Co-Workers

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

18 Associated Practitioners

Dr. Wayne Chan , MD

Orthopaedic Surgery

NPI 1013275114

Doctor of Medicine (M.D.)

Dr. Ankur Narain , MD

Orthopaedic Surgery

NPI 1023408242

Doctor of Medicine (M.D.)

Dr. Matthew Deren , MD

Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery

NPI 1043503279

Doctor of Medicine (M.D.)

Dr. Ozlenen Ince Hocaoglu , MD

Physical Medicine & Rehabilitation

NPI 1164160552

Doctor of Medicine (M.D.)

Dr. David Ayers , MD

Orthopaedic Surgery

NPI 1235129594

Doctor of Medicine (M.D.)

Dr. Marshall Katzen , MD

Orthopaedic Surgery

NPI 1326140682

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 April 08, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location April 08, 2011

Registered at 119 BELMONT ST, DEPARTMENT OF ORTHOPEDICS, WORCESTER, MA 016052903 (Tel: 5083345113)

📍

Updated Business Mailing Address April 08, 2011

Registered at PO BOX 415348, BOSTON, MA 022410001 (Tel: 8002258885)

👤

Provider Name / Credentials Updated April 08, 2011

Recorded as ABHAY PATEL, MD

🎓

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

Orthopaedic Surgery (License #235241 in MA)

🟢

Initial NPI Registration & Enumeration May 16, 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: 1700838091

Entity Type:

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

Enumeration Date: May 16, 2006

Last Update: October 28, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 415348

Boston, MA 022410001

Phone: 8002258885

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.