Active NPI 1235166489 Individual Practitioner Female Practitioner

Dr. Krishna Patel , MD

Pediatrics • Clinton, NJ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Krishna Patel, MD is a certified Pediatrics practicing in Clinton, NJ. With approximately 48 years of clinical experience since completing medical education in 1978, Dr. Patel delivers high-quality medical care to the local community at 40 PITTSTOWN ROAD.

Dr. Patel is affiliated with State Of New Jersey Omb Centralized Payroll and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least, administration of influenza virus vaccine, influenza vaccine split virus, preservative free. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

40 Pittstown Road
Hunterdon Developmental Center

Clinton, NJ 088094008

Telephone 9087354031

Fax 9087301340

Associated Practice Facility / Clinic

🏢 Pps Of Nj Llc Facility NPI 1609728971

Medicare Profile & Education

Medical School

Other

Graduation Year

1978

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Clinton, NJ

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

48 Yrs +6.0 yrs vs City Avg

City Avg: 42.0 Yrs

State Avg: 25.6 Yrs

Regional Practice Density

4 Specialists

Practicing in Clinton, NJ (2321 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

10.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Patel (48 Years) 48 Yrs

Clinton Specialty Average (42.0 Years) 42.0 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
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	338	50	$88.76	$79.88
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	213	43	$54.00	$43.13
G0008 Administration of influenza virus vaccine	25	25	$36.00	$35.28
90662 Influenza vaccine split virus, preservative free	19	19	$80.84	$78.36
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	15	15	$163.00	$141.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	314	46	$54.00	$43.09
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	260	46	$88.00	$80.80
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	60	60	$22.00	$21.56
G0008 Administration of influenza virus vaccine	60	60	$36.00	$33.97
G0009 Administration of pneumococcal vaccine	23	23	$36.00	$33.97
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	23	23	$284.00	$278.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	727	58	$54.00	$47.53
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	371	42	$85.48	$75.04
G0008 Administration of influenza virus vaccine	30	30	$36.00	$33.69
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	30	30	$21.03	$20.60
99318 Nursing facility annual assessment, typically 30 minutes	27	27	$117.00	$103.24
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	13	13	$163.00	$145.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	342	55	$54.00	$48.91
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	291	40	$85.00	$76.88
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	38	38	$20.00	$19.91
G0008 Administration of influenza virus vaccine	38	38	$30.00	$19.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	437	57	$84.23	$77.46
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	270	74	$54.00	$49.12
G0008 Administration of influenza virus vaccine	32	32	$30.00	$19.05
90756 Vaccine for influenza for injection into muscle	32	32	$27.00	$27.00
99318 Nursing facility annual assessment, typically 30 minutes	22	22	$116.18	$107.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	594	89	$84.00	$74.87
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	320	81	$54.00	$47.85
99318 Nursing facility annual assessment, typically 30 minutes	41	41	$116.00	$104.16
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	39	39	$18.00	$17.48
G0008 Administration of influenza virus vaccine	39	39	$30.00	$18.67
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	20	20	$145.00	$128.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	264	98	$84.00	$75.18
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	223	109	$54.00	$48.56
G0008 Administration of influenza virus vaccine	46	46	$30.00	$23.23
90756 Vaccine for influenza for injection into muscle	45	45	$23.00	$22.33
99318 Nursing facility annual assessment, typically 30 minutes	34	34	$116.00	$104.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	158	80	$54.00	$48.50
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	53	35	$84.00	$75.14
G0008 Administration of influenza virus vaccine	38	38	$30.00	$29.01
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	38	38	$18.00	$17.48

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License NJ 25MA04200300

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Hospital & Practice Group Affiliations

State Of New Jersey Omb Centralized Payroll

40 Pittstown Rd, Clinton, NJ 088091209

Phone: 9087301301

State Of New Jersey Omb Centralized Payroll

275 Greenbrook Rd, Green Brook, NJ 088122223

Phone: 7329686000

Practice Associates & Co-Workers

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

13 Associated Practitioners

Fay Larrow , BSN, RN

Registered Nurse

NPI 1033799192

Bachelor of Science in Nursing, Registered Nurse

Dr. Chik Chin , MD

Family Medicine

NPI 1134156367

Doctor of Medicine (M.D.)

Trudy Steckel , LPN

Licensed Practical Nurse

NPI 1164643417

Licensed Practical Nurse

Dr. Lilia Lantin , MD

Internal Medicine

NPI 1194752329

Doctor of Medicine (M.D.)

Ling Zhao

Registered Nurse - General Practice

NPI 1336801554

Dr. Salvador Coquia , MD

Internal Medicine

NPI 1417983594

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 January 09, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location January 09, 2015

Registered at 40 PITTSTOWN ROAD, HUNTERDON DEVELOPMENTAL CENTER, CLINTON, NJ 088094008 (Tel: 9087354031)

📍

Updated Business Mailing Address January 09, 2015

Registered at 40 PITTSTOWN ROAD, STATE OF NEW JERSEY /HUNTERDON DEVELOPMENTAL CENTER, CLINTON, NJ 088090000 (Tel: 9087354031)

👤

Provider Name / Credentials Updated January 09, 2015

Recorded as KRISHNA PATEL, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 09, 2015

Pediatrics (License #25MA04200300 in NJ)

🟢

Initial NPI Registration & Enumeration June 26, 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: 1235166489

Entity Type:

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

Enumeration Date: June 26, 2006

Last Update: January 09, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

40 Pittstown Road, State Of New Jersey /hunterdon Developmental Center

Clinton, NJ 088090000

Phone: 9087354031

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.