Active NPI 1558675231 Individual Practitioner Male Practitioner

Dhaval A Patel , PA-C

Physician Assistant • Colonia, NJ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dhaval Patel, PA-C is a certified Physician Assistant practicing in Colonia, NJ. With approximately 16 years of clinical experience since completing medical education in 2010, Dhaval Patel delivers high-quality medical care to the local community at 39 QUAKER LN.

Dhaval Patel maintains professional affiliations with Rwjbh Emergency Medicine Associates, Llc, Central Jersey Urgent Care, Rwjbh Observation Associates Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, established patient outpatient office visit, emergency department visit with moderate level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

39 Quaker Ln

Colonia, NJ 070671913

Telephone 7326906153

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 Physician Assistant in Colonia, NJ

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

16 Yrs -5.0 yrs vs City Avg

City Avg: 21.0 Yrs

State Avg: 10.1 Yrs

Regional Practice Density

3 Specialists

Practicing in Colonia, NJ (3413 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

82.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Patel (16 Years) 16 Yrs

Colonia Specialty Average (21.0 Years) 21.0 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
99285 Emergency department visit for life threatening or functioning severity	20	20	$1101.00	$152.64
99213 Established patient office or other outpatient visit, typically 15 minutes	19	19	$275.00	$79.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$415.00	$115.08
99284 Emergency department visit with moderate level of medical decision making	12	12	$761.00	$104.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	39	39	$834.00	$107.91
99213 Established patient office or other outpatient visit, typically 15 minutes	37	37	$275.00	$84.15
99285 Emergency department visit for life threatening or functioning severity	29	29	$1157.66	$149.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	27	$415.00	$117.88
93042 Interpretation and report of electrical activity of heart using 1-3 leads	23	22	$45.57	$6.22
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	16	16	$143.00	$40.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$575.00	$153.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	68	67	$252.64	$85.30
99285 Emergency department visit for life threatening or functioning severity	56	56	$1206.16	$157.76
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	47	47	$69.44	$42.20
99284 Emergency department visit with moderate level of medical decision making	41	41	$816.68	$107.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$334.81	$105.56
99283 Emergency department visit with low level of medical decision making	26	26	$499.00	$66.10
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	24	23	$83.72	$40.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	21	$372.85	$120.24
71046 X-ray of chest, 2 views	18	18	$110.43	$33.20
93042 Interpretation and report of electrical activity of heart using 1-3 leads	15	15	$44.00	$6.33
87804 Detection test by immunoassay with direct visual observation for influenza virus	13	13	$35.00	$16.22
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$153.88	$53.46
99291 Critical care, first 30-74 minutes	12	12	$1899.25	$199.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	122	121	$51.33	$45.23
99213 Established patient office or other outpatient visit, typically 15 minutes	99	97	$211.66	$87.95
99285 Emergency department visit for life threatening or functioning severity	58	57	$1442.83	$158.13
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	56	53	$151.66	$54.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$211.66	$108.21
99284 Emergency department visit with moderate level of medical decision making	38	38	$923.58	$108.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	31	$316.66	$125.20
99202 New patient office or other outpatient visit, typically 20 minutes	21	21	$151.67	$70.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$316.66	$161.83
99283 Emergency department visit with low level of medical decision making	13	13	$537.46	$64.27
81003 Automated urinalysis test	12	12	$6.25	$2.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	79	79	$1516.00	$158.87
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	70	70	$51.33	$45.23
99202 New patient office or other outpatient visit, typically 20 minutes	57	57	$156.17	$73.38
99213 Established patient office or other outpatient visit, typically 15 minutes	44	43	$209.42	$72.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	30	$316.66	$104.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$316.66	$158.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$211.66	$104.72
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	27	$151.66	$44.37
99284 Emergency department visit with moderate level of medical decision making	20	20	$1026.00	$110.15
99283 Emergency department visit with low level of medical decision making	16	16	$683.00	$60.67
99291 Critical care, first 30-74 minutes	16	16	$1754.00	$205.32
36415 Insertion of needle into vein for collection of blood sample	13	13	$30.00	$3.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	93	92	$1516.00	$157.40
99284 Emergency department visit with moderate level of medical decision making	42	40	$1026.00	$106.44
99291 Critical care, first 30-74 minutes	25	25	$1754.00	$204.05
99283 Emergency department visit with low level of medical decision making	18	18	$683.00	$57.05
99220 Hospital observation care, typically 70 minutes	15	15	$1385.00	$174.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	122	120	$1481.57	$163.78
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	83	83	$96.48	$7.86
99284 Emergency department visit with moderate level of medical decision making	47	47	$979.26	$111.05
99291 Critical care, first 30-74 minutes	39	38	$1674.85	$208.97
99283 Emergency department visit with low level of medical decision making	35	34	$666.46	$58.57
99220 Hospital observation care, typically 70 minutes	35	35	$1331.51	$174.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	142	138	$1110.06	$160.34
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	102	101	$43.20	$7.79
99284 Emergency department visit with moderate level of medical decision making	58	55	$747.00	$108.67
99220 Hospital observation care, typically 70 minutes	58	57	$1177.00	$177.17
99283 Emergency department visit with low level of medical decision making	32	31	$429.63	$58.16
99291 Critical care, first 30-74 minutes	16	15	$1434.44	$216.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	11	$122.20	$103.90

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NJ 25MP00239600

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Central Jersey Urgent Care

731 Hwy 35, Ocean, NJ 077124767

Phone: 7324558444

Rwjbh Observation Associates Llc

225 Williamson St, Elizabeth, NJ 072023625

Phone: 6159729119

Central Jersey Urgent Care

167 Us Hwy 9, Englishtown, NJ 077269215

Phone: 8483613051

Rwjbh Emergency Medicine Associates, Llc

225 Williamson St, Elizabeth, NJ 072023625

Phone: 9089945422

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active August 04, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location August 04, 2010

Registered at 39 QUAKER LN, COLONIA, NJ 070671913 (Tel: 7326906153)

📍

Updated Business Mailing Address August 04, 2010

Registered at 39 QUAKER LN, COLONIA, NJ 070671913 (Tel: 7326906153)

👤

Provider Name / Credentials Updated August 04, 2010

Recorded as DHAVAL PATEL, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 04, 2010

Physician Assistant (License #25MP00239600 in NJ)

🟢

Initial NPI Registration & Enumeration August 04, 2010

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: 1558675231

Entity Type:

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

Enumeration Date: August 04, 2010

Last Update: August 04, 2010

Sole Proprietor: No

Update or Correct Profile

Mailing Address

39 Quaker Ln

Colonia, NJ 070671913

Phone: 7326906153

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.