Active NPI 1982694857 Individual Practitioner Female Practitioner

Dr. Shefali S. Patel , MD

Internal Medicine • Edison, NJ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Shefali Patel, MD is a certified Internal Medicine practicing in Edison, NJ. With approximately 38 years of clinical experience since completing medical education in 1988, Dr. Patel delivers high-quality medical care to the local community at 1804 OAK TREE RD.

Dr. Patel accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, urinalysis, manual test. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1804 Oak Tree Rd
Suite 3

Edison, NJ 088202783

Telephone 7324940080

Fax 7324948860

Associated Practice Facility / Clinic

🏢 Physicians Wellness Center Facility NPI 1851443048

Medicare Profile & Education

Medical School

Other

Graduation Year

1988

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Edison, NJ

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

38 Yrs +7.7 yrs vs City Avg

City Avg: 30.3 Yrs

State Avg: 30.1 Yrs

Regional Practice Density

80 Specialists

Practicing in Edison, NJ (4957 Statewide)

Telehealth Adoption Rate

27.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

50.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Patel (38 Years) 38 Yrs

Edison Specialty Average (30.3 Years) 30.3 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	679	202	$250.00	$145.93
99213 Established patient office or other outpatient visit, typically 15 minutes	406	177	$200.00	$103.56
36415 Insertion of needle into vein for collection of blood sample	280	158	$20.00	$8.65
81002 Urinalysis, manual test	270	159	$20.00	$3.41
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	200	26	$120.00	$56.29
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	122	122	$277.05	$149.41
J1100 Injection, dexamethasone sodium phosphate, 1 mg	120	25	$15.00	$0.11
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days	97	16	$150.00	$56.62
90661 Influenza vaccine, trivalent derived from cell cultures	83	82	$100.00	$36.11
G0008 Administration of influenza virus vaccine	83	82	$40.00	$35.50
G0444 Annual depression screening, 5 to 15 minutes	79	79	$60.00	$22.28
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	50	39	$60.00	$16.54
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	35	33	$90.00	$65.22
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	20	15	$25.00	$1.15
99458 Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; each additional 20 minute	17	12	$100.00	$44.81
93000 Routine ekg using at least 12 leads including interpretation and report	15	15	$100.00	$16.43
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	15	15	$300.00	$190.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	712	221	$250.00	$142.59
99213 Established patient office or other outpatient visit, typically 15 minutes	323	160	$200.00	$98.82
36415 Insertion of needle into vein for collection of blood sample	283	169	$20.00	$8.40
81002 Urinalysis, manual test	273	166	$20.00	$3.41
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	255	42	$120.00	$54.79
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days	147	26	$150.00	$59.26
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	132	132	$250.00	$144.60
J1100 Injection, dexamethasone sodium phosphate, 1 mg	96	17	$15.00	$0.12
G0008 Administration of influenza virus vaccine	95	90	$40.00	$33.97
90756 Vaccine for influenza for injection into muscle	93	90	$100.00	$31.64
99443 Telephone medical discussion with physician, 21-30 minutes	92	74	$350.00	$107.03
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	62	50	$90.00	$60.63
G0444 Annual depression screening, 5 to 15 minutes	59	59	$60.00	$21.18
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	57	27	$60.00	$16.03
99458 Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; each additional 20 minute	40	17	$100.00	$43.97
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	33	14	$25.00	$1.57
99442 Telephone medical discussion with physician, 11-20 minutes	30	28	$200.00	$71.84
93000 Routine ekg using at least 12 leads including interpretation and report	26	23	$100.00	$16.35
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	13	13	$200.00	$130.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$300.00	$185.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	561	230	$250.00	$142.87
99213 Established patient office or other outpatient visit, typically 15 minutes	458	203	$200.00	$93.36
81002 Urinalysis, manual test	261	162	$20.00	$3.44
36415 Insertion of needle into vein for collection of blood sample	259	160	$20.00	$2.96
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	162	41	$120.00	$55.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	134	98	$90.00	$50.76
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	124	124	$250.00	$146.03
G0008 Administration of influenza virus vaccine	110	107	$40.00	$33.73
90756 Vaccine for influenza for injection into muscle	110	107	$100.00	$29.87
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days	81	26	$150.00	$65.66
G0444 Annual depression screening, 5 to 15 minutes	67	67	$60.00	$20.88
J1100 Injection, dexamethasone sodium phosphate, 1 mg	56	12	$15.00	$0.12
99453 Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment	43	41	$50.00	$22.38
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	34	20	$60.00	$16.28
99458 Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; each additional 20 minute	31	18	$100.00	$44.73
93000 Routine ekg using at least 12 leads including interpretation and report	27	26	$100.00	$16.24
99442 Telephone medical discussion with physician, 11-20 minutes	15	15	$200.00	$76.35
99443 Telephone medical discussion with physician, 21-30 minutes	14	14	$350.00	$111.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	454	229	$250.00	$147.46
99213 Established patient office or other outpatient visit, typically 15 minutes	407	194	$200.00	$93.43
36415 Insertion of needle into vein for collection of blood sample	313	190	$20.00	$3.00
81002 Urinalysis, manual test	286	184	$20.00	$3.48
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	282	175	$90.00	$42.66
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	152	152	$250.00	$151.38
G0008 Administration of influenza virus vaccine	121	117	$40.00	$19.54
90756 Vaccine for influenza for injection into muscle	118	116	$99.79	$28.36
G0444 Annual depression screening, 5 to 15 minutes	69	69	$60.00	$21.57
99421 Online digital evaluation and management service for an established patient for up to 7 days, total time 5-10 minutes	40	38	$50.00	$15.44
99423 Online digital evaluation and management service for an established patient for up to 7 days, total time 21 or more minutes	39	33	$120.00	$47.99
93000 Routine ekg using at least 12 leads including interpretation and report	25	24	$100.00	$17.11
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	21	16	$60.00	$16.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	506	255	$200.00	$83.81
99423 Online digital evaluation and management service for an established patient for up to 7 days, total time 21 or more minutes	371	203	$120.00	$53.69
99421 Online digital evaluation and management service for an established patient for up to 7 days, total time 5-10 minutes	235	159	$50.00	$16.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	222	154	$250.00	$123.73
36415 Insertion of needle into vein for collection of blood sample	211	169	$20.00	$2.99
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	179	179	$250.00	$132.72
81002 Urinalysis, manual test	177	148	$20.00	$3.47
G0008 Administration of influenza virus vaccine	129	128	$40.00	$19.04
90756 Vaccine for influenza for injection into muscle	121	120	$75.00	$27.66
J1100 Injection, dexamethasone sodium phosphate, 1 mg	100	23	$15.00	$0.12
G0444 Annual depression screening, 5 to 15 minutes	92	92	$60.00	$21.08
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	90	77	$90.00	$49.25
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	46	34	$60.00	$16.22
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	30	16	$150.00	$76.77
93000 Routine ekg using at least 12 leads including interpretation and report	22	20	$100.00	$19.68
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	22	16	$25.00	$2.04
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	21	20	$100.00	$47.03
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	13	13	$300.00	$195.09
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	13	13	$189.23	$115.62
G0009 Administration of pneumococcal vaccine	13	13	$40.00	$18.85
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	12	12	$50.00	$11.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,072	320	$199.95	$82.84
36415 Insertion of needle into vein for collection of blood sample	319	214	$20.00	$2.94
J1100 Injection, dexamethasone sodium phosphate, 1 mg	313	61	$15.00	$0.11
81002 Urinalysis, manual test	304	200	$20.00	$3.41
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	251	148	$90.00	$50.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	230	172	$249.57	$120.50
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	211	211	$250.00	$129.79
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	210	21	$150.00	$75.44
G0008 Administration of influenza virus vaccine	154	151	$40.00	$18.67
90756 Vaccine for influenza for injection into muscle	152	150	$75.00	$26.13
G0444 Annual depression screening, 5 to 15 minutes	144	144	$60.00	$20.49
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	142	81	$60.00	$18.92
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	62	29	$25.00	$1.80
93000 Routine ekg using at least 12 leads including interpretation and report	41	38	$100.00	$19.26
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	19	19	$300.00	$190.34
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	15	15	$300.00	$182.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$300.00	$181.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	950	310	$180.53	$81.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	421	251	$223.28	$120.40
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	312	29	$150.00	$76.94
J1100 Injection, dexamethasone sodium phosphate, 1 mg	269	56	$15.00	$0.12
36415 Insertion of needle into vein for collection of blood sample	257	188	$20.00	$2.94
81002 Urinalysis, manual test	252	176	$20.00	$3.41
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	181	181	$250.00	$134.02
90756 Vaccine for influenza for injection into muscle	172	171	$75.00	$22.33
G0008 Administration of influenza virus vaccine	172	171	$40.00	$23.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	150	108	$90.00	$49.94
G0444 Annual depression screening, 5 to 15 minutes	134	134	$60.00	$20.96
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	128	77	$60.00	$23.72
93000 Routine ekg using at least 12 leads including interpretation and report	64	53	$100.00	$19.33
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	60	29	$25.00	$1.93
G0009 Administration of pneumococcal vaccine	43	43	$40.00	$23.23
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	42	42	$180.00	$105.59
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	42	42	$300.00	$195.95
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	24	24	$300.00	$188.80
99497 Advance care planning, first 30 minutes	23	22	$200.00	$92.95
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	16	15	$250.00	$144.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	880	308	$150.00	$78.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	467	274	$200.00	$114.97
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	404	41	$150.00	$72.96
J1100 Injection, dexamethasone sodium phosphate, 1 mg	377	73	$15.00	$0.12
36415 Insertion of needle into vein for collection of blood sample	305	207	$20.00	$2.94
81002 Urinalysis, manual test	286	188	$20.00	$3.43
G0008 Administration of influenza virus vaccine	169	163	$40.00	$29.01
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	164	164	$250.00	$124.42
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	162	111	$90.00	$47.33
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	162	93	$60.00	$28.31
Q2039 Influenza virus vaccine, not otherwise specified	148	145	$75.00	$22.24
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	65	36	$25.00	$3.07
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	39	36	$250.00	$136.91
93000 Routine ekg using at least 12 leads including interpretation and report	37	33	$100.00	$18.56
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	25	25	$300.00	$182.54
G0009 Administration of pneumococcal vaccine	25	25	$40.00	$29.01
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	24	24	$180.00	$93.24
G0444 Annual depression screening, 5 to 15 minutes	21	21	$60.00	$19.63
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	19	19	$300.00	$176.91
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	12	12	$75.00	$23.57

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License NJ 25MA07052100

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.

Practice Associates & Co-Workers

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

2 Associated Practitioners

Purvi Pithwa

Specialist

NPI 1194982751

Dr. Hitesh Patel , MD

Family Medicine

NPI 1871534305

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, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2016

Registered at 1804 OAK TREE RD, SUITE 3, EDISON, NJ 088202783 (Tel: 7324940080)

📍

Updated Business Mailing Address July 08, 2016

Registered at 1804 OAK TREE RD, SUITE 3, EDISON, NJ 088202783 (Tel: 7324940080)

👤

Provider Name / Credentials Updated July 08, 2016

Recorded as SHEFALI PATEL, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2016

Internal Medicine (License #25MA07052100 in NJ)

🟢

Initial NPI Registration & Enumeration October 24, 2005

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: 1982694857

Entity Type:

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

Enumeration Date: October 24, 2005

Last Update: July 08, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1804 Oak Tree Rd, Suite 3

Edison, NJ 088202783

Phone: 7324940080

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.