Active NPI 1225022965 Individual Practitioner Male Practitioner

Dr. Rajesh C Patel , MD

Specialist • Dayton, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Rajesh Patel, MD is a certified Specialist practicing in Dayton, OH. With approximately 43 years of clinical experience since completing medical education in 1983, Dr. Patel delivers high-quality medical care to the local community at 9001 N MAIN ST.

Dr. Patel is affiliated with Rajesh C Patel Md Inc 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, test to examine how well the lungs exchange gases, test to measure expiratory airflow and volume changes before and after medication administration. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

9001 N Main St
Suite A

Dayton, OH 454151175

Telephone 9378320990

Fax 9378327323

Associated Practice Facility / Clinic

🏢 Rajesh C Patel Md Inc Facility NPI 1467446369

Medicare Profile & Education

Medical School

Other

Graduation Year

1983

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Dayton, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

43 Yrs +6.3 yrs vs City Avg

City Avg: 36.7 Yrs

State Avg: 37.3 Yrs

Regional Practice Density

55 Specialists

Practicing in Dayton, OH (1444 Statewide)

Telehealth Adoption Rate

1.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

55.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Patel (43 Years) 43 Yrs

Dayton Specialty Average (36.7 Years) 36.7 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	269	107	$149.83	$115.92
94729 Test to examine how well the lungs exchange gases	258	257	$125.00	$8.63
94060 Test to measure expiratory airflow and volume changes before and after medication administration	248	247	$112.00	$9.97
94726 Determination of lung volumes using plethysmography	126	125	$125.00	$11.60
94727 Determination of lung volumes using gas dilution or washout	124	124	$120.00	$11.61
99291 Critical care, first 30-74 minutes	86	52	$398.84	$210.11
99213 Established patient office or other outpatient visit, typically 15 minutes	62	45	$105.00	$88.62
94010 Test to measure expiratory airflow and volume	40	23	$58.63	$7.99
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	26	23	$110.00	$77.62
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	22	22	$300.00	$170.65

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	108	$148.84	$115.01
94729 Test to examine how well the lungs exchange gases	221	219	$125.00	$8.94
94060 Test to measure expiratory airflow and volume changes before and after medication administration	194	193	$112.00	$9.85
94726 Determination of lung volumes using plethysmography	145	145	$125.00	$12.01
99213 Established patient office or other outpatient visit, typically 15 minutes	139	100	$105.00	$86.08
94727 Determination of lung volumes using gas dilution or washout	69	67	$120.00	$11.53
94010 Test to measure expiratory airflow and volume	61	56	$73.00	$7.90
99291 Critical care, first 30-74 minutes	56	33	$399.11	$208.56
94729 Test to examine how well the lungs exchange gases	30	29	$125.00	$49.49
94060 Test to measure expiratory airflow and volume changes before and after medication administration	30	29	$112.00	$35.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	25	$160.00	$122.49
94726 Determination of lung volumes using plethysmography	30	29	$125.00	$47.91
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	29	27	$110.00	$76.93
94664 Evaluation of use of breathing device	28	27	$25.00	$15.65
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	26	26	$300.00	$163.03
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	11	$75.00	$53.87

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	655	290	$149.18	$99.44
99213 Established patient office or other outpatient visit, typically 15 minutes	541	299	$105.00	$87.71
99291 Critical care, first 30-74 minutes	207	112	$397.83	$214.56
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	155	147	$298.65	$193.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	155	117	$160.00	$124.02
94060 Test to measure expiratory airflow and volume changes before and after medication administration	122	119	$112.00	$36.59
94664 Evaluation of use of breathing device	121	118	$25.00	$15.73
94729 Test to examine how well the lungs exchange gases	120	116	$125.00	$54.53
94726 Determination of lung volumes using plethysmography	118	114	$125.00	$51.09
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	65	57	$110.00	$69.38
94618 Test for exercise-induced lung stress	54	48	$55.00	$32.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	52	52	$240.00	$163.09
95810 Sleep monitoring of patient (6 years or older) in sleep lab	39	38	$531.54	$116.96
95811 Sleep study in sleep lab with continuous airway pressure (6 years or older)	26	21	$284.62	$121.31
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	23	$75.00	$54.62
94729 Test to examine how well the lungs exchange gases	22	22	$122.95	$17.14
94726 Determination of lung volumes using plethysmography	22	22	$122.95	$18.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$150.00	$109.37
94060 Test to measure expiratory airflow and volume changes before and after medication administration	21	21	$110.95	$10.09
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$345.00	$204.91
94660 Initiation and management of continued pressured respiratory assistance by mask or breathing tube	14	14	$120.00	$61.26
32555 Aspiration of fluid from chest cavity using imaging guidance	13	12	$939.23	$108.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	810	470	$105.00	$88.94
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	662	331	$149.05	$101.25
99291 Critical care, first 30-74 minutes	403	205	$400.00	$216.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	226	161	$160.00	$125.73
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	181	174	$299.83	$196.35
94664 Evaluation of use of breathing device	149	146	$25.00	$15.67
94729 Test to examine how well the lungs exchange gases	149	145	$125.00	$55.51
94060 Test to measure expiratory airflow and volume changes before and after medication administration	147	144	$112.00	$43.57
94726 Determination of lung volumes using plethysmography	145	141	$125.00	$51.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	132	132	$240.00	$164.49
94618 Test for exercise-induced lung stress	80	69	$55.00	$32.55
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	61	55	$110.00	$70.48
95810 Sleep monitoring of patient (6 years or older) in sleep lab	51	51	$967.00	$571.62
94660 Initiation and management of continued pressured respiratory assistance by mask or breathing tube	41	41	$120.00	$60.92
95811 Sleep study in sleep lab with continuous airway pressure (6 years or older)	35	35	$1055.00	$583.58
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	34	27	$29.00	$21.64
99442 Telephone medical discussion with physician, 11-20 minutes	33	25	$194.00	$89.38
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	28	28	$345.00	$217.43
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	25	$72.78	$54.37
94729 Test to examine how well the lungs exchange gases	19	19	$125.00	$8.92
94726 Determination of lung volumes using plethysmography	19	19	$125.00	$12.00
94060 Test to measure expiratory airflow and volume changes before and after medication administration	16	16	$112.00	$10.29
G0399 Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation	15	13	$207.00	$172.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$150.00	$109.66
31652 Exam of lung airways and sampling of lymph nodes using an endoscope and ultrasound guidance, 1-2 lymph nodes	13	13	$1267.00	$222.31
31624 Irrigation and suction of lung airways to obtain cells using an endoscope	13	13	$392.00	$97.63
32555 Aspiration of fluid from chest cavity using imaging guidance	12	12	$1000.00	$110.73
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	11	$210.00	$177.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	830	497	$105.00	$73.31
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	587	263	$149.31	$104.49
99291 Critical care, first 30-74 minutes	265	149	$399.43	$224.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	231	163	$160.00	$106.57
94664 Evaluation of use of breathing device	178	175	$25.00	$15.67
94060 Test to measure expiratory airflow and volume changes before and after medication administration	178	175	$112.00	$55.52
94729 Test to examine how well the lungs exchange gases	174	171	$125.00	$53.05
94726 Determination of lung volumes using plethysmography	168	166	$125.00	$50.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	124	124	$240.00	$162.03
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	112	107	$300.00	$203.09
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	83	59	$110.00	$72.35
99442 Telephone medical discussion with physician, 11-20 minutes	60	44	$183.67	$73.45
94660 Initiation and management of continued pressured respiratory assistance by mask or breathing tube	52	49	$120.00	$62.83
95810 Sleep monitoring of patient (6 years or older) in sleep lab	47	46	$967.00	$567.67
94618 Test for exercise-induced lung stress	44	40	$55.00	$33.17
95811 Sleep study in sleep lab with continuous airway pressure (6 years or older)	37	35	$1055.00	$607.25
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	28	$55.67	$43.43
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	24	22	$29.00	$22.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$150.00	$105.43
G0399 Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation	19	17	$207.00	$194.56
99495 Transitional care management services for problem of at least moderate complexity	16	16	$233.69	$177.30
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	13	$150.00	$138.18
94729 Test to examine how well the lungs exchange gases	11	11	$125.00	$21.39
94726 Determination of lung volumes using plethysmography	11	11	$125.00	$23.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	690	418	$105.00	$70.69
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	651	283	$149.72	$101.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	277	200	$160.00	$103.41
99291 Critical care, first 30-74 minutes	236	142	$398.52	$218.11
94664 Evaluation of use of breathing device	179	177	$25.00	$15.60
94729 Test to examine how well the lungs exchange gases	178	177	$125.00	$50.86
94726 Determination of lung volumes using plethysmography	178	177	$125.00	$49.76
94060 Test to measure expiratory airflow and volume changes before and after medication administration	176	175	$112.00	$54.94
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	82	77	$296.59	$197.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	81	81	$240.00	$155.04
94660 Initiation and management of continued pressured respiratory assistance by mask or breathing tube	77	70	$120.00	$61.34
95811 Sleep study in sleep lab with continuous airway pressure (6 years or older)	69	67	$1017.90	$575.09
95810 Sleep monitoring of patient (6 years or older) in sleep lab	67	63	$945.54	$551.01
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	32	31	$110.00	$71.13
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	31	28	$55.00	$42.93
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	31	31	$150.00	$134.01
94618 Test for exercise-induced lung stress	29	29	$55.00	$31.95
99495 Transitional care management services for problem of at least moderate complexity	13	13	$163.00	$157.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	818	440	$105.00	$69.92
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	453	204	$149.40	$102.14
99291 Critical care, first 30-74 minutes	212	118	$398.35	$219.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	183	145	$160.00	$101.74
94060 Test to measure expiratory airflow and volume changes before and after medication administration	137	137	$112.00	$56.61
94729 Test to examine how well the lungs exchange gases	136	136	$125.00	$51.00
94726 Determination of lung volumes using plethysmography	136	136	$125.00	$51.53
94664 Evaluation of use of breathing device	90	89	$25.00	$15.95
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	84	84	$240.00	$156.29
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	66	51	$110.00	$71.31
94727 Determination of lung volumes using gas dilution or washout	59	59	$120.00	$41.45
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	57	53	$298.77	$198.89
95811 Sleep study in sleep lab with continuous airway pressure (6 years or older)	51	50	$1018.33	$588.57
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	48	42	$55.00	$41.33
94660 Initiation and management of continued pressured respiratory assistance by mask or breathing tube	46	43	$120.00	$62.21
95810 Sleep monitoring of patient (6 years or older) in sleep lab	39	38	$909.87	$566.35
94618 Test for exercise-induced lung stress	29	27	$55.00	$33.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$150.00	$103.93
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$150.00	$134.04
99495 Transitional care management services for problem of at least moderate complexity	13	13	$163.00	$157.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	818	464	$105.00	$69.45
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	583	249	$149.54	$101.52
99291 Critical care, first 30-74 minutes	266	129	$397.93	$217.78
94060 Test to measure expiratory airflow and volume changes before and after medication administration	174	168	$112.00	$56.39
94726 Determination of lung volumes using plethysmography	173	167	$125.00	$48.93
94729 Test to examine how well the lungs exchange gases	172	166	$125.00	$50.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	119	101	$160.00	$102.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	115	115	$240.00	$155.94
94664 Evaluation of use of breathing device	107	103	$25.00	$15.91
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	92	66	$110.00	$70.41
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	72	69	$299.03	$196.41
94727 Determination of lung volumes using gas dilution or washout	69	67	$120.00	$39.39
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	60	59	$55.00	$41.45
95810 Sleep monitoring of patient (6 years or older) in sleep lab	55	55	$916.36	$530.78
95811 Sleep study in sleep lab with continuous airway pressure (6 years or older)	48	47	$1001.67	$570.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$150.00	$103.68
94660 Initiation and management of continued pressured respiratory assistance by mask or breathing tube	39	39	$120.00	$60.72
99495 Transitional care management services for problem of at least moderate complexity	19	17	$163.00	$148.75
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	11	11	$29.00	$19.03
94620 Pulmonary exercise testing	11	11	$180.00	$53.59

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License OH 35-05-7793P

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0753626 (OH)

Commercial Insurance / Payer ID Npi Number

1225022965 (OH)

Hospital & Practice Group Affiliations

Rajesh C Patel Md Inc

9001 N Main St, Dayton, OH 454151154

Phone: 9378320990

Practice Associates & Co-Workers

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

7 Associated Practitioners

Dr. Anuj Goyal , MD

Internal Medicine - Pulmonary Disease

NPI 1144214818

Doctor of Medicine (M.D.)

Kearston Taylor , MSN, APRN, AGACNP-BC

Nurse Practitioner - Acute Care

NPI 1285368357

Master of Science in Nursing, Advanced Practice Registered Nurse, Adult-Gerontology Acute Care Nurse Practitioner (Board Certified)

Dr. Timothy Hwalek , DO

Internal Medicine - Pulmonary Disease

NPI 1568880904

Doctor of Osteopathic Medicine (D.O.)

Dr. Patrick Allan , MD

Internal Medicine - Pulmonary Disease

NPI 1609954940

Doctor of Medicine (M.D.)

Nicole Epard , CNP

Nurse Practitioner - Acute Care

NPI 1619534781

Certified Nurse Practitioner

Dr. Ellen Pacia , MD

Specialist

NPI 1801880851

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 June 29, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location June 29, 2011

Registered at 9001 N MAIN ST, SUITE A, DAYTON, OH 454151175 (Tel: 9378320990)

📍

Updated Business Mailing Address June 29, 2011

Registered at 9001 N MAIN ST, SUITE A, DAYTON, OH 454151175 (Tel: 9378320990)

👤

Provider Name / Credentials Updated June 29, 2011

Recorded as RAJESH PATEL, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 29, 2011

Specialist (License #35-05-7793P in OH)

🟢

Initial NPI Registration & Enumeration September 08, 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: 1225022965

Entity Type:

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

Enumeration Date: September 08, 2005

Last Update: June 29, 2011

Sole Proprietor: No

Update or Correct Profile

Mailing Address

9001 N Main St, Suite A

Dayton, OH 454151175

Phone: 9378320990

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.