Active NPI 1548233851 Individual Practitioner Male Practitioner

Dr. Vipul K Patel , MD

General Practice • Springfield, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Vipul Patel, MD is a certified General Practice practicing in Springfield, OH. With approximately 29 years of clinical experience since completing medical education in 1997, Dr. Patel delivers high-quality medical care to the local community at 30 WARDER ST.

Dr. Patel is affiliated with Springfield Healthcare Center Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual depression screening, 5 to, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

30 Warder St
Suite 100

Springfield, OH 455042500

Telephone 9373282314

Fax 9373282303

Associated Practice Facility / Clinic

🏢 Springfield Healthcare Center Inc Facility NPI 1639142367

Medicare Profile & Education

Medical School

Other

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Springfield, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

29 Yrs Matches City Avg

City Avg: 29.0 Yrs

State Avg: 28.1 Yrs

Regional Practice Density

9 Specialists

Practicing in Springfield, OH (336 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

23.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Patel (29 Years) 29 Yrs

Springfield Specialty Average (29.0 Years) 29.0 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,290	318	$145.00	$120.87
G0444 Annual depression screening, 5 to 15 minutes	236	236	$25.00	$17.25
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	218	218	$150.00	$121.10
G0008 Administration of influenza virus vaccine	158	158	$45.00	$30.20
90653 Vaccine for influenza for injection into muscle	150	150	$95.00	$81.27
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	140	24	$4.00	$0.95
99497 Advance care planning, first 30 minutes	140	133	$100.00	$78.14
91320 Sarscv2 vac 30mcg trs-suc im	127	119	$194.09	$145.59
90480 Admn sarscov2 vacc 1 dose	127	119	$50.00	$39.94
G0009 Administration of pneumococcal vaccine	122	122	$40.00	$30.27
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	122	122	$320.00	$285.17
99213 Established patient office or other outpatient visit, typically 15 minutes	99	76	$100.00	$86.43
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	79	43	$175.00	$101.45
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	55	21	$35.00	$13.07
20610 Aspiration and/or injection of fluid from large joint	35	22	$100.00	$61.11
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	26	17	$65.00	$50.07
81002 Urinalysis, manual test	25	19	$8.00	$3.41
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	19	$190.00	$173.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$220.00	$159.02
99496 Transitional care management services for problem of high complexity	17	15	$310.00	$262.16
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	12	12	$30.00	$26.40
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$220.00	$127.82

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	1,323	370	$145.00	$87.22
G0008 Administration of influenza virus vaccine	179	175	$39.78	$29.20
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	164	160	$84.94	$75.74
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	156	54	$175.00	$101.33
99213 Established patient office or other outpatient visit, typically 15 minutes	134	91	$100.00	$67.67
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	103	36	$95.00	$76.43
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	91	15	$4.00	$1.03
90480 Admn sarscov2 vacc 1 dose	66	66	$50.00	$39.14
91320 Sarscv2 vac 30mcg trs-suc im	66	66	$170.00	$128.48
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	58	18	$35.00	$13.34
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	46	45	$320.00	$276.74
G0009 Administration of pneumococcal vaccine	45	44	$40.00	$29.36
99497 Advance care planning, first 30 minutes	35	34	$100.00	$25.82
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	32	13	$50.00	$38.95
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	30	14	$135.00	$114.99
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$220.00	$159.88
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	29	25	$200.00	$146.93
81002 Urinalysis, manual test	26	23	$8.00	$3.28
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	21	19	$65.00	$49.35
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	18	18	$150.00	$47.82
20610 Aspiration and/or injection of fluid from large joint	17	12	$100.00	$61.68
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	15	$190.00	$97.56
99496 Transitional care management services for problem of high complexity	14	13	$310.00	$140.32
99239 Hospital discharge day management, more than 30 minutes	14	13	$140.00	$110.26
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	14	14	$45.00	$31.10
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	11	$180.00	$125.81

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	1,361	354	$145.00	$86.06
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	393	79	$175.00	$87.34
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	224	44	$95.00	$68.92
G0008 Administration of influenza virus vaccine	189	186	$30.00	$27.66
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	176	173	$79.57	$69.38
99213 Established patient office or other outpatient visit, typically 15 minutes	112	88	$100.00	$63.90
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	102	20	$4.00	$1.12
0054A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, tris-sucrose formulation; booster dose	91	89	$50.00	$37.11
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	79	34	$135.00	$99.66
0124A Fee covid-19 vac 13 res	73	73	$50.00	$36.91
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	70	52	$200.00	$128.68
99497 Advance care planning, first 30 minutes	65	65	$99.23	$26.81
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	58	25	$35.00	$13.57
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	56	56	$150.00	$41.42
0064A Adm sarscov2 50mcg/0.25mlbst	36	35	$50.00	$36.22
0134A Fee covid-19 vac 14 res	34	34	$50.00	$34.74
99239 Hospital discharge day management, more than 30 minutes	32	28	$140.00	$101.70
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	25	18	$190.00	$94.29
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	21	$180.00	$131.57
20610 Aspiration and/or injection of fluid from large joint	22	17	$100.00	$63.30
81002 Urinalysis, manual test	21	17	$8.00	$3.43
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	18	$265.00	$193.25
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	19	19	$65.00	$50.85
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg	15	14	$30.00	$5.66
0004A Fee covid-19 vac 1 res	14	14	$50.00	$37.52
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	13	13	$40.00	$31.63
99496 Transitional care management services for problem of high complexity	13	13	$310.00	$133.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$220.00	$162.45

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	1,069	313	$145.00	$95.35
G0008 Administration of influenza virus vaccine	164	163	$30.00	$15.99
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	160	62	$95.00	$70.48
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	159	158	$75.00	$65.59
99213 Established patient office or other outpatient visit, typically 15 minutes	105	80	$100.00	$64.27
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	104	21	$4.00	$1.23
0004A Fee covid-19 vac 1 res	84	84	$50.00	$37.98
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	82	35	$175.00	$88.48
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	70	39	$135.00	$101.25
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	46	38	$180.00	$133.49
0064A Adm sarscov2 50mcg/0.25mlbst	45	45	$50.00	$37.98
99239 Hospital discharge day management, more than 30 minutes	43	37	$140.00	$103.75
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	25	19	$200.00	$131.37
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	24	20	$65.00	$51.09
20610 Aspiration and/or injection of fluid from large joint	20	14	$100.00	$63.11
81002 Urinalysis, manual test	17	15	$8.00	$3.28
99496 Transitional care management services for problem of high complexity	16	16	$310.00	$270.05
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	11	$190.00	$134.12

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	984	272	$145.00	$80.75
G0008 Administration of influenza virus vaccine	167	162	$30.00	$16.05
90662 Influenza vaccine split virus, preservative free	155	150	$70.00	$60.70
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	139	53	$95.00	$71.63
99213 Established patient office or other outpatient visit, typically 15 minutes	119	85	$100.00	$53.97
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	56	12	$4.00	$1.46
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	51	45	$180.00	$131.37
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	30	25	$175.00	$89.82
99239 Hospital discharge day management, more than 30 minutes	27	26	$140.00	$105.70
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	27	18	$135.00	$103.42
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	26	11	$35.00	$13.75
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	26	22	$175.00	$88.93
99238 Hospital discharge day management, 30 minutes or less	24	22	$95.00	$71.80
99495 Transitional care management services for problem of at least moderate complexity	24	22	$220.00	$179.10
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	24	20	$65.00	$51.76
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	17	17	$200.00	$132.30
99496 Transitional care management services for problem of high complexity	16	16	$310.00	$235.61
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	12	12	$35.00	$19.50

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	979	279	$145.00	$79.99
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	210	76	$95.00	$71.07
99213 Established patient office or other outpatient visit, typically 15 minutes	145	97	$100.00	$53.34
G0008 Administration of influenza virus vaccine	137	135	$30.00	$15.75
90662 Influenza vaccine split virus, preservative free	109	107	$70.00	$54.82
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	94	17	$4.00	$1.58
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	68	55	$180.00	$133.86
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	64	39	$200.00	$131.64
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	45	41	$65.00	$50.97
99238 Hospital discharge day management, 30 minutes or less	45	41	$95.00	$71.03
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	34	13	$35.00	$15.83
99495 Transitional care management services for problem of at least moderate complexity	30	28	$220.00	$156.86
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	29	29	$35.00	$18.65
99239 Hospital discharge day management, more than 30 minutes	27	25	$140.00	$104.20
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	27	14	$50.00	$39.19
99496 Transitional care management services for problem of high complexity	23	16	$310.00	$221.76
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	22	22	$150.00	$110.94
20610 Aspiration and/or injection of fluid from large joint	19	16	$100.00	$58.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$220.00	$159.00
81002 Urinalysis, manual test	14	13	$8.00	$3.41
G0009 Administration of pneumococcal vaccine	13	13	$30.00	$15.75
90670 Pneumococcal vaccine for injection into muscle	13	13	$260.00	$207.17
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	11	11	$135.00	$101.61

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	903	279	$145.00	$88.14
99213 Established patient office or other outpatient visit, typically 15 minutes	165	103	$100.00	$60.41
G0008 Administration of influenza virus vaccine	149	147	$30.00	$19.30
90662 Influenza vaccine split virus, preservative free	140	138	$70.00	$52.21
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	97	35	$95.00	$71.31
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	74	13	$4.00	$1.78
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	45	45	$225.00	$165.16
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	39	28	$65.00	$51.52
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	38	15	$50.39	$39.77
99495 Transitional care management services for problem of at least moderate complexity	38	32	$220.00	$157.64
G0009 Administration of pneumococcal vaccine	33	33	$30.00	$19.30
99238 Hospital discharge day management, 30 minutes or less	28	25	$95.00	$71.28
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	27	26	$180.00	$134.04
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	27	27	$163.89	$111.71
90670 Pneumococcal vaccine for injection into muscle	24	24	$200.00	$194.50
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	21	11	$35.00	$19.40
81002 Urinalysis, manual test	17	14	$8.00	$3.41
99496 Transitional care management services for problem of high complexity	17	14	$310.00	$223.34
20610 Aspiration and/or injection of fluid from large joint	17	13	$100.00	$53.40
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	13	13	$35.00	$18.65

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	839	262	$145.00	$97.67
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	209	74	$95.00	$70.41
99213 Established patient office or other outpatient visit, typically 15 minutes	185	104	$100.00	$66.35
90662 Influenza vaccine split virus, preservative free	100	98	$69.25	$47.86
G0008 Administration of influenza virus vaccine	100	98	$30.00	$23.76
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	93	22	$3.63	$1.82
G0009 Administration of pneumococcal vaccine	84	83	$30.00	$23.76
90670 Pneumococcal vaccine for injection into muscle	81	81	$200.00	$183.75
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	75	56	$180.00	$133.63
99495 Transitional care management services for problem of at least moderate complexity	35	27	$220.00	$155.97
99238 Hospital discharge day management, 30 minutes or less	34	30	$95.00	$70.43
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	34	29	$65.00	$51.35
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	33	17	$50.00	$39.32
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	28	28	$224.82	$163.71
99239 Hospital discharge day management, more than 30 minutes	24	22	$140.00	$104.40
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	13	$190.00	$130.11
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	17	17	$163.24	$110.51
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	14	11	$135.00	$101.82
20610 Aspiration and/or injection of fluid from large joint	14	11	$100.00	$58.53

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License OH 35081658P

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2418164 (OH)

Hospital & Practice Group Affiliations

Springfield Healthcare Center Inc

30 Warder St, Springfield, OH 455042577

Phone: 9373282310

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Elizabeth Marsh , MD

General Practice

NPI 1336112069

Doctor of Medicine (M.D.)

Dr. Robert Scott , MD

General Practice

NPI 1891769451

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 March 15, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location March 15, 2012

Registered at 30 WARDER ST, SUITE 100, SPRINGFIELD, OH 455042500 (Tel: 9373282314)

📍

Updated Business Mailing Address March 15, 2012

Registered at 30 WARDER ST, SUITE 100, SPRINGFIELD, OH 455042500 (Tel: 9373282314)

👤

Provider Name / Credentials Updated March 15, 2012

Recorded as VIPUL PATEL, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 15, 2012

General Practice (License #35081658P in OH)

🟢

Initial NPI Registration & Enumeration February 08, 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: 1548233851

Entity Type:

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

Enumeration Date: February 08, 2006

Last Update: March 15, 2012

Sole Proprietor: No

Update or Correct Profile

Mailing Address

30 Warder St, Suite 100

Springfield, OH 455042500

Phone: 9373282314

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.