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Active NPI 1013985936 Individual Practitioner Male Practitioner

Dr. Rajesh J Patel , MD

Internal Medicine • Lock Haven, PA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Rajesh Patel, MD is a certified Internal Medicine practicing in Lock Haven, PA. 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 1 OUTLET LN STE 380.

Dr. Patel maintains professional affiliations with Lycoming Internal Medicine, Inc., Phoenix Rehabilitation And Health Services Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, subsequent nursing facility care with high level of medical decision making, per day, if using time, at least, subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1 Outlet Ln Ste 380

Lock Haven, PA 177457814

Telephone 5703981800
Fax 5703983320
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

1983

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Lock Haven, PA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
43 Yrs +4.2 yrs vs City Avg
City Avg: 38.8 Yrs
State Avg: 28.2 Yrs
Regional Practice Density
8 Specialists

Practicing in Lock Haven, PA (7609 Statewide)

Telehealth Adoption Rate
25.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
48.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Patel (43 Years) 43 Yrs
Lock Haven Specialty Average (38.8 Years) 38.8 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
99213 Established patient office or other outpatient visit, typically 15 minutes
317 95 $150.00 $85.84
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes
237 71 $250.00 $145.33
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
212 59 $200.00 $101.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
172 68 $200.00 $121.49
G0447 Face-to-face behavioral counseling for obesity, 15 minutes
156 46 $39.00 $23.98
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month
134 44 $100.00 $59.41
G0136 Administration of a standardized, evidence-based social determinants of health risk assessment tool, 5-15 minutes
125 73 $50.00 $17.75
G0444 Annual depression screening, 5 to 15 minutes
76 76 $40.00 $17.65
99306 Initial nursing facility visit, typically 45 minutes per day
73 52 $300.00 $172.23
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
61 61 $250.00 $122.63
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes
59 28 $150.00 $70.26
99315 Nursing facility discharge day management, 30 minutes or less
42 41 $150.00 $76.97
99497 Advance care planning, first 30 minutes
38 38 $150.00 $77.94
G0008 Administration of influenza virus vaccine
38 38 $50.00 $30.77
90653 Vaccine for influenza for injection into muscle
35 35 $200.00 $81.82
93000 Routine ekg using at least 12 leads including interpretation and report
26 20 $50.00 $13.47
99496 Transitional care management services for problem of high complexity
20 13 $550.00 $263.46
99316 Nursing facility discharge management, more than 30 minutes
17 17 $200.00 $124.34
96127 Assessment of emotional or behavioral problems
16 14 $100.00 $4.25
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older
11 11 $200.00 $130.80
G0009 Administration of pneumococcal vaccine
11 11 $50.00 $30.77

Medical Specialties & State Licenses

CMS Verified: 2022-03-10
Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License PA MD045497L

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0012630150001 (PA)

Hospital & Practice Group Affiliations

Phoenix Rehabilitation And Health Services Inc

2000 Westinghouse Dr, Cranberry Twp, PA 160665238

Lycoming Internal Medicine, Inc.

1 Outlet Ln, Lock Haven, PA 177457814

Phone: 5703981800

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1518935501

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location July 23, 2024

Registered at 1 OUTLET LN STE 380, LOCK HAVEN, PA 177457814 (Tel: 5703981800)

📍
Updated Business Mailing Address July 23, 2024

Registered at 1 OUTLET LN STE 380, LOCK HAVEN, PA 177457814 (Tel: 5703981800)

NPI Profile Active November 20, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location November 20, 2015

Registered at 116 KERR AVE, SUITE B, JERSEY SHORE, PA 177401720 (Tel: 5703981800)

📍
Updated Business Mailing Address November 20, 2015

Registered at 116 KERR AVE, SUITE B, JERSEY SHORE, PA 177401720 (Tel: 5703981800)

👤
Provider Name / Credentials Updated November 20, 2015

Recorded as RAJESH PATEL, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 20, 2015

Internal Medicine (License #MD045497L in PA)

🟢
Initial NPI Registration & Enumeration March 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: 1013985936
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 08, 2006
Last Update: July 23, 2024
Sole Proprietor: No

Mailing Address

1 Outlet Ln Ste 380

Lock Haven, PA 177457814

Phone: 5703981800

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.