Active NPI 1619397957 Individual Practitioner Male Practitioner

Dr. Nilay B Patel , MD

Surgery • Columbia, TN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Nilay Patel, MD is a certified Surgery practicing in Columbia, TN. With approximately 18 years of clinical experience since completing medical education in 2008, Dr. Patel delivers high-quality medical care to the local community at 1222 TROTWOOD AVE.

Dr. Patel is affiliated with Vohra Wound Physicians Of Fl Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include removal of skin and tissue, 20.0 sq cm or less, subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least, removal of muscle and/or tissue, 20.0 sq cm or less. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1222 Trotwood Ave
Suite 603

Columbia, TN 384016436

Telephone 9313819338

Fax 9313819266

Associated Practice Facility / Clinic

🏢 Lung Center, Pc Facility NPI 1396741120

Medicare Profile & Education

Medical School

Other

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Columbia, TN

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

18 Yrs -0.4 yrs vs City Avg

City Avg: 18.4 Yrs

State Avg: 26.3 Yrs

Regional Practice Density

10 Specialists

Practicing in Columbia, TN (682 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

64.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Patel (18 Years) 18 Yrs

Columbia Specialty Average (18.4 Years) 18.4 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
11042 Removal of skin and tissue, 20.0 sq cm or less	594	126	$336.90	$115.57
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	576	135	$174.94	$75.37
11042 Removal of skin and tissue, 20.0 sq cm or less	532	184	$336.90	$54.41
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	498	84	$574.74	$237.23
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	449	173	$174.94	$75.43
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	283	76	$574.74	$156.00
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	177	177	$308.50	$135.02
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	115	67	$252.10	$108.75
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	86	73	$94.54	$40.78
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	78	66	$94.54	$40.64
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	76	62	$252.10	$108.68
17250 Application of chemical to stop tissue regrowth in wound	67	25	$230.66	$70.47
17250 Application of chemical to stop tissue regrowth in wound	44	22	$230.66	$25.44
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	43	19	$172.32	$56.14
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	38	38	$308.50	$134.68
99306 Initial nursing facility visit, typically 45 minutes per day	11	11	$419.38	$183.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	980	189	$176.94	$74.36
11042 Removal of skin and tissue, 20.0 sq cm or less	905	192	$340.28	$113.87
11042 Removal of skin and tissue, 20.0 sq cm or less	647	216	$340.32	$53.69
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	601	118	$581.89	$233.66
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	424	184	$177.00	$74.41
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	388	94	$581.85	$154.08
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	248	131	$253.38	$106.44
17250 Application of chemical to stop tissue regrowth in wound	233	65	$235.70	$65.05
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	159	159	$313.18	$133.34
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	138	116	$94.60	$39.39
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	106	77	$253.41	$106.60
17250 Application of chemical to stop tissue regrowth in wound	83	26	$235.91	$23.14
97597 Removal of tissue from wound, 20.0 sq cm or less	71	22	$244.00	$101.52
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	70	70	$312.77	$132.90
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	69	67	$94.49	$39.50
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	61	61	$189.33	$80.65
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	51	13	$97.99	$25.50
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	47	17	$181.18	$55.03
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	47	13	$180.52	$72.78
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	29	29	$189.16	$80.21
99306 Initial nursing facility visit, typically 45 minutes per day	17	17	$427.62	$182.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	1,153	150	$600.90	$233.37
11042 Removal of skin and tissue, 20.0 sq cm or less	1,082	211	$339.66	$105.26
11042 Removal of skin and tissue, 20.0 sq cm or less	783	275	$339.66	$55.42
17250 Application of chemical to stop tissue regrowth in wound	607	97	$239.76	$60.78
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	511	158	$164.76	$68.44
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	386	102	$600.90	$152.41
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	327	174	$164.76	$68.57
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	320	144	$215.06	$90.16
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	158	158	$304.74	$128.34
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	153	153	$211.56	$88.60
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	151	121	$103.86	$43.42
17250 Application of chemical to stop tissue regrowth in wound	147	62	$239.76	$23.12
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	147	106	$215.06	$90.53
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	136	36	$193.60	$74.79
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	123	36	$106.70	$26.36
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	123	29	$193.60	$55.68
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	99	97	$103.86	$43.50
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	98	33	$106.70	$41.51
11044 Removal of bone, 20.0 sq cm or less	85	32	$799.78	$315.46
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	57	57	$304.74	$128.17
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	49	49	$211.56	$88.42
11044 Removal of bone, 20.0 sq cm or less	31	15	$799.78	$227.50
99306 Initial nursing facility visit, typically 45 minutes per day	14	14	$392.04	$164.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	1,022	144	$601.43	$232.06
11042 Removal of skin and tissue, 20.0 sq cm or less	955	199	$340.35	$110.18
17250 Application of chemical to stop tissue regrowth in wound	628	107	$239.89	$60.94
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	602	189	$164.92	$68.79
11042 Removal of skin and tissue, 20.0 sq cm or less	394	157	$339.66	$52.89
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	348	143	$215.11	$91.00
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	289	86	$600.90	$156.31
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	225	116	$164.76	$69.22
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	164	38	$193.60	$74.20
11044 Removal of bone, 20.0 sq cm or less	152	38	$799.78	$318.20
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	146	122	$103.86	$43.83
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	99	26	$106.70	$41.54
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	99	99	$211.56	$90.07
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	96	96	$304.74	$129.97
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	88	53	$215.06	$91.28
17250 Application of chemical to stop tissue regrowth in wound	81	32	$239.76	$21.80
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	75	22	$193.60	$56.67
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	59	57	$103.86	$44.19
11047 Removal of bone, each additional 20.0 sq cm or less	52	12	$319.20	$124.02
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	52	16	$106.70	$26.81
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	50	50	$211.56	$89.41
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	33	33	$305.41	$128.72
11044 Removal of bone, 20.0 sq cm or less	21	13	$799.78	$229.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	976	155	$586.64	$234.90
11042 Removal of skin and tissue, 20.0 sq cm or less	862	192	$324.05	$103.88
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	477	174	$164.36	$70.06
17250 Application of chemical to stop tissue regrowth in wound	437	85	$222.83	$57.46
11042 Removal of skin and tissue, 20.0 sq cm or less	380	128	$324.10	$51.43
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	330	97	$586.78	$157.63
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	279	135	$216.49	$92.52
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	275	110	$164.38	$70.35
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	186	45	$190.02	$76.63
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	135	115	$104.20	$44.60
17250 Application of chemical to stop tissue regrowth in wound	129	41	$222.89	$22.45
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	111	25	$190.02	$58.90
11044 Removal of bone, 20.0 sq cm or less	104	39	$792.14	$323.38
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	95	95	$304.61	$131.95
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	95	56	$216.34	$92.78
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	61	23	$106.17	$27.93
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	53	53	$304.40	$131.41
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	51	20	$106.14	$42.75
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	51	51	$213.86	$91.60
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	43	42	$104.48	$44.67
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	40	40	$214.11	$92.67
11044 Removal of bone, 20.0 sq cm or less	29	16	$792.14	$239.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	904	157	$565.36	$235.21
11042 Removal of skin and tissue, 20.0 sq cm or less	759	185	$309.60	$96.84
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	535	161	$161.20	$69.56
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	417	129	$565.36	$160.00
11042 Removal of skin and tissue, 20.0 sq cm or less	319	120	$309.60	$48.17
17250 Application of chemical to stop tissue regrowth in wound	227	62	$210.80	$65.59
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	221	30	$181.74	$58.06
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	214	92	$161.10	$69.30
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	197	108	$213.92	$92.41
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	172	36	$181.74	$75.31
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	142	142	$302.98	$131.10
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	130	109	$102.68	$44.36
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	75	56	$213.92	$92.08
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	73	18	$102.04	$42.45
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	69	69	$302.98	$131.67
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	64	17	$102.04	$27.45
17250 Application of chemical to stop tissue regrowth in wound	48	23	$210.80	$26.35
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	32	32	$102.68	$44.09
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	22	22	$210.16	$90.76
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	17	17	$210.16	$91.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	754	154	$162.88	$67.38
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	479	96	$560.62	$224.71
11042 Removal of skin and tissue, 20.0 sq cm or less	420	107	$298.52	$94.93
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	251	85	$162.88	$67.46
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	225	67	$560.62	$154.55
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	208	98	$214.60	$89.04
17250 Application of chemical to stop tissue regrowth in wound	189	58	$208.62	$68.89
11042 Removal of skin and tissue, 20.0 sq cm or less	185	74	$298.52	$47.48
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	113	23	$181.54	$56.17
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	100	85	$104.52	$43.30
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	88	24	$181.54	$72.05
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	53	32	$214.60	$89.24
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	49	49	$212.72	$88.61
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	48	48	$212.72	$88.80
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	48	16	$101.95	$40.36
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	47	15	$101.95	$26.33
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	45	45	$303.72	$127.12
17250 Application of chemical to stop tissue regrowth in wound	35	15	$208.62	$30.07
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	27	27	$104.52	$43.40
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	19	19	$303.72	$127.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	68	24	$74.00	$37.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$196.00	$95.45
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	20	15	$134.00	$68.56
47562 Removal of gallbladder using an endoscope	17	17	$1693.00	$603.42
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$254.00	$122.72
99221 Initial hospital inpatient care per day, typically 30 minutes	15	15	$186.00	$95.48

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License TN 51914

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Family Medicine

NUCC Taxonomy Code: 207Q00000X

State License TN 51914

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

3710089 (TN)

Hospital & Practice Group Affiliations

Vohra Wound Physicians Of Fl Llc

100 Bull St, Savannah, GA 314013378

Phone: 9543994673

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. John Brown , MD

Surgery

NPI 1093754327

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active December 04, 2017

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address December 04, 2017

Registered at 3601 SW 160TH AVE STE 250, MIRAMAR, FL 330276314 (Tel: 8778667123)

📍

Updated Practice Location December 04, 2017

Registered at 1222 TROTWOOD AVE, SUITE 603, COLUMBIA, TN 384016436 (Tel: 9313819338)

👤

Provider Name / Credentials Updated December 04, 2017

Recorded as NILAY PATEL, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 04, 2017

Family Medicine (License #51914 in TN)

✅

NPI Profile Active December 08, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location December 08, 2014

Registered at 1222 TROTWOOD AVE, SUITE 603, COLUMBIA, TN 384016436 (Tel: 9313819338)

📍

Updated Business Mailing Address December 08, 2014

Registered at 854 W JAMES CAMPBELL BLVD, SUITE 303, COLUMBIA, TN 384014659 (Tel: 9313819338)

👤

Provider Name / Credentials Updated December 08, 2014

Recorded as NILAY PATEL, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 08, 2014

Surgery (License #51914 in TN)

🟢

Initial NPI Registration & Enumeration April 25, 2014

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: 1619397957

Entity Type:

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

Enumeration Date: April 25, 2014

Last Update: May 13, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3601 Sw 160th Ave Ste 250

Miramar, FL 330276314

Phone: 8778667123

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.