Active NPI 1033422860 Individual Practitioner Male Practitioner

Dr. Sanjeevkumar Ashok Patel , MD

Internal Medicine - Pulmonary Disease • Appleton, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Sanjeevkumar Patel, MD is a certified Internal Medicine - Pulmonary Disease practicing in Appleton, WI. With approximately 16 years of clinical experience since graduating from Saint Louis University School Of Medicine in 2010, Dr. Patel delivers high-quality medical care to the local community at 2500 E CAPITOL DR STE 1700.

Dr. Patel is affiliated with Fox Valley Pulmonary Medicine Sc and accepts Medicare assignment.

Frequently performed procedures and clinical services include test to examine how well the lungs exchange gases, test to measure expiratory airflow and volume, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2500 E Capitol Dr Ste 1700

Appleton, WI 549118735

Telephone 9207344773

Medicare Profile & Education

Medical School

Saint Louis University School Of Medicine

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine - Pulmonary Disease in Appleton, WI

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

16 Yrs -6.8 yrs vs City Avg

City Avg: 22.8 Yrs

State Avg: 28.2 Yrs

Regional Practice Density

7 Specialists

Practicing in Appleton, WI (307 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

82.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Patel (16 Years) 16 Yrs

Appleton Specialty Average (22.8 Years) 22.8 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
94729 Test to examine how well the lungs exchange gases	141	129	$263.00	$52.70
94010 Test to measure expiratory airflow and volume	120	105	$145.00	$25.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	101	85	$399.00	$118.99
88738 Hemoglobin measurement	96	90	$34.00	$4.91
94729 Test to examine how well the lungs exchange gases	88	85	$89.00	$8.17
94726 Determination of lung volumes using plethysmography	77	77	$82.00	$11.06
94060 Test to measure expiratory airflow and volume changes before and after medication administration	76	76	$152.00	$9.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	73	73	$517.00	$154.25
94060 Test to measure expiratory airflow and volume changes before and after medication administration	55	55	$279.00	$36.26
95012 Test to measure the level of nitric oxide gas	53	48	$64.00	$17.43
94726 Determination of lung volumes using plethysmography	52	52	$260.00	$50.68
99213 Established patient office or other outpatient visit, typically 15 minutes	44	42	$283.41	$82.04
99426 Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month	24	16	$190.00	$58.08
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	20	13	$150.00	$46.12
94010 Test to measure expiratory airflow and volume	20	17	$99.00	$7.54
31623 Examination of lung airways using an endoscope	18	18	$616.00	$0.66
31624 Irrigation and suction of lung airways to obtain cells using an endoscope	17	17	$620.00	$47.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
94729 Test to examine how well the lungs exchange gases	172	155	$263.00	$53.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	133	108	$400.77	$120.40
94010 Test to measure expiratory airflow and volume	130	114	$145.00	$25.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	105	105	$517.00	$154.81
88738 Hemoglobin measurement	91	82	$34.00	$4.92
94060 Test to measure expiratory airflow and volume changes before and after medication administration	80	79	$279.00	$36.40
94726 Determination of lung volumes using plethysmography	78	77	$260.00	$51.13
94729 Test to examine how well the lungs exchange gases	67	67	$89.00	$8.37
99213 Established patient office or other outpatient visit, typically 15 minutes	60	58	$282.00	$84.13
94060 Test to measure expiratory airflow and volume changes before and after medication administration	59	59	$152.00	$9.69
94726 Determination of lung volumes using plethysmography	55	55	$82.00	$11.34
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	55	53	$104.00	$40.55
95012 Test to measure the level of nitric oxide gas	45	41	$64.00	$17.52
94010 Test to measure expiratory airflow and volume	14	14	$99.00	$7.70
31623 Examination of lung airways using an endoscope	13	13	$616.00	$0.98
31653 Exam of lung airways and sampling of lymph nodes using an endoscope and ultrasound guidance, 3 or more lymph nodes	13	13	$1540.00	$224.27
94618 Test for exercise-induced lung stress	12	12	$141.11	$31.88
31624 Irrigation and suction of lung airways to obtain cells using an endoscope	11	11	$620.00	$34.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
94729 Test to examine how well the lungs exchange gases	192	159	$263.00	$55.79
94010 Test to measure expiratory airflow and volume	153	121	$145.00	$25.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	132	100	$399.00	$122.35
88738 Hemoglobin measurement	107	95	$34.00	$4.97
94729 Test to examine how well the lungs exchange gases	102	99	$89.00	$8.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	89	89	$517.00	$156.56
94060 Test to measure expiratory airflow and volume changes before and after medication administration	81	79	$152.00	$9.89
94726 Determination of lung volumes using plethysmography	76	76	$260.00	$51.82
94060 Test to measure expiratory airflow and volume changes before and after medication administration	75	75	$279.00	$37.11
94726 Determination of lung volumes using plethysmography	73	72	$82.00	$11.58
99213 Established patient office or other outpatient visit, typically 15 minutes	70	66	$282.00	$84.85
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	63	59	$104.00	$40.55
95012 Test to measure the level of nitric oxide gas	49	43	$64.00	$17.68
94010 Test to measure expiratory airflow and volume	31	30	$99.00	$7.85
31624 Irrigation and suction of lung airways to obtain cells using an endoscope	16	16	$620.00	$40.75
31623 Examination of lung airways using an endoscope	14	14	$616.00	$1.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
94729 Test to examine how well the lungs exchange gases	176	149	$260.93	$56.64
94010 Test to measure expiratory airflow and volume	148	109	$143.91	$28.16
88738 Hemoglobin measurement	125	113	$33.12	$5.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	120	85	$383.70	$122.44
94729 Test to examine how well the lungs exchange gases	116	108	$89.00	$8.71
94060 Test to measure expiratory airflow and volume changes before and after medication administration	92	90	$152.00	$10.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	88	88	$509.13	$159.26
94726 Determination of lung volumes using plethysmography	88	86	$82.00	$11.81
99213 Established patient office or other outpatient visit, typically 15 minutes	85	72	$272.35	$87.48
94060 Test to measure expiratory airflow and volume changes before and after medication administration	69	68	$277.49	$44.37
94726 Determination of lung volumes using plethysmography	68	67	$258.41	$52.11
95012 Test to measure the level of nitric oxide gas	42	36	$64.00	$18.84
94010 Test to measure expiratory airflow and volume	30	28	$99.00	$8.01
31624 Irrigation and suction of lung airways to obtain cells using an endoscope	25	25	$620.00	$37.43
31623 Examination of lung airways using an endoscope	19	19	$616.00	$1.65
31628 Biopsy of lobe of lung using an endoscope, 1 lobe	15	15	$797.00	$79.82
31653 Exam of lung airways and sampling of lymph nodes using an endoscope and ultrasound guidance, 3 or more lymph nodes	14	14	$1540.00	$234.91

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	135	100	$297.00	$102.11
94729 Test to examine how well the lungs exchange gases	130	116	$250.00	$53.87
88738 Hemoglobin measurement	115	105	$29.00	$4.97
94010 Test to measure expiratory airflow and volume	91	74	$138.00	$33.79
94729 Test to examine how well the lungs exchange gases	79	74	$89.00	$8.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	77	77	$454.00	$157.49
94726 Determination of lung volumes using plethysmography	66	66	$248.00	$51.53
94060 Test to measure expiratory airflow and volume changes before and after medication administration	65	65	$266.00	$56.74
94060 Test to measure expiratory airflow and volume changes before and after medication administration	62	62	$152.00	$12.75
94726 Determination of lung volumes using plethysmography	59	59	$82.00	$12.06
99213 Established patient office or other outpatient visit, typically 15 minutes	42	40	$200.00	$71.47
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	29	11	$209.00	$69.81
94010 Test to measure expiratory airflow and volume	26	23	$99.00	$8.29
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	22	22	$569.00	$198.62
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	15	$401.00	$134.38
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	13	$390.00	$131.83

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	163	122	$297.00	$103.74
94729 Test to examine how well the lungs exchange gases	152	135	$247.88	$52.23
94729 Test to examine how well the lungs exchange gases	132	127	$89.00	$8.91
94010 Test to measure expiratory airflow and volume	132	106	$138.00	$33.81
88738 Hemoglobin measurement	113	106	$28.35	$5.46
94060 Test to measure expiratory airflow and volume changes before and after medication administration	103	101	$152.00	$12.76
94726 Determination of lung volumes using plethysmography	93	92	$82.00	$12.06
94060 Test to measure expiratory airflow and volume changes before and after medication administration	83	83	$263.25	$55.98
94726 Determination of lung volumes using plethysmography	81	81	$243.90	$50.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	76	76	$454.00	$156.47
99213 Established patient office or other outpatient visit, typically 15 minutes	65	57	$200.00	$71.06
99291 Critical care, first 30-74 minutes	59	18	$823.24	$211.61
94010 Test to measure expiratory airflow and volume	45	42	$99.00	$8.22
31624 Irrigation and suction of lung airways to obtain cells using an endoscope	30	30	$620.00	$30.41
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	28	26	$401.00	$139.12
31623 Examination of lung airways using an endoscope	27	27	$616.00	$6.50
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	24	24	$575.29	$196.51
31628 Biopsy of lobe of lung using an endoscope, 1 lobe	20	20	$797.00	$113.84
95012 Test to measure the level of nitric oxide gas	19	18	$64.00	$19.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$297.00	$102.83
31653 Exam of lung airways and sampling of lymph nodes using an endoscope and ultrasound guidance, 3 or more lymph nodes	12	12	$1540.00	$238.11
31627 Computer-assisted image-guided navigation of lung airways using an endoscope	11	11	$399.00	$93.75
31652 Exam of lung airways and sampling of lymph nodes using an endoscope and ultrasound guidance, 1-2 lymph nodes	11	11	$1395.00	$172.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
94729 Test to examine how well the lungs exchange gases	136	129	$88.74	$8.87
94729 Test to examine how well the lungs exchange gases	119	106	$244.18	$50.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	117	87	$296.76	$102.60
99291 Critical care, first 30-74 minutes	105	48	$827.57	$212.23
99213 Established patient office or other outpatient visit, typically 15 minutes	105	90	$200.00	$69.86
88738 Hemoglobin measurement	99	89	$26.96	$6.03
94060 Test to measure expiratory airflow and volume changes before and after medication administration	94	94	$151.63	$12.76
94726 Determination of lung volumes using plethysmography	94	94	$81.79	$12.06
94010 Test to measure expiratory airflow and volume	88	68	$137.56	$34.13
94060 Test to measure expiratory airflow and volume changes before and after medication administration	88	87	$261.52	$55.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	85	85	$454.20	$152.03
94726 Determination of lung volumes using plethysmography	83	83	$241.42	$50.91
94010 Test to measure expiratory airflow and volume	71	63	$98.58	$8.20
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	43	24	$208.53	$69.80
99231 Follow-up hospital inpatient care per day, typically 15 minutes	26	15	$117.00	$37.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$297.00	$102.37
31624 Irrigation and suction of lung airways to obtain cells using an endoscope	21	21	$659.43	$70.75
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	17	$401.00	$138.96
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$569.00	$196.88
31623 Examination of lung airways using an endoscope	11	11	$686.27	$3.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99291 Critical care, first 30-74 minutes	210	73	$786.64	$211.71
94729 Test to examine how well the lungs exchange gases	112	109	$84.71	$8.91
94060 Test to measure expiratory airflow and volume changes before and after medication administration	87	87	$144.51	$12.75
94726 Determination of lung volumes using plethysmography	85	85	$77.69	$12.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	75	53	$282.27	$102.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	65	65	$429.65	$156.25
94729 Test to examine how well the lungs exchange gases	64	60	$237.28	$51.97
88738 Hemoglobin measurement	63	60	$25.93	$6.70
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	61	33	$197.89	$69.44
94060 Test to measure expiratory airflow and volume changes before and after medication administration	53	52	$252.12	$58.17
99213 Established patient office or other outpatient visit, typically 15 minutes	52	44	$189.33	$68.00
94726 Determination of lung volumes using plethysmography	51	50	$235.08	$50.37
94010 Test to measure expiratory airflow and volume	44	36	$130.55	$33.70
94010 Test to measure expiratory airflow and volume	38	35	$93.80	$8.20
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	18	$369.54	$131.01
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	15	12	$279.68	$100.23
31624 Irrigation and suction of lung airways to obtain cells using an endoscope	14	14	$1436.12	$57.92
99239 Hospital discharge day management, more than 30 minutes	12	11	$294.03	$103.47
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$283.00	$102.53

Medical Specialties & State Licenses

CMS Verified: 2026-04-14

Internal Medicine - Pulmonary Disease Primary Specialty

NUCC Taxonomy Code: 207RP1001X

State License WI 65141-20

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

100056119 (WI)

Hospital & Practice Group Affiliations

Fox Valley Pulmonary Medicine Sc

2500 E Capitol Dr, Appleton, WI 549118735

Phone: 9203581139

Secondary Practice Locations

200 Theda Clark Medical Plz Ste 480

Neenah, WI 549562790

Phone: 9207290608

191 Memorial Dr Ste 300

Berlin, WI 549231241

Phone: 9203612500

Practice Associates & Co-Workers

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

1 Associated Practitioners

Cynthia Wecker , APNP

Nurse Practitioner - Adult Health

NPI 1972003549

Advanced Practice Nurse Prescriber

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location March 22, 2018

Registered at 2500 E CAPITOL DR STE 1700, APPLETON, WI 549118735 (Tel: 9207344773)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 22, 2018

Internal Medicine (License #65141-20 in WI)

✅

NPI Profile Active July 21, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location July 21, 2010

Registered at 1402 S GRAND BLVD, RM. M260, SAINT LOUIS, MO 631041004 (Tel: 3149779853)

📍

Updated Business Mailing Address July 21, 2010

Registered at 921 CARRIAGE CIRCLE LN, APT. A, KIRKWOOD, MO 631226485

👤

Provider Name / Credentials Updated July 21, 2010

Recorded as SANJEEVKUMAR PATEL, M.D

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2010

Student in an Organized Health Care Education/Training Program (License #2010017082 in MO)

🟢

Initial NPI Registration & Enumeration July 21, 2010

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: 1033422860

Entity Type:

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

Enumeration Date: July 21, 2010

Last Update: April 14, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

921 Carriage Circle Ln, Apt. A

Kirkwood, MO 631226485

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.