DR. ANKIT BHUPENDRA PATEL D.O. NPI 1003021791

Radiology - Diagnostic Radiology in Orange, CA

Individual Male Years of Experience 17 Radiology Diagnostic Radiology PECOS Enrolled Accepts Medicare Approved Payment MIPS Quality Score 82.6

About DR. ANKIT BHUPENDRA PATEL D.O.

Ankit Patel is a provider established in Orange, California and his medical specialization is Radiology with a focus in diagnostic radiology with more than 17 years of experience. The NPI number of Ankit Patel is 1003021791 and was assigned on May 2007. The practitioner's primary taxonomy code is 2085R0202X with license number 20A11394 (CA). The provider is registered as an individual and his NPI record was last updated 10 years ago.

NPI

1003021791

Provider NameDR. ANKIT BHUPENDRA PATEL D.O.
Provider Location Address101 THE CITY DR S ORANGE, CA 92868
Provider Mailing Address101 THE CITY DR S ORANGE, CA 92868
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2006
Is Sole Proprietor?Yes
Enumeration Date05-14-2007
Last Update Date12-18-2012



Ankit Patel is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Ankit Patel is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Los Alamitos Medical Center.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 82.6, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The typical physician office visit costs for Medicare beneficiaries in this area are: $24.87 for a new patient copayment and $20.28 for an established patient copayment.



Primary Taxonomy

Taxonomy Code2085R0202X
ClassificationRadiology
TypeAllopathic & Osteopathic Physicians
SpecializationDiagnostic Radiology
License No.20A11394
License StateCA
Taxonomy DescriptionA radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Business Address

DR. ANKIT BHUPENDRA PATEL D.O.
101 THE CITY DR S
ORANGE, CA
ZIP 92868
Phone: (714) 456-5113

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Mailing Address

DR. ANKIT BHUPENDRA PATEL D.O.
101 THE CITY DR S
ORANGE, CA
ZIP 92868
Phone:


PECOS Enrollment and Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID9931370756
PECOS Enrollment IDI20110927000355
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 92868 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99203
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$65.18 $194.87 $99.5
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$16.29 $48.71 $24.87
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99213
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$20.89 $159.82 $81.14
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$5.22 $39.95 $20.28

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

MIPS Measure Score Weight Score
Quality 40% 80.4
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
Promoting Interoperability (PI) 25% N/A
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.
Improvement Activities 15% 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs.

The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.
Cost 20% 59.7
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
MIPS Final Score - 82.6
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 746X-ray of chest, 1 view, front (HCPCS:71010)
  • 353X-ray of chest, 2 views, front and side (HCPCS:71020)
  • 112CT scan of abdomen and pelvis with contrast (HCPCS:74177)
  • 100CT scan of abdomen and pelvis (HCPCS:74176)
  • 87X-ray of abdomen, single view (HCPCS:74000)
  • 66Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers (HCPCS:93970)
  • 64X-ray of ribs of one side of body, minimum of 2 views (HCPCS:73510)
  • 56Nuclear medicine study with CT imaging skull base to mid-thigh (HCPCS:78815)
  • 53Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck (HCPCS:93880)
  • 50Nuclear medicine study of vessels of heart using drugs or exercise multiple studies (HCPCS:78452)
  • 49Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers (HCPCS:93971)
  • 37X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • 33Ultrasound of head and neck (HCPCS:76536)
  • 32X-ray of foot, minimum of 3 views (HCPCS:73630)
  • 23X-ray of knee, 4 or more views (HCPCS:73564)
  • 22X-ray of knee, 3 views (HCPCS:73562)
  • 19Bone and/or joint imaging, whole body (HCPCS:78306)
  • 18Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)
  • 18X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • 17X-ray of hand, minimum of 3 views (HCPCS:73130)
  • 11Nuclear medicine study of lung ventilation and blood circulation in the lungs (HCPCS:78582)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Ankit Patel is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
LOS ALAMITOS MEDICAL CENTER3751 KATELLA AVENUE
LOS ALAMITOS, CA 90720
(562) 799-3220Acute Care Hospitals50551

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003021791
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003022718
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 2 + 2 + 7 + 1 + 8 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 11

The NPI number 1003021791 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1548264013 CHARLES DAVID ROSEN M.D.
Individual
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)101 THE CITY DR S
ORANGE, CA 92868
(714) 534-0547
1346235942DR. BRADLEY ROBERT WILLIAMS PHARM.D.
Individual
Pharmacist (Geriatric)101 THE CITY DR S PAVILION IV
ORANGE, CA 92868
(714) 456-2800
1043208994 GEORGE V LAWRY II MD
Individual
Internal Medicine (Rheumatology)101 THE CITY DR S
ORANGE, CA 92868
(714) 456-7662
1205825908MS. ROXANNE MARIE RUZICKA M.S.
Individual
Genetic Counselor, MS101 THE CITY DR S DEPARTMENT OF PEDIATRICS
ORANGE, CA 92868
(714) 456-2340
1851375398DR. SHRUTI GOHIL M.D., M.P.H.
Individual
Internal Medicine101 THE CITY DR S UNIVERSITY OF CALIFORNIA IRVINE
ORANGE, CA 92868
(714) 456-7016
1245218437 CHRISTINE L COY MS, RD
Individual
Dietitian, Registered101 THE CITY DR S ZOT 4482
ORANGE, CA 92868
(714) 456-8808
1467415919 GAMAL M. GHONIEM M.D.
Individual
Urology101 THE CITY DR S
ORANGE, CA 92868
(714) 456-5378
1215993985 AMY D KOSANKE CRNA
Individual
Nurse Anesthetist, Certified Registered101 THE CITY DR S
ORANGE, CA 92868
(714) 456-5261
1679521850REGENTS OF THE UNIVERSITY OF CALIFORNIA
Organization
Family Medicine101 THE CITY DR S
ORANGE, CA 92868
(714) 456-8068
1851349963REGENTS OF THE UNIVERSITY OF CALIFORNIA
Organization
Surgery101 THE CITY DR S
ORANGE, CA 92868
(714) 456-8068
1790734648DR. DEEPAK KUMAR RAJPOOT MD
Individual
Pediatrics (Pediatric Nephrology)101 THE CITY DR S BLDG. 56, SUITE 600
ORANGE, CA 92868
(714) 456-6815
1750331179 HAMID REZA DJALILIAN M.D.
Individual
Otolaryngology (Otology & Neurotology)101 THE CITY DR S BLDG 56, SUITE 500 RTE 81
ORANGE, CA 92868
(714) 456-5753
1871543785DR. ABRAHAM ROSENBAUM MD
Individual
Anesthesiology101 THE CITY DR S
ORANGE, CA 92868
(714) 456-8068
1871545038 ROMILLA A BATRA MD
Individual
Internal Medicine101 THE CITY DR S
ORANGE, CA 92868
(714) 456-8068
1720030760 IRA T LOTT MD
Individual
Pediatrics (Neurodevelopmental Disabilities)101 THE CITY DR S
ORANGE, CA 92868
(714) 456-8068
1235182205 MALCOLM B DICK PHD
Individual
Psychiatry & Neurology (Neurology)101 THE CITY DR S
ORANGE, CA 92868
(714) 456-8068
1447206644 SANJAY REDDY MD
Individual
Internal Medicine101 THE CITY DR S
ORANGE, CA 92868
(714) 456-8068
1811943129 BELA STEPHEN DENES SR. M.D.
Individual
Urology101 THE CITY DR S
ORANGE, CA 92868
(714) 456-6054
1912954405 STANLEY M ROSEN MD
Individual
Internal Medicine (Nephrology)101 THE CITY DR S
ORANGE, CA 92868
(714) 456-8068
1922049527 THANHTAM NGUYEN MD
Individual
Pediatrics101 THE CITY DR S
ORANGE, CA 92868
(714) 456-8068

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Dr. Ankit Bhupendra Patel D.o. is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.