SHASHIKANT PATIL M.D NPI 1003027905

Neurological Surgery in Athens, GA

NPI 1003027905 Individual Male Years of Experience 23 Neurological Surgery PECOS Enrolled Accepts Medicare Approved Payment Medicare Quality Reporting

About SHASHIKANT PATIL

Shashikant Patil is a provider established in Athens, Georgia and his medical specialization is neurological surgery with more than 23 years of experience. The NPI number of Shashikant Patil is 1003027905 and was assigned on May 2007. The practitioner's primary taxonomy code is 207T00000X with license number 077888 (GA). The provider is registered as an individual and his NPI record was last updated 3 years ago.

Shashikant Patil is enrolled in PECOS and is eligible to order or refer healthcare 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

Shashikant Patil 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 Piedmont Athens Regional Medical Center, Piedmont Walton Hospital, Ty Cobb Regional Medical Center, Llc and St. Mary's Good Samaritan Hospital.

The provider participated in Medicare's Quality Payment Program and the following quality measures were reported: care plan, colorectal cancer screening, pneumococcal vaccination status for older adults, preventive care and screening: body mass index (bmi) screening and follow-up plan and screening for osteoporosis for women aged 65-85 years of age. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries.

NPI

1003027905

Provider Name SHASHIKANT PATIL M.D
Provider Location Address1199 PRINCE AVE ATHENS, GA 30606
Provider Mailing Address2727 PACES FERRY ROAD SUITE 1-1100 (ATTENTION: DENISE) ATLANTA, GA 30339
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year1999
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date05-24-2007
Last Update Date06-14-2018


Primary Taxonomy

Taxonomy Code207T00000X
ClassificationNeurological Surgery
TypeAllopathic & Osteopathic Physicians
License No.077888
License StateGA
Taxonomy DescriptionA neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

Business Address

SHASHIKANT PATIL M.D
1199 PRINCE AVE
ATHENS, GA
ZIP 30606
Phone:

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Mailing Address

SHASHIKANT PATIL M.D
2727 PACES FERRY ROAD
SUITE 1-1100 (ATTENTION: DENISE)
ATLANTA, GA
ZIP 30339
Phone: (470) 271-3421



Medicare Participation

Registered in PECOS? Yes 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.
PECOS PAC ID7517133101
PECOS Enrollment IDI20171009003183
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

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.

  • 24Insertion of spinal instrumentation for spinal stabilization (HCPCS:22851)
  • 12Fusion of spine bones with removal of disc at upper spinal column, anterior approach (HCPCS:22551)

Quality Reporting

The following quality measures meets Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Rate Number of Patients
Care Plan 5% 96
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker or provide an advance care plan
Colorectal Cancer Screening 8% 106
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
Pneumococcal Vaccination Status for Older Adults 7% 96
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 33% 139
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2
Screening for Osteoporosis for Women Aged 65-85 Years of Age 4% 51
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis

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. Shashikant Patil is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
PIEDMONT ATHENS REGIONAL MEDICAL CENTER1199 PRINCE AVENUE
ATHENS, GA 30606
(706) 475-7000Acute Care Hospitals110074
PIEDMONT WALTON HOSPITAL2151 W SPRING STREET
MONROE, GA 30655
(770) 267-8461Acute Care Hospitals110046
TY COBB REGIONAL MEDICAL CENTER, LLC367 CLEAR CREEK PARKWAY
LAVONIA, GA 30553
(706) 356-7800Acute Care Hospitals110027
ST. MARY'S GOOD SAMARITAN HOSPITAL5401 LAKE OCONEE PARKWAY
GREENSBORO, GA 30642
(706) 453-7331Critical Access Hospitals111329

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
07698MEDICAID (05)LA

Other Providers at the same location


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

NPI Name / Type Taxonomy Address
1912902271 JOEL P COOK MD
Individual
Radiology (Diagnostic Radiology)1199 PRINCE AVE
ATHENS, GA 30606
(706) 475-5897
1235130683 KATHY C MARGRAVE CRNA
Individual
Nurse Anesthetist, Certified Registered1199 PRINCE AVE
ATHENS, GA 30606
(706) 475-7000
1669454724DR. RONALD B. ATCHLEY MD
Individual
Emergency Medicine1199 PRINCE AVE
ATHENS, GA 30606
(800) 532-6151
1619959467DR. PATRICIA H. BURGESS MD
Individual
Emergency Medicine1199 PRINCE AVE
ATHENS, GA 30606
(800) 532-6151
1033191804DR. JOHN R. BUTLER MD
Individual
Emergency Medicine1199 PRINCE AVE
ATHENS, GA 30606
(800) 532-6151
1750363438DR. CLAYTON W. DUNFORD MD
Individual
Emergency Medicine1199 PRINCE AVE
ATHENS, GA 30606
(800) 532-6151
1265414940DR. CAROLANN EISENHART MD
Individual
Emergency Medicine1199 PRINCE AVE
ATHENS, GA 30606
(800) 532-6151
1417939182DR. MARCUS CROMER MD
Individual
Emergency Medicine1199 PRINCE AVE
ATHENS, GA 30606
(800) 532-6151
1740262435DR. KURT R. HORST MD
Individual
Emergency Medicine1199 PRINCE AVE
ATHENS, GA 30606
(800) 532-6151
1629050422DR. ANDREW K. BARNETT MD
Individual
Emergency Medicine1199 PRINCE AVE
ATHENS, GA 30606
(800) 532-6151
1053393637DR. KEVIN D. TOON MD
Individual
Emergency Medicine1199 PRINCE AVE
ATHENS, GA 30606
(800) 532-6151
1518949916DR. TODD D. BELL MD
Individual
Emergency Medicine1199 PRINCE AVE
ATHENS, GA 30606
(800) 532-6151
1366425613DR. CHRISTOPHER R. BOSTDORFF MD
Individual
Emergency Medicine1199 PRINCE AVE
ATHENS, GA 30606
(800) 532-6151
1366425720DR. ERIC M. KARDON MD
Individual
Emergency Medicine1199 PRINCE AVE
ATHENS, GA 30606
(800) 532-6151
1154304384DR. JEFFREY A. MOORE MD
Individual
Emergency Medicine1199 PRINCE AVE
ATHENS, GA 30606
(800) 532-6151
1386627529DR. ERIC F. SEWELL MD
Individual
Emergency Medicine1199 PRINCE AVE
ATHENS, GA 30606
(800) 532-6151
1033181995DR. SVEN ARLEN SWANSON M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)1199 PRINCE AVE
ATHENS, GA 30606
(706) 475-3398
1942272620ATHENS REGIONAL PATHOLOGY ASSOCIATES, LLP
Organization
Pathology (Anatomic Pathology & Clinical Pathology)1199 PRINCE AVE
ATHENS, GA 30606
(706) 475-3398
1912979881 VIRGINIA LUISA TRANOVICH M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)1199 PRINCE AVE
ATHENS, GA 30606
(706) 475-3398
1265404768DR. STEPHEN LEGRANDE ALESHIRE M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)1199 PRINCE AVE
ATHENS, GA 30606
(706) 475-3398

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
The code describing 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.