VISHAL N PATEL
NPI 1003194515
Hospitalist in Wexford, PA

Active since August 01, 2011PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
12351 PERRY HWY, WEXFORD, PA 15090(412) 359-3030(412) 359-3060 Get Directions Write a Review

NPPES record last updated: September 30, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Vishal N Patel NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VISHAL N PATEL (NPI 1003194515) is an individual hospitalist provider in Wexford, Pennsylvania, licensed in Pennsylvania (MD452148) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS, is affiliated with Grove City Medical Center, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1003194515
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameVISHAL N PATEL
Location Address12351 PERRY HWYWexford, PA 15090-8344
Mailing Address12351 Perry HwyWexford, PA 15090-8344 · (412) 359-3030 · Fax (412) 359-3060
Fax(412) 359-3060
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateAugust 1, 2011
Last NPPES UpdateSeptember 30, 2025
NPPES CertifiedSeptember 30, 2025
NPI 1003194515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in PA · MD452148
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD452148 (PA)
12351 PERRY HWY, Wexford, PA 15090

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Vishal N Patel is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4688890767
PECOS Enrollment IDI20140725001126
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
256 services93 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
77 services73 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
54 services36 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
34 services34 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
13 services13 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Grove City Medical Center

Acute Care Hospitals · Grove City, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390266
Location631 North Broad Street Ext.Grove City, PA 16127 · Mercer County
Emergency services

Upmc East

Acute Care Hospitals · Monroeville, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390328
Location2775 Mosside BoulevardMonroeville, PA 15146 · Allegheny County
Emergency services

Ahn Wexford Hospital

Acute Care Hospitals · Wexford, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390334
Location12351 Perry HighwayWexford, PA 15090 · Allegheny County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15090 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Hospitalist
12351 PERRY HWY
WEXFORD, PA 15090
Nurse Anesthetist, Certified Registered
12351 PERRY HWY
WEXFORD, PA 15090
Hospitalist
12351 PERRY HWY
WEXFORD, PA 15090
Hospitalist
12351 PERRY HWY
WEXFORD, PA 15090
Nurse Anesthetist, Certified Registered
12351 PERRY HWY
WEXFORD, PA 15090
Internal Medicine
12351 PERRY HWY
WEXFORD, PA 15090
Internal Medicine
12351 PERRY HWY
WEXFORD, PA 15090
Nurse Anesthetist, Certified Registered
12351 PERRY HWY
WEXFORD, PA 15090

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vishal Patel's NPI number?

The NPI number for Vishal Patel is 1003194515. It was assigned to this individual provider in the NPPES registry on August 1, 2011.

Where is Vishal Patel located?

Vishal Patel practices at 12351 Perry Hwy, Wexford, PA 15090. The listed phone number is (412) 359-3030.

What is Vishal Patel's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Vishal Patel enrolled in Medicare?

Yes. Vishal Patel is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Vishal Patel affiliated with any hospitals?

According to CMS data, Vishal Patel is affiliated with Grove City Medical Center, Upmc East and Ahn Wexford Hospital.

When was this NPI record last updated?

The NPPES record for Vishal Patel was last updated on September 30, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.