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GAURAV PATEL MD
NPI 1023571379
Family Medicine in Rawlins, WY

Active since April 12, 2019PECOS Enrolled
83.84/100
CMS Quality Rating
2221 ELM ST, RAWLINS, WY 82301(307) 324-2221 Get Directions Write a Review

NPPES record last updated: May 16, 2025. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: May 16, 2025, Feb 18, 2025, Jul 29, 2024 and 3 more (6 updates tracked since 2019).

About Gaurav Patel Md NPPES

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

GAURAV PATEL MD (NPI 1023571379) is an individual family medicine provider in Rawlins, Wyoming, licensed in Wyoming (14959A) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Christus St Vincent Regional Medical Center, and maintains a secondary practice location in Franklinton.

NPPES Registry Identity

NPI1023571379
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameGAURAV PATELCredential: MD
Location Address2221 ELM STRawlins, WY 82301-5108
Mailing AddressPo Box 720812Norman, OK 73070-4632
Phone(307) 324-2221
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 12, 2019
Last NPPES UpdateMay 16, 20256 updates tracked since enumeration
NPPES CertifiedMay 16, 2025
✔ NPI 1023571379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in WY · 14959A✔ Licensed in MN · 76326✔ Licensed in WI · 3741-320✔ Licensed in AZ · 72010✔ Licensed in MO · 2023035753✔ Licensed in LA · 344500✔ Licensed in WA · MD61630277
Definition
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2221 ELM ST, Rawlins, WY 82301
Open in Google Maps ↗

Secondary Practice Location 1

Location 11900 Main StFranklinton, LA 70438-3688 · Phone (985) 839-4431

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc., Blue Cross and Blue Shield of Texas, Blue Cross Blue Shield of Arizona and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gaurav Patel Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4981089240
PECOS Enrollment IDI20220929001658
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 4

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 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.
90 services37 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
31 services30 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.
18 services17 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.
15 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Christus St Vincent Regional Medical Center

Acute Care Hospitals · Santa Fe, NM
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320002
Location455 St Michael's DriveSanta Fe, NM 87505 · Santa Fe County
Emergency services Birthing friendly

Cibola General Hospital

Critical Access Hospitals · Grants, NM
OwnershipVoluntary non-profit - Private
CMS Certification Number321308
Location1016 E Roosevelt AvenueGrants, NM 87020 · Cibola County
Emergency services Birthing friendly

Ut Health East Texas Tyler Regional Hospital

Acute Care Hospitals · Tyler, TX
1/5 CMS rating
OwnershipProprietary
CMS Certification Number450083
Location1000 South Beckham AveTyler, TX 75701 · Smith County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 82301 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
$87.12 typical visit price
range $56.42 – $170.72
Typical copayment $21.78 (range $14.10 – $42.68)
Most-billed visit code 99203
Established Patient
$99.46 typical visit price
range $18.19 – $139.32
Typical copayment $24.86 (range $4.54 – $34.83)
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.

83.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.59
Promoting Interoperability100
Improvement Activities40
Cost58.63

Other Providers at the Same Location NPPES 13

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

MRS. NINA MARIE GARNER CST/CSFA
Surgery
2221 ELM ST
RAWLINS, WY 82301
Carbon County (307) 324-8270
CHANEL MARIE THRASHER FNP-C
Nurse Practitioner (Family)
2221 ELM ST
RAWLINS, WY 82301
Carbon County (307) 324-2221
PACIFIC MEDICAL, INC.
Durable Medical Equipment & Medical Supplies
2221 ELM ST, SUITE 101
RAWLINS, WY 82301
Carbon County (406) 951-0873
CASEY KEARBEY BSRRT
Respiratory Therapist, Registered
2221 ELM ST
RAWLINS, WY 82301
Carbon County (307) 321-0383
MEMORIAL HOSPITAL OF CARBON COUNTY
Pharmacy
2221 ELM ST
RAWLINS, WY 82301
Carbon County (307) 324-2221
MEGAN HARRIS RN
Registered Nurse (Critical Care Medicine)
2221 ELM ST
RAWLINS, WY 82301
Carbon County (307) 324-8340
DANIEL HENSON RRT
Respiratory Therapist, Registered
2221 ELM ST
RAWLINS, WY 82301
Carbon County (307) 324-2221
VALLEY VIEW HOSPITAL ASSOCIATION
Internal Medicine (Cardiovascular Disease)
2221 ELM ST
RAWLINS, WY 82301
Carbon County (970) 384-7290

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 Gaurav Patel's NPI number?

The NPI number for Gaurav Patel is 1023571379. It was assigned to this individual provider in the NPPES registry on April 12, 2019.

Where is Gaurav Patel located?

Gaurav Patel practices at 2221 Elm St, Rawlins, WY 82301. The listed phone number is (307) 324-2221.

What is Gaurav Patel's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Gaurav Patel enrolled in Medicare?

Yes. Gaurav Patel is registered in the Medicare PECOS enrollment system.

What insurance does Gaurav Patel accept?

Health plans from Blue Cross Blue Shield of Arizona, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Kansas, Inc., Blue Cross and Blue Shield of Texas and HMO Louisiana and 2 other insurers list Gaurav Patel as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Gaurav Patel affiliated with any hospitals?

According to CMS data, Gaurav Patel is affiliated with Christus St Vincent Regional Medical Center, Cibola General Hospital and Ut Health East Texas Tyler Regional Hospital.

When was this NPI record last updated?

The NPPES record for Gaurav Patel was last updated on May 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.