NIRAV N PAREKH M.D.
NPI 1053687053
Pain Medicine - Pain Medicine in Gallipolis, OH

Q: What is Nirav Parekh's NPI number?

The NPI number for Nirav Parekh is 1053687053. It was assigned to this individual provider in the NPPES registry on March 24, 2012.

Q: What is Nirav Parekh's specialty?

The primary specialty registered for this NPI is Pain Medicine with taxonomy code 208VP0000X.

Q: When was this NPI record last updated?

The NPPES record for Nirav Parekh was last updated on November 6, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 24, 2012PECOS EnrolledAccepts Medicare Assignment

93.96/100

CMS Quality Rating

100 JACKSON PIKE, GALLIPOLIS, OH 45631(740) 441-1949 Get Directions Write a Review

NPPES record last updated: November 6, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 6, 2020, Nov 10, 2015 (2 updates tracked since 2015).

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About Nirav N Parekh M.d. NPPES

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

NIRAV N PAREKH M.D. (NPI 1053687053) is an individual pain medicine provider in Gallipolis, Ohio, licensed in Ohio (35.130577) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS, is affiliated with Holzer Medical Center, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1053687053

Entity TypeIndividualMale

Primary Taxonomy208VP0000X

Provider Legal NameNIRAV N PAREKHCredential: M.D.

Location Address100 JACKSON PIKEGallipolis, OH 45631-1560

Mailing Address90 Jackson PikeGallipolis, OH 45631-1560 · (740) 441-1949

Phone(740) 441-1949

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateMarch 24, 2012

Last NPPES UpdateNovember 6, 20202 updates tracked since enumeration

NPPES CertifiedNovember 6, 2020

✔ NPI 1053687053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code208VP0000X

License✔ Licensed in OH · 35.130577

Definition

Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.

100 JACKSON PIKE, Gallipolis, OH 45631

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Other Identifiers 1

Medicaid0233869OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual.Insurance ›

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

Nirav N Parekh M.d. 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 ID6406156611

PECOS Enrollment IDI20170811002738

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 11

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

221 services83 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

170 services97 patients

Injection of anesthetic agent and/or steroid into other nerve or branch 64450

This procedure involves injecting an anesthetic agent or steroid into a specific nerve or its branch. The goal is to relieve pain by reducing inflammation and numbing the area. It is commonly used for chronic pain management. The process is safe and usually quick.

83 services24 patients

Injection of substance into lower spine canal using imaging guidance 62323

This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.

74 services58 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

51 services51 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

48 services20 patients

Hospital Affiliations CMS Care Compare 2

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

Holzer Medical Center

Acute Care Hospitals · Gallipolis, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360054

Location100 Jackson PikeGallipolis, OH 45631 · Gallia County

Emergency services Birthing friendly

Rivers Health

Acute Care Hospitals · Point Pleasant, WV

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510012

Location2520 Valley DrivePoint Pleasant, WV 25550 · Mason County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45631 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

93.96/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

83.69

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

Advance Care Plan

59%458 patients3/55-star benchmark: 100%

Closing the Referral Loop: Receipt of Specialist Report

59%107 patients3/55-star benchmark: 87%

Colorectal Cancer Screening

57%597 patients3/55-star benchmark: 88%

Controlling High Blood Pressure

71%473 patients4/55-star benchmark: 91%

Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <= 40%)

92%37 patients4/55-star benchmark: 99%

Diabetes: Eye Exam

62%195 patients3/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

24%195 patients4/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

100%2,289 patients5/55-star benchmark: 100%

e-Prescribing

97%150 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

63%443 patients3/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

40%820 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

1%747 patients1/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 89% · 863 patients

Patients screened: 99% · 863 patients

65%250 patients3/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

78%421 patients4/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

84%455 patients4/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 2% · 432 patients

Patients totalRate: 30% · 472 patients

36%472 patients1/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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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.

EUGENIA KAY MCCOY CRNA, DMPNA

Nurse Anesthetist, Certified Registered