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PRATIK D. MEHTA M.D.
NPI 1063853919
Surgery in Aliso Viejo, CA

Active since July 08, 2013PECOS EnrolledAccepts Medicare Assignment
85.18/100
CMS Quality Rating
120 MAYFAIR, ALISO VIEJO, CA 92656(949) 357-7142(209) 468-7042 Get Directions Write a Review

NPPES record last updated: September 16, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 16, 2024, Sep 24, 2021 (2 updates tracked since 2021).

About Pratik D. Mehta M.d. NPPES

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

PRATIK D. MEHTA M.D. (NPI 1063853919) is an individual surgery provider in Aliso Viejo, California, licensed in California (A139446) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS, maintains a secondary practice location in Riverside, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1063853919
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NamePRATIK D. MEHTACredential: M.D.
Location Address120 MAYFAIRAliso Viejo, CA 92656-2832
Mailing Address120 MayfairAliso Viejo, CA 92656-2832 · (949) 357-7142 · Fax (209) 468-7042
Phone(949) 357-7142
Fax(209) 468-7042
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 8, 2013
Last NPPES UpdateSeptember 16, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2024
✔ NPI 1063853919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in CA · A139446
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
120 MAYFAIR, Aliso Viejo, CA 92656
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Secondary Practice Location 1

Location 17117 Brockton AveRiverside, CA 92506-2658 · Phone (951) 782-3651 · Fax (951) 784-3260

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

Pratik D. Mehta 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 ID7012252497
PECOS Enrollment IDI20200923003112
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 3

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.
65 services23 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
18 services18 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.
12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92656 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
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.

85.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.81
Promoting Interoperability82
Improvement Activities40
Cost64.54

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers11 claims1,800 services$0.34 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Pratik Mehta's NPI number?

The NPI number for Pratik Mehta is 1063853919. It was assigned to this individual provider in the NPPES registry on July 8, 2013.

Where is Pratik Mehta located?

Pratik Mehta practices at 120 Mayfair, Aliso Viejo, CA 92656. The listed phone number is (949) 357-7142.

What is Pratik Mehta's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Pratik Mehta enrolled in Medicare?

Yes. Pratik Mehta 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.

When was this NPI record last updated?

The NPPES record for Pratik Mehta was last updated on September 16, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.