TRICIA PATEL
NPI 1063912079
Nurse Practitioner - Primary Care in Baltimore, MD

Active since February 16, 2018PECOS Enrolled
74.39/100
CMS Quality Rating
5505 HOPKINS BAYVIEW CIR, BALTIMORE, MD 21224(410) 550-0100 Get Directions Write a Review

NPPES record last updated: February 16, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tricia Patel NPPES

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

TRICIA PATEL (NPI 1063912079) is an individual primary care provider in Baltimore, Maryland, licensed in Maryland (AG02180067) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS, is affiliated with Johns Hopkins Hospital, The, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1063912079
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameTRICIA PATEL
Location Address5505 HOPKINS BAYVIEW CIRBaltimore, MD 21224-6821
Mailing Address609 S Patterson Park AveBaltimore, MD 21231-3215 · (410) 458-1452
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateFebruary 16, 2018
NPI 1063912079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in MD · AG02180067
5505 HOPKINS BAYVIEW CIR, Baltimore, MD 21224

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

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

PECOS PAC ID9436412905
PECOS Enrollment IDI20180416000301
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.

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.
245 services85 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
165 services72 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.
61 services37 patients
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.
17 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Johns Hopkins Hospital, The

Acute Care Hospitals · Baltimore, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210009
Location600 North Wolfe StreetBaltimore, MD 21287 · Baltimore City County
Emergency services Birthing friendly

Johns Hopkins Bayview Medical Center

Acute Care Hospitals · Baltimore, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210029
Location4940 Eastern AvenueBaltimore, MD 21224 · Baltimore City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21224 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

74.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.71
Promoting Interoperability97
Improvement Activities40
Cost52.43

Referred Medical Equipment & Supplies CMS DME claims 2

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$71.82 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$36.44 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine (Geriatric Medicine)
5505 HOPKINS BAYVIEW CIR
BALTIMORE, MD 21224
Internal Medicine (Geriatric Medicine)
5505 HOPKINS BAYVIEW CIR
BALTIMORE, MD 21224
Physician Assistant
5505 HOPKINS BAYVIEW CIR
BALTIMORE, MD 21224
Psychologist (Clinical)
5505 HOPKINS BAYVIEW CIR
BALTIMORE, MD 21224
Internal Medicine (Geriatric Medicine)
5505 HOPKINS BAYVIEW CIR
BALTIMORE, MD 21224
Pharmacist
5505 HOPKINS BAYVIEW CIR
BALTIMORE, MD 21224
Internal Medicine (Geriatric Medicine)
5505 HOPKINS BAYVIEW CIR
BALTIMORE, MD 21224
Internal Medicine (Geriatric Medicine)
5505 HOPKINS BAYVIEW CIR, JOHN BURTON PAVILLION
BALTIMORE, MD 21224

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 Tricia Patel's NPI number?

The NPI number for Tricia Patel is 1063912079. It was assigned to this individual provider in the NPPES registry on February 16, 2018.

Where is Tricia Patel located?

Tricia Patel practices at 5505 Hopkins Bayview Cir, Baltimore, MD 21224. The listed phone number is (410) 550-0100.

What is Tricia Patel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Tricia Patel enrolled in Medicare?

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

Is Tricia Patel affiliated with any hospitals?

According to CMS data, Tricia Patel is affiliated with Johns Hopkins Hospital, The and Johns Hopkins Bayview Medical Center.

When was this NPI record last updated?

The NPPES record for Tricia Patel was last updated on February 16, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.