NEEL PATEL MD
NPI 1083096374
Psychiatry & Neurology - Neurology in Cumming, GA

Active since June 23, 2015PECOS EnrolledAccepts Medicare Assignment
98.31/100
CMS Quality Rating
1200 NORTHSIDE FORSYTH DR, CUMMING, GA 30041(770) 844-3200 Get Directions Write a Review

NPPES record last updated: February 14, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 14, 2022, Aug 17, 2020, Jun 11, 2019 and 1 more (4 updates tracked since 2016).

About Neel Patel Md NPPES

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

NEEL PATEL MD (NPI 1083096374) is an individual neurology provider in Cumming, Georgia, licensed in Georgia (90007) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and maintains a secondary practice location in San Antonio.

NPPES Registry Identity

NPI1083096374
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameNEEL PATELCredential: MD
Location Address1200 NORTHSIDE FORSYTH DRCumming, GA 30041-7659
Mailing Address1200 Northside Forsyth DrCumming, GA 30041-7659 · (770) 844-3200
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 23, 2015
Last NPPES UpdateFebruary 14, 20224 updates tracked since enumeration
NPPES CertifiedFebruary 14, 2022
NPI 1083096374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses Licensed in GA · 90007 Licensed in TX · BP20057953 Licensed in TX · S2659
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedInternal MedicineTaxonomy 207R00000X · License BP10053390 (TX)
Also ListedPsychiatry & Neurology · Clinical NeurophysiologyTaxonomy 2084N0600X · License BP20057953 (TX)
1200 NORTHSIDE FORSYTH DR, Cumming, GA 30041

Secondary Practice Location 1

Location 17400 Merton Minter StSan Antonio, TX 78229-4404 · Phone (210) 617-5300

Accepted 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

Neel Patel Md 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 ID3375805690
PECOS Enrollment IDI20220111000505
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 8

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.
306 services208 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.
203 services192 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.
62 services61 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
40 services40 patients
Measurement of brain wave activity (eeg), awake and drowsy 95816
Measurement of brain wave activity, also known as an EEG, is a non-invasive test that records electrical patterns in your brain. This procedure is done when you're awake and drowsy to understand how your brain functions during different states of consciousness.
39 services39 patients
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.
27 services22 patients

Hospital Affiliations CMS Care Compare 2

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

Northside Hospital Forsyth

Acute Care Hospitals · Cumming, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110005
Location1200 Northside Forsyth DriveCumming, GA 30041 · Forsyth County
Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30041 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

98.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.88
Improvement Activities40
Cost84.56

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.

Pharmacist
1200 NORTHSIDE FORSYTH DR
CUMMING, GA 30041
Pharmacist
1200 NORTHSIDE FORSYTH DR
CUMMING, GA 30041
Dietitian, Registered
1200 NORTHSIDE FORSYTH DR
CUMMING, GA 30041
Pharmacist
1200 NORTHSIDE FORSYTH DR
CUMMING, GA 30041
Internal Medicine (Cardiovascular Disease)
1200 NORTHSIDE FORSYTH DR
CUMMING, GA 30041
Internal Medicine
1200 NORTHSIDE FORSYTH DR
CUMMING, GA 30041
Hospitalist
1200 NORTHSIDE FORSYTH DR
CUMMING, GA 30041
Pharmacist
1200 NORTHSIDE FORSYTH DR
CUMMING, GA 30041

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 Neel Patel's NPI number?

The NPI number for Neel Patel is 1083096374. It was assigned to this individual provider in the NPPES registry on June 23, 2015.

Where is Neel Patel located?

Neel Patel practices at 1200 Northside Forsyth Dr, Cumming, GA 30041. The listed phone number is (770) 844-3200.

What is Neel Patel's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Neel Patel enrolled in Medicare?

Yes. Neel 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.

What insurance does Neel Patel accept?

Health plans from Alliant Health Plans, Inc. and Blue Cross and Blue Shield of Texas list Neel 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 Neel Patel affiliated with any hospitals?

According to CMS data, Neel Patel is affiliated with Northside Hospital Forsyth and Northside Hospital.

When was this NPI record last updated?

The NPPES record for Neel Patel was last updated on February 14, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.