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PAYAL SONI-PATEL PA-C
NPI 1093793192
Physician Assistant - Medical in Asheville, NC

Active since January 09, 2006PECOS EnrolledAccepts Medicare Assignment
93.51/100
CMS Quality Rating
31 DOGWOOD ROAD, ASHEVILLE, NC 28806(828) 210-9310(828) 210-9319 Get Directions Write a Review

NPPES record last updated: September 16, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Payal Soni-patel Pa-c NPPES

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

PAYAL SONI-PATEL PA-C (NPI 1093793192) is an individual medical provider in Asheville, North Carolina, licensed in North Carolina (103448) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, is affiliated with Memorial Mission Hospital And Asheville Surgery Ce, and is a graduate of Medical College Of Ohio (2001).

NPPES Registry Identity

NPI1093793192
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NamePAYAL SONI-PATELCredential: PA-C
Location Address31 DOGWOOD ROADAsheville, NC 28806-2253
Mailing Address31 Dogwood RoadAsheville, NC 28806-2253 · (828) 210-9310 · Fax (828) 210-9319
Phone(828) 210-9310
Fax(828) 210-9319
Sole ProprietorNo
Medical School CMSMedical College Of OhioGraduated 2001
Enumeration DateJanuary 9, 2006
Last NPPES UpdateSeptember 16, 2013
✔ NPI 1093793192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NC · 103448
31 DOGWOOD ROAD, Asheville, NC 28806
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINP62134
Medicare ID-Type Unspecified2755904BNC · Individual Provider No.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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

Payal Soni-patel Pa-c 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 ID7214986231
PECOS Enrollment IDI20221012002765
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 5

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.
70 services69 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
25 services25 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.
23 services21 patients
Assessment of and care planning for patient with impaired thought processing, typically 60 minutes 99483
This service involves a thorough evaluation of your thought processes, which may be impacting your daily life. In a typical 50-minute session, a healthcare professional will assess your cognitive abilities, identify any areas of concern, and develop a personalized care plan to help improve your mental function.
23 services23 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.
14 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Memorial Mission Hospital And Asheville Surgery Ce

Acute Care Hospitals · Asheville, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340002
Location509 Biltmore AveAsheville, NC 28801 · Buncombe County
Emergency services Birthing friendly

Margaret R Pardee Memorial Hospital

Acute Care Hospitals · Hendersonville, NC
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340017
Location800 N Justice StHendersonville, NC 28791 · Henderson County
Emergency services Birthing friendly

Adventhealth Hendersonville

Acute Care Hospitals · Hendersonville, NC
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340023
Location100 Hospital DriveHendersonville, NC 28792 · Henderson County
Emergency services Birthing friendly

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.

93.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.23
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

REBECCA D MCGOWAN PA-C
Physician Assistant (Medical)
31 DOGWOOD ROAD
ASHEVILLE, NC 28806
Buncombe County (828) 210-9310
ELIZABETH ANN KEARNEY PA-C
Physician Assistant (Medical)
31 DOGWOOD ROAD
ASHEVILLE, NC 28806
Buncombe County (828) 210-9300

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 Payal Soni-patel's NPI number?

The NPI number for Payal Soni-patel is 1093793192. It was assigned to this individual provider in the NPPES registry on January 9, 2006.

Where is Payal Soni-patel located?

Payal Soni-patel practices at 31 Dogwood Road, Asheville, NC 28806. The listed phone number is (828) 210-9310.

What is Payal Soni-patel's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Payal Soni-patel enrolled in Medicare?

Yes. Payal Soni-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 Payal Soni-patel accept?

Health plans from Blue Cross and Blue Shield of NC list Payal Soni-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 Payal Soni-patel affiliated with any hospitals?

According to CMS data, Payal Soni-patel is affiliated with Memorial Mission Hospital And Asheville Surgery Ce, Margaret R Pardee Memorial Hospital and Adventhealth Hendersonville.

When was this NPI record last updated?

The NPPES record for Payal Soni-patel was last updated on September 16, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.