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AMY M. PATEL PA-C
NPI 1104177203
Physician Assistant in Statesville, NC

Active since September 28, 2012PECOS Enrolled
95.99/100
CMS Quality Rating
557 BROOKDALE DR, STATESVILLE, NC 28677(704) 873-5661 Get Directions Write a Review

NPPES record last updated: February 24, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Amy M. Patel Pa-c NPPES

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

AMY M. PATEL PA-C (NPI 1104177203) is an individual physician assistant in Statesville, North Carolina, licensed in Maryland (C0008403) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in Bethesda.

NPPES Registry Identity

NPI1104177203
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameAMY M. PATELCredential: PA-C
Location Address557 BROOKDALE DRStatesville, NC 28677-4107
Mailing Address6201 Greenleigh AveMiddle River, MD 21220-2004 · (410) 933-2704
Phone(704) 873-5661
Sole ProprietorNo
Enumeration DateSeptember 28, 2012
Last NPPES UpdateFebruary 24, 2024
NPPES CertifiedFebruary 24, 2024
✔ NPI 1104177203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in MD · C0008403✔ Licensed in NC · 0010-03819
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
557 BROOKDALE DR, Statesville, NC 28677
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Secondary Practice Location 1

Location 18600 Old Georgetown RdBethesda, MD 20814-1422 · Phone (301) 896-2578 · Fax (301) 897-1378

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amy M. Patel Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28677 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

95.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.48
Promoting Interoperability100
Improvement Activities40
Cost74.87

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.

IREDELL PHYSICIAN NETWORK LLC
Specialist
557 BROOKDALE DR
STATESVILLE, NC 28677
Iredell County (704) 873-5661
SHANNAN LAWRENCE
Physical Therapist
557 BROOKDALE DR
STATESVILLE, NC 28677
Iredell County (704) 873-5661
CECILIA KAECHELE NP
Nurse Practitioner (Adult Health)
557 BROOKDALE DR
STATESVILLE, NC 28677
Iredell County (704) 997-5525
KAREN KAUFFMAN CRNA
Nurse Anesthetist, Certified Registered
557 BROOKDALE DR
STATESVILLE, NC 28677
Iredell County (704) 873-5561
BARBARA LEE THOMAS CRNA
Nurse Anesthetist, Certified Registered
557 BROOKDALE DR
STATESVILLE, NC 28677
Iredell County (704) 873-5561
IMH PROF INFECT DISEASE
Specialist
557 BROOKDALE DR
STATESVILLE, NC 28677
Iredell County (704) 873-5661
STACEY SCHLESINGER CRNA
Nurse Anesthetist, Certified Registered
557 BROOKDALE DR
STATESVILLE, NC 28677
Iredell County (704) 873-5661
SYLVIA SELF CRNA
Nurse Anesthetist, Certified Registered
557 BROOKDALE DR
STATESVILLE, NC 28677
Iredell County (704) 873-5661

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 Amy Patel's NPI number?

The NPI number for Amy Patel is 1104177203. It was assigned to this individual provider in the NPPES registry on September 28, 2012.

Where is Amy Patel located?

Amy Patel practices at 557 Brookdale Dr, Statesville, NC 28677. The listed phone number is (704) 873-5661.

What is Amy Patel's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Amy Patel enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Amy Patel was last updated on February 24, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.