GRISHMA JAYESH PATEL PA-C
NPI 1104372325
Physician Assistant in Falls Church, VA

Q: What is Grishma Patel's NPI number?

The NPI number for Grishma Patel is 1104372325. It was assigned to this individual provider in the NPPES registry on August 28, 2016.

Q: What is Grishma Patel's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Grishma Patel was last updated on December 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 28, 2016PECOS EnrolledAccepts Medicare Assignment

84.47/100

CMS Quality Rating

3300 GALLOWS RD, FALLS CHURCH, VA 22042(703) 776-4001 Get Directions Write a Review

NPPES record last updated: December 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 29, 2024, Feb 14, 2017, Oct 19, 2016 and 1 more (4 updates tracked since 2016).

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About Grishma Jayesh Patel Pa-c NPPES

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

GRISHMA JAYESH PATEL PA-C (NPI 1104372325) is an individual physician assistant in Falls Church, Virginia and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS, is affiliated with Inova Fairfax Hospital, and maintains a secondary practice location in Frederick.

NPPES Registry Identity

NPI1104372325

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameGRISHMA JAYESH PATELCredential: PA-C

Location Address3300 GALLOWS RDFalls Church, VA 22042-3300

Mailing Address1050 Key Pkwy, Ste 103Frederick, MD 21702-4053 · (240) 629-3926

Phone(703) 776-4001

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateAugust 28, 2016

Last NPPES UpdateDecember 29, 20244 updates tracked since enumeration

NPPES CertifiedDecember 29, 2024

✔ NPI 1104372325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

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.

3300 GALLOWS RD, Falls Church, VA 22042

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Secondary Practice Location 1

Location 11050 Key Pkwy, Ste 103Frederick, MD 21702-4053 · Phone (240) 629-3926

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

Grishma Jayesh 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 ID9830472844

PECOS Enrollment IDI20241231001827

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.

Hospital Affiliations CMS Care Compare

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

Inova Fairfax Hospital

Acute Care Hospitals · Falls Church, VA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490063

Location3300 Gallows RoadFalls Church, VA 22042 · Fairfax County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22042 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

$100.31 typical visit price

range $65.18 – $194.86

Typical copayment $25.07 (range $16.29 – $48.71)

Most-billed visit code 99203

Established Patient

$80.66 typical visit price

range $21.40 – $158.88

Typical copayment $20.16 (range $5.35 – $39.72)

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.

84.47/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

93.33

Promoting Interoperability

100

Improvement Activities

Cost

54.91

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

46%28 patients2/55-star benchmark: 100%

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

80%158 patients3/55-star benchmark: 100%

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

87%1,936 patients3/55-star benchmark: 99%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

87%164 patients4/55-star benchmark: 97%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

30%164 patients2/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

20%164 patients1/55-star benchmark: 89%

View, Download, or Transmit (VDT)

At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.

33%164 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier42 claims42 services$14.89 avg. paid by Medicare

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

2 suppliers54 claims54 services$68.87 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.

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