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DR. SWETANG M PATEL MD
NPI 1164436606
Family Medicine in Jacksonville, NC

Active since July 28, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 34D1054922 · Microscopy
2587 HENDERSON DR, JACKSONVILLE, NC 28546(910) 938-3200(910) 938-3043 Get Directions Write a Review

NPPES record last updated: May 6, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Swetang M Patel Md NPPES

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

DR. SWETANG M PATEL MD (NPI 1164436606) is an individual family medicine provider in Jacksonville, North Carolina, licensed in North Carolina (2006-00567) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, holds a CLIA Microscopy certificate valid through June 4, 2028, and is affiliated with Onslow Memorial Hospital.

NPPES Registry Identity

NPI1164436606
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SWETANG M PATELCredential: MD
Location Address2587 HENDERSON DRJacksonville, NC 28546-5253
Mailing Address2587 Henderson DrJacksonville, NC 28546-5253 · (910) 938-3200 · Fax (910) 938-3043
Phone(910) 938-3200
Fax(910) 938-3043
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateJuly 28, 2006
Last NPPES UpdateMay 6, 2008
✔ NPI 1164436606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NC · 2006-00567
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2587 HENDERSON DR, Jacksonville, NC 28546
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Other Identifiers 4

Medicare UPINI56752
Other204973421NC · 207q00000x
Medicaid5904083NC
Medicare PIN2052234

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

Dr. Swetang M 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 ID5092719294
PECOS Enrollment IDI20060830000439
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 34D1054922

Swetang Patel MD PA · Jacksonville, NC
Active · expires Jun 4, 2028
CLIA Number34D1054922
Laboratory TypePhysician Office
Certificate Effective DateJune 5, 2026
Certificate Expiration DateJune 4, 2028
Laboratory DirectorSwetang Patel MD
Laboratory Phone(910) 353-4991
Laboratory LocationSwetang Patel MD PA2587 Henderson Drive Ext, Jacksonville, NC 28546
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Areas of Expertise CMS Part B claims 7

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.
1,111 services335 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.
366 services202 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
212 services212 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
93 services93 patients
Transitional care management services for problem of high complexity 99496
Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
39 services35 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
29 services29 patients

Hospital Affiliations CMS Care Compare

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

Onslow Memorial Hospital

Acute Care Hospitals · Jacksonville, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340042
Location317 Western BoulevardJacksonville, NC 28540 · Onslow County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28546 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
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Referred Medical Equipment & Supplies CMS DME claims 25

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
25 suppliers93 claims232 services$6.14 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
3 suppliers15 claims15 services$2.95 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
17 suppliers43 claims70 services$1.01 avg. paid by Medicare
Tracheostomy, inner cannula A4623
DME-Orthotic Devices · category DF000N
2 suppliers20 claims600 services$5.12 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers16 claims18 services$35.89 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
3 suppliers13 claims70 services$20.91 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 5

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

SWETANG PATEL, MD, PA
Family Medicine
2587 HENDERSON DR
JACKSONVILLE, NC 28546
Onslow County (910) 938-3200
JACKSONVILLE FAMILY MEDICAL CENTER, PLLC
Family Medicine
2587 HENDERSON DR
JACKSONVILLE, NC 28546
Onslow County (910) 938-3200
JACKSONVILLE FAMILY MEDICAL CENTER, PLLC
Clinic/Center (Family Planning, Non-Surgical)
2587 HENDERSON DR
JACKSONVILLE, NC 28546
Onslow County (910) 938-3200
LAUREN AMBROSE P.A.
Physician Assistant
2587 HENDERSON DR
JACKSONVILLE, NC 28546
Onslow County (910) 938-3200
STEPHANIE TRENT BALLARD PHYSICIAN ASSISTANT
Physician Assistant
2587 HENDERSON DR
JACKSONVILLE, NC 28546
Onslow County (910) 938-3200

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 Swetang Patel's NPI number?

The NPI number for Swetang Patel is 1164436606. It was assigned to this individual provider in the NPPES registry on July 28, 2006.

Where is Swetang Patel located?

Swetang Patel practices at 2587 Henderson Dr, Jacksonville, NC 28546. The listed phone number is (910) 938-3200.

What is Swetang Patel's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Swetang Patel enrolled in Medicare?

Yes. Swetang 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.

Does Swetang Patel hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 34D1054922) is associated with this NPI, valid through June 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Swetang Patel accept?

Health plans from Blue Cross and Blue Shield of NC list Swetang 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 Swetang Patel affiliated with any hospitals?

According to CMS data, Swetang Patel is affiliated with Onslow Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Swetang Patel was last updated on May 6, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.