1. Home
  2. Directory
  3. Tennessee
  4. Lexington
  5. Emergency Medicine
  6. NPI Profile

DR. KAUSHAL PATEL M.D.
NPI 1174637318
Emergency Medicine in Lexington, TN

Active since August 17, 2006PECOS EnrolledAccepts Medicare Assignment
48.71/100
CMS Quality Rating
200 W CHURCH ST, LEXINGTON, TN 38351(731) 968-3646 Get Directions Write a Review

NPPES record last updated: June 7, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 7, 2024, Jul 7, 2022, Jul 19, 2019 (3 updates tracked since 2019).

About Dr. Kaushal Patel M.d. NPPES

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

DR. KAUSHAL PATEL M.D. (NPI 1174637318) is an individual emergency medicine provider in Lexington, Tennessee, licensed in Tennessee (41537) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Jackson-madison County General Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1174637318
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. KAUSHAL PATELCredential: M.D.
Location Address200 W CHURCH STLexington, TN 38351-2038
Mailing Address200 W Church StLexington, TN 38351-2038 · (731) 968-3646
Phone(731) 968-3646
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateAugust 17, 2006
Last NPPES UpdateJune 7, 20243 updates tracked since enumeration
NPPES CertifiedJune 6, 2024
✔ NPI 1174637318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in TN · 41537✔ Licensed in TX · M2441
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedFamily MedicineTaxonomy 207Q00000X · License M2441 (TX), 41537 (TN)
Also ListedInternal MedicineTaxonomy 207R00000X · License 41537 (TN)
Also ListedPediatricsTaxonomy 208000000X · License 41537 (TN)
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License 41537 (TN)
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License 41537 (TN)
Also ListedSurgeryTaxonomy 208600000X · License 41537 (TN)
200 W CHURCH ST, Lexington, TN 38351
Open in Google Maps ↗

Secondary Practice Locations 4

Location 1205 Trace DrJackson, TN 38305-1580 · Phone (432) 770-9391
Location 22545 N Washington AveBrownsville, TN 38012-1610 · Phone (931) 289-4211
Location 35001 E Main StErin, TN 37061-4115 · Phone (931) 289-4211
Location 4270 W Church St Ste ALexington, TN 38351-2077 · Phone (731) 968-3646

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Oscar Health Plan, Inc., Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kaushal Patel M.d. 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 ID3375577406
PECOS Enrollment IDI20070326000257
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.

Medicare Billing Reassignments

9

Medicare enrollment records show Kaushal Patel reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lexington Clinic Corp
Same address
Family Medicine
200 W CHURCH ST
Lexington, TN 38351
  • Reassigned Medicare billing, Tennessee enrollment
  • 48 clinicians in this Medicare group
NPI 1780652107 (731) 968-3646
Lexington Family Physicians LLC
Same address
Family Medicine
200 W CHURCH ST
Lexington, TN 38351
  • Reassigned Medicare billing, Tennessee enrollment
  • 47 clinicians in this Medicare group
NPI 1265660708 (731) 968-3646
Lexington Hospital Corporation
Same address
Emergency Medicine
200 W CHURCH ST
Lexington, TN 38351
  • Reassigned Medicare billing, Tennessee enrollment
  • 49 clinicians in this Medicare group
NPI 1407290893 (731) 968-4477
Emergency Medical Care Facilities PC
24 mi
Emergency Medicine
620 SKYLINE DR
Jackson, TN 38301
  • Reassigned Medicare billing, Tennessee enrollment
  • 146 clinicians in this Medicare group
NPI 1538345855 (731) 541-6574
Perry County Community Hospital Inc
30 mi
Critical Access
2718 SQUIRREL HOLLOW DR
Linden, TN 37096
  • Reassigned Medicare billing, Tennessee enrollment
  • 27 clinicians in this Medicare group
NPI 1528890480 (731) 968-3646
Haywood County Community Hospital, Inc
48 mi
Emergency Medicine
2545 N WASHINGTON AVE
Brownsville, TN 38012
  • Reassigned Medicare billing, Tennessee enrollment
  • 42 clinicians in this Medicare group
NPI 1790444933 (731) 968-3646
Shamrock Community Hospital Inc
61 mi
Critical Access
5001 E MAIN ST
Erin, TN 37061
  • Reassigned Medicare billing, Tennessee enrollment
  • Also billed through NPI 1033878277 (Tennessee)
  • 33 clinicians in this Medicare group
NPI 1811566540 (731) 968-3646
Emergency Coverage, LLC
294 mi
Family Medicine
435 2ND ST
Newport, TN 37821
  • Reassigned Medicare billing, Tennessee enrollment
  • 664 clinicians in this Medicare group
NPI 1427005008 (423) 625-2200
Hospital Medicine Services Of Tennessee PC
307 mi
Hospitalist
600 WILSON CREEK RD
Lawrenceburg, IN 47025
  • Reassigned Medicare billing, Tennessee enrollment
  • 394 clinicians in this Medicare group
NPI 1528433802 (812) 537-1010

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 11

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
263 services225 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
250 services230 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
225 services202 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
223 services151 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
204 services183 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
95 services84 patients

Hospital Affiliations CMS Care Compare 4

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

Jackson-Madison County General Hospital

Acute Care Hospitals · Jackson, TN
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440002
Location620 Skyline DriveJackson, TN 38301 · Madison County
Emergency services Birthing friendly

Henderson County Community Hospital

Acute Care Hospitals · Lexington, TN
OwnershipProprietary
CMS Certification Number440008
Location200 W Church StLexington, TN 38351 · Henderson County
Emergency services

Haywood County Community Hospital

Acute Care Hospitals · Brownsville, TN
OwnershipProprietary
CMS Certification Number440238
Location2545 North Washington AvenueBrownsville, TN 38012 · Haywood County
Emergency services

Houston County Community Hospital

Critical Access Hospitals · Erin, TN
OwnershipGovernment - Local
CMS Certification Number441322
Location5001 East Main StreetErin, TN 37061 · Houston County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38351 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

48.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality0
Improvement Activities20
Cost96.71

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.

LEXINGTON HOSPITAL CORPORATION
Family Medicine
200 W CHURCH ST
LEXINGTON, TN 38351
Henderson County (731) 968-3646
LEXINGTON CLINIC CORP
Clinic/Center (Rural Health)
200 W CHURCH ST
LEXINGTON, TN 38351
Henderson County (731) 968-3646
LEXINGTON HOSPITAL CORPORATION
Medicare Defined Swing Bed Unit
200 W CHURCH ST
LEXINGTON, TN 38351
Henderson County (731) 968-3646
WILLOW EMERGENCY PHYSICIANS, LLC
Emergency Medicine
200 W CHURCH ST
LEXINGTON, TN 38351
Henderson County (973) 251-1132
AMBULANCE SERVICES OF LEXINGTON, INC.
Ambulance (Land Transport)
200 W CHURCH ST
LEXINGTON, TN 38351
Henderson County (731) 968-1845
ROBERT L WINSTON M.D.
Internal Medicine
200 W CHURCH ST
LEXINGTON, TN 38351
Henderson County (731) 968-3646
BEECHLAKE EMERGENCY PHYSICIANS
Emergency Medicine
200 W CHURCH ST
LEXINGTON, TN 38351
Henderson County (731) 968-3646
THOMAS C MCDONALD MD
Internal Medicine
200 W CHURCH ST
LEXINGTON, TN 38351
Henderson County (731) 968-3646

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 Kaushal Patel's NPI number?

The NPI number for Kaushal Patel is 1174637318. It was assigned to this individual provider in the NPPES registry on August 17, 2006.

Where is Kaushal Patel located?

Kaushal Patel practices at 200 W Church St, Lexington, TN 38351. The listed phone number is (731) 968-3646.

What is Kaushal Patel's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Kaushal Patel enrolled in Medicare?

Yes. Kaushal 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.

Which organizations bill Medicare for Kaushal Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kaushal Patel reassigns Medicare benefits to 9 organizations: Lexington Clinic Corp (Lexington, TN), Lexington Family Physicians LLC (Lexington, TN), Lexington Hospital Corporation (Lexington, TN), Emergency Medical Care Facilities PC (Jackson, TN), Perry County Community Hospital Inc (Linden, TN) and 4 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kaushal Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kaushal Patel accept?

Health plans from Cigna Healthcare, Oscar Health Plan, Inc. and Oscar Insurance Company list Kaushal 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 Kaushal Patel affiliated with any hospitals?

According to CMS data, Kaushal Patel is affiliated with Jackson-Madison County General Hospital, Henderson County Community Hospital, Haywood County Community Hospital and Houston County Community Hospital.

When was this NPI record last updated?

The NPPES record for Kaushal Patel was last updated on June 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.