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PRIYA PRAKASH PATEL PA
NPI 1235985706
Physician Assistant in Fayetteville, NY

Active since April 25, 2024PECOS EnrolledAccepts Medicare Assignment
5100 HIGHBRIDGE ST APT 46E, FAYETTEVILLE, NY 13066(207) 245-5944 Get Directions Write a Review

NPPES record last updated: October 24, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 19, 2024, Apr 25, 2024 (2 updates tracked since 2024).

About Priya Prakash Patel Pa NPPES

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

PRIYA PRAKASH PATEL PA (NPI 1235985706) is an individual physician assistant in Fayetteville, New York, licensed in New York (3031863) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS, is affiliated with Evangelical Community Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1235985706
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NamePRIYA PRAKASH PATELCredential: PA
Location Address5100 HIGHBRIDGE ST APT 46EFayetteville, NY 13066-2460
Mailing Address5100 Highbridge St Apt 46eFayetteville, NY 13066-2460 · (207) 245-5944
Phone(207) 245-5944
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateApril 25, 2024
Last NPPES UpdateOctober 24, 20242 updates tracked since enumeration
NPPES CertifiedOctober 24, 2024
✔ NPI 1235985706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 3031863
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.
5100 HIGHBRIDGE ST APT 46E, Fayetteville, NY 13066
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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

Priya Prakash Patel Pa 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 ID143763243
PECOS Enrollment IDI20250818004459
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 3

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
299 services51 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
106 services33 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
19 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Evangelical Community Hospital

Acute Care Hospitals · Lewisburg, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390013
LocationOne Hospital DriveLewisburg, PA 17837 · Union County
Emergency services Birthing friendly

Upmc Williamsport

Acute Care Hospitals · Williamsport, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390045
Location700 High StreetWilliamsport, PA 17701 · Lycoming County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13066 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

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 Priya Patel's NPI number?

The NPI number for Priya Patel is 1235985706. It was assigned to this individual provider in the NPPES registry on April 25, 2024.

Where is Priya Patel located?

Priya Patel practices at 5100 Highbridge St Apt 46E, Fayetteville, NY 13066. The listed phone number is (207) 245-5944.

What is Priya Patel's specialty?

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

Is Priya Patel enrolled in Medicare?

Yes. Priya 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.

Is Priya Patel affiliated with any hospitals?

According to CMS data, Priya Patel is affiliated with Evangelical Community Hospital and Upmc Williamsport.

When was this NPI record last updated?

The NPPES record for Priya Patel was last updated on October 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.