Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PRADEEP REDDY PATEL MD
NPI 1255534343
Family Medicine in Monroe, NC

Active since June 07, 2007PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
600 HOSPITAL DR, MONROE, NC 28112(704) 993-2240 Get Directions Write a Review

NPPES record last updated: June 18, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 1, 2026, Mar 19, 2026, Oct 2, 2023 and 62 more (65 updates tracked since 2015).

About Pradeep Reddy Patel Md NPPES

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

PRADEEP REDDY PATEL MD (NPI 1255534343) is an individual family medicine provider in Monroe, North Carolina, licensed in North Carolina (2010-01570) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Vidant Duplin Hospital, and maintains 8 additional practice locations.

NPPES Registry Identity

NPI1255534343
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NamePRADEEP REDDY PATELCredential: MD
Location Address600 HOSPITAL DRMonroe, NC 28112-6000
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2010
Enumeration DateJune 7, 2007
Last NPPES UpdateJune 18, 202665 updates tracked since enumeration
NPPES CertifiedJune 18, 2026
NPI 1255534343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in NC · 2010-01570 Licensed in CO · DR.0068412 Licensed in SC · 33962 Licensed in GA · 111305
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.
Also ListedHospitalistTaxonomy 208M00000X · License 2010-01570 (NC)
600 HOSPITAL DR, Monroe, NC 28112

Secondary Practice Locations 8

Location 112230 Lioness WayParker, CO 80134-5603 · Phone (720) 644-9355
Location 28800 N Tryon StCharlotte, NC 28262-3300 · Phone (704) 863-6241
Location 31501 E 3rd StDelta, CO 81416-2815 · Phone (970) 874-7681
Location 42001 Vail AveCharlotte, NC 28207-1248 · Phone (704) 304-6070
Location 51000 Blythe BlvdCharlotte, NC 28203-5812 · Phone (704) 355-0720
Location 6163 S Tallahassee StHazlehurst, GA 31539-6465 · Phone (912) 375-7781
Location 71787 Allendale Fairfax HwyFairfax, SC 29827-9133 · Phone (303) 390-1940
Location 810628 Park RdCharlotte, NC 28210-8407 · Phone (704) 667-7070

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

Pradeep Reddy 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 ID5294927398
PECOS Enrollment IDI20101007000841, I20160624001303, I20220506000122
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 4

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.
408 services144 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
214 services174 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.
179 services162 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.
126 services88 patients

Hospital Affiliations CMS Care Compare 2

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

Vidant Duplin Hospital

Acute Care Hospitals · Kenansville, NC
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340120
Location401 N Main StKenansville, NC 28349 · Duplin County
Emergency services Birthing friendly

Catawba Valley Medical Center

Acute Care Hospitals · Hickory, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number340143
Location810 Fairgrove Church RdHickory, NC 28602 · Catawba County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28112 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.

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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

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
4 suppliers33 claims34 services$17.10 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
5 suppliers31 claims31 services$82.87 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.

Dietitian, Registered
600 HOSPITAL DR
MONROE, NC 28112
Physician Assistant
600 HOSPITAL DR
MONROE, NC 28112
Nurse Anesthetist, Certified Registered
600 HOSPITAL DR
MONROE, NC 28112
Psychiatry & Neurology (Neurology)
600 HOSPITAL DR, STE A
MONROE, NC 28112
Internal Medicine
600 HOSPITAL DR
MONROE, NC 28112
Anesthesiology
600 HOSPITAL DR
MONROE, NC 28112
Dietitian, Registered
600 HOSPITAL DR
MONROE, NC 28112
Anesthesiology
600 HOSPITAL DR
MONROE, NC 28112

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 Pradeep Patel's NPI number?

The NPI number for Pradeep Patel is 1255534343. It was assigned to this individual provider in the NPPES registry on June 7, 2007.

Where is Pradeep Patel located?

Pradeep Patel practices at 600 Hospital Dr, Monroe, NC 28112. The listed phone number is (704) 993-2240.

What is Pradeep Patel's specialty?

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

Is Pradeep Patel enrolled in Medicare?

Yes. Pradeep 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 Pradeep Patel affiliated with any hospitals?

According to CMS data, Pradeep Patel is affiliated with Vidant Duplin Hospital and Catawba Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Pradeep Patel was last updated on June 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 54 days 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.