NILESH PATIL
NPI 1285827840
Orthopaedic Surgery in Somerset, PA

Q: What is Nilesh Patil's NPI number?

The NPI number for Nilesh Patil is 1285827840. It was assigned to this individual provider in the NPPES registry on August 27, 2007.

Q: What is Nilesh Patil's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Nilesh Patil was last updated on January 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 27, 2007PECOS EnrolledAccepts Medicare Assignment

126 E CHURCH ST STE 2100, SOMERSET, PA 15501(814) 443-1281 Get Directions Write a Review

NPPES record last updated: January 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 7, 2023, May 24, 2021 (2 updates tracked since 2021).

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About Nilesh Patil NPPES

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

NILESH PATIL (NPI 1285827840) is an individual orthopaedic surgery provider in Somerset, Pennsylvania, licensed in Pennsylvania (MD463577) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS, is affiliated with Upmc Somerset, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1285827840

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameNILESH PATIL

Location Address126 E CHURCH ST STE 2100Somerset, PA 15501-2271

Mailing Address126 E Church St Ste 2100Somerset, PA 15501-2271 · (814) 443-1281

Phone(814) 443-1281

Sole ProprietorNo

Medical School CMSOtherGraduated 2002

Enumeration DateAugust 27, 2007

Last NPPES UpdateJanuary 7, 20232 updates tracked since enumeration

NPPES CertifiedJanuary 7, 2023

✔ NPI 1285827840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in PA · MD463577

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

126 E CHURCH ST STE 2100, Somerset, PA 15501

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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

Nilesh Patil 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 ID4082700356

PECOS Enrollment IDI20180411000015

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 15

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.

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702

This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.

263 services97 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.

187 services147 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

167 services114 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

79 services79 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

79 services63 patients

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.

59 services53 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

52 services43 patients

Hyaluronan or derivative, gel-one, for intra-articular injection, per dose J7326

Hyaluronan or Gel-One is a substance injected directly into your joint space. It's aimed to supplement your body's natural joint fluid, helping to lubricate and cushion the joint, reducing pain and improving mobility. It's often used for arthritis relief.

52 services37 patients

X-ray of knee, 1-2 views 73560

An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.

40 services38 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

33 services29 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

28 services26 patients

X-ray of ankle, minimum of 3 views 73610

An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.

21 services16 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

17 services15 patients

X-ray of hip, 1 view 73501

An X-ray of the hip, 1 view, is a quick, painless test where a small amount of radiation is used to produce images of the hip joint. This helps in diagnosing conditions like arthritis or fractures. You'll be positioned so that the X-ray machine can capture the best image of your hip.

15 services15 patients

X-ray of both knees while standing 73565

An X-ray of both knees while standing is a diagnostic procedure that captures images of your knee joints. You'll stand in front of an X-ray machine, and it will take pictures showing the bones and tissues in your knees. This helps doctors identify any abnormalities or injuries.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Upmc Somerset

Acute Care Hospitals · Somerset, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390039

Location225 South Center AvenueSomerset, PA 15501 · Somerset County

Emergency services

Conemaugh Meyersdale Medical Center

Critical Access Hospitals · Meyersdale, PA

OwnershipProprietary

CMS Certification Number391302

Location200 Hospital DriveMeyersdale, PA 15552 · Somerset County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15501 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

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.

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Other Providers at the Same Location NPPES 4

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

STEVEN AGABEGI MD

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)

126 E CHURCH ST STE 2100
SOMERSET, PA 15501

Somerset County (513) 475-8690

JOHN ADAM MACPHAIL MD

Orthopaedic Surgery

126 E CHURCH ST STE 2100
SOMERSET, PA 15501

Somerset County (814) 445-1281

VIVEK SHARMA

Orthopaedic Surgery

126 E CHURCH ST STE 2100
SOMERSET, PA 15501

Somerset County (814) 443-1281

MR. OLEG COOLEY PA-C

Physician Assistant (Surgical)

126 E CHURCH ST STE 2100
SOMERSET, PA 15501

Somerset County (814) 443-1281

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 Nilesh Patil's NPI number?

The NPI number for Nilesh Patil is 1285827840. It was assigned to this individual provider in the NPPES registry on August 27, 2007.

Where is Nilesh Patil located?

Nilesh Patil practices at 126 E Church St Ste 2100, Somerset, PA 15501. The listed phone number is (814) 443-1281.

What is Nilesh Patil's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Nilesh Patil enrolled in Medicare?

Yes. Nilesh Patil 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 Nilesh Patil affiliated with any hospitals?

According to CMS data, Nilesh Patil is affiliated with Upmc Somerset and Conemaugh Meyersdale Medical Center.

When was this NPI record last updated?

The NPPES record for Nilesh Patil was last updated on January 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.