USHIR V PATEL M.D.
NPI 1285936757
Internal Medicine - Nephrology in Sacramento, CA

Active since December 03, 2010PECOS EnrolledAccepts Medicare Assignment
96.5/100
CMS Quality Rating
8120 TIMBERLAKE WAY, SACRAMENTO, CA 95823(916) 681-6000(916) 681-6188 Get Directions Write a Review

NPPES record last updated: July 10, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ushir V Patel M.d. NPPES

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

USHIR V PATEL M.D. (NPI 1285936757) is an individual nephrology provider in Sacramento, California, licensed in California (A114259) and active in the NPI registry since December 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1285936757
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameUSHIR V PATELCredential: M.D.
Location Address8120 TIMBERLAKE WAYSacramento, CA 95823-5412
Mailing Address3400 Data Dr, Physician Support ServicesRancho Cordova, CA 95670-7956
Fax(916) 681-6188
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateDecember 3, 2010
Last NPPES UpdateJuly 10, 2014
NPI 1285936757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in CA · A114259
Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Also ListedInternal MedicineTaxonomy 207R00000X · License A114259 (CA)
8120 TIMBERLAKE WAY, Sacramento, CA 95823

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

Ushir V 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 ID9436397262
PECOS Enrollment IDI20130605000803
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 14

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, epoetin alfa, (for non-esrd use), 1000 units J0885
Epoetin alfa is a medication injected to help your body produce more red blood cells, improving energy levels and reducing tiredness. It's often used for patients with certain types of anemia. Each injection contains 1000 units of the medicine.
2,021 services40 patients
Follow-up hospital inpatient care per day, typically 25 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
756 services222 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
596 services271 patients
Dialysis services, 1 physician visit per month (20 years or older) 90962
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can’t do their job. A physician visit once a month ensures your treatment is working effectively and adjusts it if necessary. This service is available for individuals aged 20 years and older.
364 services74 patients
Blood count, hemoglobin 85018
A blood count, specifically hemoglobin, is a standard test that measures the amount of hemoglobin in your blood. Hemoglobin is a protein in red blood cells that carries oxygen throughout your body. This test helps assess your overall health and detect a variety of disorders such as anemia or polycythemia.
211 services38 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
194 services40 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95823 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
$137.20 typical visit price
range $60.44 – $180.85
Typical copayment $34.30 (range $15.11 – $45.21)
Most-billed visit code 99204
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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.

96.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.34
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 5

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

Cyclosporine, oral, 100 mg J7502
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier11 claims550 services$1.70 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers11 claims660 services$0.29 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier11 claims2,640 services$0.19 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
2 suppliers21 claims21 services$18.03 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
3 suppliers12 claims13 services$12.64 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.

Optometrist
8120 TIMBERLAKE WAY, STE 211
SACRAMENTO, CA 95823
Optometrist
8120 TIMBERLAKE WAY, STE 211
SACRAMENTO, CA 95823
Family Medicine
8120 TIMBERLAKE WAY, #207
SACRAMENTO, CA 95823
Orthopaedic Surgery (Orthopaedic Trauma)
8120 TIMBERLAKE WAY, SUITE 201
SACRAMENTO, CA 95823
Obstetrics & Gynecology
8120 TIMBERLAKE WAY, SUITE 208
SACRAMENTO, CA 95823
Family Medicine
8120 TIMBERLAKE WAY, STE. 207
SACRAMENTO, CA 95823
Obstetrics & Gynecology
8120 TIMBERLAKE WAY
SACRAMENTO, CA 95823
Hospitalist
8120 TIMBERLAKE WAY
SACRAMENTO, CA 95823

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285936757, enumerated as an "individual" on December 03, 2010.

The provider is located at 8120 TIMBERLAKE WAY SACRAMENTO, CA 95823 and the phone number is (916) 681-6000.

Internal Medicine with taxonomy code 207RN0300X and a focus in Nephrology.