DR. BAKUL PATEL MD
NPI 1295881894
Psychiatry & Neurology - Neurology in Cincinnati, OH

Active since January 26, 2007PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
6949 GOOD SAMARITAN DR, CINCINNATI, OH 45247(513) 246-7000 Get Directions Write a Review

NPPES record last updated: August 25, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 31, 2023, Sep 23, 2021, Jan 23, 2020 (3 updates tracked since 2020).

About Dr. Bakul Patel Md NPPES

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

DR. BAKUL PATEL MD (NPI 1295881894) is an individual neurology provider in Cincinnati, Ohio, licensed in Ohio (35.143432) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Good Samaritan Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1295881894
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. BAKUL PATELCredential: MD
Location Address6949 GOOD SAMARITAN DRCincinnati, OH 45247-5204
Mailing Address10738 Stratton CirCarmel, IN 46032-8214 · (317) 429-9336 · Fax (317) 429-9354
Sole ProprietorYes
Medical School CMSOtherGraduated 1986
Enumeration DateJanuary 26, 2007
Last NPPES UpdateAugust 25, 20253 updates tracked since enumeration
NPPES CertifiedAugust 25, 2025
NPI 1295881894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses Licensed in OH · 35.143432 Licensed in IN · 01052484A
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
6949 GOOD SAMARITAN DR, Cincinnati, OH 45247

Secondary Practice Locations 2

Location 1379 Dixmyth AveCincinnati, OH 45220-2475 · Phone (513) 246-7000
Location 2654 Ellsworth StIndianapolis, IN 46202-6132 · Phone (317) 690-2666

Other Identifiers 1

Medicaid200280670IN

Accepted Insurance

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

Dr. Bakul 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 ID9133103153
PECOS Enrollment IDI20210929002044
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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
211 services167 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
107 services107 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
31 services30 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.
29 services28 patients

Hospital Affiliations CMS Care Compare 3

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

Good Samaritan Hospital

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360134
Location375 Dixmyth AvenueCincinnati, OH 45220 · Hamilton County
Emergency services Birthing friendly

Bethesda North

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360179
Location10500 Montgomery RoadCincinnati, OH 45242 · Hamilton County
Emergency services Birthing friendly

Sentara Halifax Regional Hospital

Acute Care Hospitals · South Boston, VA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490013
Location2204 Wilborn AvenueSouth Boston, VA 24592 · Halifax County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45247 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%3,866 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
97%1,386 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%201 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
93%492 patients4/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
30%490 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 47% · 430 patients
Patients tobacco: 26% · 31 patients
34%430 patients2/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
80%492 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
3%492 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
38%492 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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
6949 GOOD SAMARITAN DR
CINCINNATI, OH 45247
Family Medicine
6949 GOOD SAMARITAN DR
CINCINNATI, OH 45247
Orthopaedic Surgery (Hand Surgery)
6949 GOOD SAMARITAN DR, SUITE 230
CINCINNATI, OH 45247
Internal Medicine
6949 GOOD SAMARITAN DR, SUITE 210
CINCINNATI, OH 45247
Audiologist
6949 GOOD SAMARITAN DR
CINCINNATI, OH 45247
Physician Assistant
6949 GOOD SAMARITAN DR
CINCINNATI, OH 45247
Specialist
6949 GOOD SAMARITAN DR
CINCINNATI, OH 45247
Internal Medicine (Gastroenterology)
6949 GOOD SAMARITAN DR
CINCINNATI, OH 45247

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 Bakul Patel's NPI number?

The NPI number for Bakul Patel is 1295881894. It was assigned to this individual provider in the NPPES registry on January 26, 2007.

Where is Bakul Patel located?

Bakul Patel practices at 6949 Good Samaritan Dr, Cincinnati, OH 45247. The listed phone number is (513) 246-7000.

What is Bakul Patel's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Bakul Patel enrolled in Medicare?

Yes. Bakul 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.

What insurance does Bakul Patel accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Bakul 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 Bakul Patel affiliated with any hospitals?

According to CMS data, Bakul Patel is affiliated with Good Samaritan Hospital, Bethesda North and Sentara Halifax Regional Hospital.

When was this NPI record last updated?

The NPPES record for Bakul Patel was last updated on August 25, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.