GNANESH R PATEL MD
NPI 1316238298
Internal Medicine - Rheumatology in Wilkes Barre, PA

Q: What is Gnanesh Patel's NPI number?

The NPI number for Gnanesh Patel is 1316238298. It was assigned to this individual provider in the NPPES registry on April 26, 2011.

Q: What is Gnanesh Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Q: When was this NPI record last updated?

The NPPES record for Gnanesh Patel was last updated on April 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.

Active since April 26, 2011PECOS EnrolledAccepts Medicare Assignment

91.2/100

CMS Quality Rating

150 MUNDY ST, ARTHRITIS CENTER OF NEPA, WILKES BARRE, PA 18702(570) 824-7117 Get Directions Write a Review

NPPES record last updated: April 10, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Gnanesh R Patel Md NPPES

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

GNANESH R PATEL MD (NPI 1316238298) is an individual rheumatology provider in Wilkes Barre, Pennsylvania, licensed in Pennsylvania (MD449967) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, is affiliated with Geisinger Medical Center, and is a graduate of Rutgers R W Johnson Medical School (cam/new Bruns/pisc) (2008).

NPPES Registry Identity

NPI1316238298

Entity TypeIndividualMale

Primary Taxonomy207RR0500X

Provider Legal NameGNANESH R PATELCredential: MD

Location Address150 MUNDY ST, ARTHRITIS CENTER OF NEPAWilkes Barre, PA 18702-6830

Mailing Address150 Mundy St, Arthritis Center Of NepaWilkes Barre, PA 18702-6830 · (570) 824-7117

Phone(570) 824-7117

Sole ProprietorYes

Medical School CMSRutgers R W Johnson Medical School (cam/new Bruns/pisc)Graduated 2008

Enumeration DateApril 26, 2011

Last NPPES UpdateApril 10, 2014

✔ NPI 1316238298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians

Taxonomy Code207RR0500X

Licenses✔ Licensed in PA · MD449967✔ Licensed in GA · 066301

Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

150 MUNDY ST, Wilkes Barre, PA 18702

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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

Gnanesh R 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 ID5698902369

PECOS Enrollment IDI20131230001520

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 16

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, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) J0717

Certolizumab pegol is a medication injected under a doctor's supervision. It's used to treat certain inflammatory conditions like rheumatoid arthritis. The injection helps reduce symptoms like pain and swelling. Note that this drug isn't for self-administration.

83,600 services19 patients

Injection, golimumab, 1 mg, for intravenous use J1602

Golimumab is a medication given through an IV (a small tube in your vein). It helps to reduce inflammation and pain by blocking a protein in your body that causes inflammation. It's often used to treat conditions like rheumatoid arthritis, psoriatic arthritis, and ankylosing spondylitis.

75,096 services72 patients

Injection, tocilizumab, 1 mg J3262

Tocilizumab is a medication administered via injection. It's used to treat certain conditions like rheumatoid arthritis by reducing inflammation in the body. It works by blocking a substance in the body that leads to inflammation.

73,571 services14 patients

Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) J0129

Abatacept is a medication administered via injection under a doctor's supervision. It's used to treat conditions like rheumatoid arthritis by moderating the immune system. This code applies when the doctor administers the drug, not for self-administration.

29,625 services37 patients

Injection, denosumab, 1 mg J0897

Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.

26,820 services260 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.

1,119 services646 patients

Administration of chemotherapy into vein, 1 hour or less 96413

Chemotherapy is a treatment that uses drugs to destroy cancer cells. When administered into a vein, it's often through an IV. This procedure usually lasts 1 hour or less. You may feel a slight pinch as the needle is inserted, but it's generally painless.

976 services133 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.

489 services273 patients

Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle 96401

This procedure involves giving anti-cancer drugs, which don't contain hormones, into the muscle or under the skin. These drugs help to stop the growth of cancer cells. The process is usually quick and done by a healthcare professional.

413 services19 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.

304 services203 patients

Infusion, normal saline solution, 250 cc J7050

An infusion of normal saline solution, 250 cc, involves administering a sterile saltwater solution into your body through a vein, usually in your arm. This helps to replenish fluids, maintain hydration, and balance electrolytes in your body.

138 services100 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

136 services136 patients

Injection, zoledronic acid, 1 mg J3489

Zoledronic acid is a medication given via injection to strengthen bones. It's often used in patients with osteoporosis or certain types of cancer. The injection helps reduce the risk of fractures and other bone complications.

85 services17 patients

Administration of chemotherapy into vein, each additional hour 96415

Chemotherapy is a treatment method that uses drugs to destroy cancer cells. The drugs are administered into a vein, usually in the arm. Each additional hour of chemotherapy allows for more of the medication to enter your bloodstream to fight against the cancer cells.

62 services13 patients

Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less 96365

This is a procedure where a medical professional inserts a small tube into your vein to deliver medication, nutrients, or fluids directly into your bloodstream. This can be for treatment, prevention, or diagnosis. The process typically takes less than an hour.

33 services26 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

29 services21 patients

Hospital Affiliations CMS Care Compare 5

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

Geisinger Medical Center

Acute Care Hospitals · Danville, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390006

Location100 North Academy AvenueDanville, PA 17822 · Montour County

Emergency services Birthing friendly

Wilkes-Barre General Hospital

Acute Care Hospitals · Wilkes-Barre, PA

1/5 CMS rating

OwnershipProprietary

CMS Certification Number390137

Location575 North River StreetWilkes-Barre, PA 18764 · Luzerne County

Emergency services

St Luke's Miners Memorial Hospital

Acute Care Hospitals · Coaldale, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390183

Location360 W Ruddle StreetCoaldale, PA 18218 · Schuylkill County

Emergency services

Lehigh Valley Hospital - Hazleton

Acute Care Hospitals · Hazleton, PA

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number390185

Location700 East Broad StreetHazleton, PA 18201 · Luzerne County

Emergency services Birthing friendly

Geisinger Wyoming Valley Medical Center

Acute Care Hospitals · Wilkes Barre, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390270

Location1000 East Mountain BoulevardWilkes Barre, PA 18711 · Luzerne County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18702 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

$126.34 typical visit price

range $54.64 – $166.87

Typical copayment $31.58 (range $13.66 – $41.71)

Most-billed visit code 99204

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

91.2/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

82.4

Improvement Activities

Reported Quality Measures

Controlling High Blood Pressure

70%382 patients4/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

98%3,510 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

15%1,081 patients1/55-star benchmark: 100%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

32%2,121 patients3/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 99% · 1,134 patients

Patients screened: 99% · 1,134 patients

100%96 patients5/55-star benchmark: 100%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 1,120 patients

Patients totalRate: 0% · 1,120 patients

0%1,120 patients5/55-star benchmark: 100%

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.

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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.

MS. MARY ELLEN MCCORMICK CRNP

Nurse Practitioner

150 MUNDY ST, MAC IV BUILDING
WILKES BARRE, PA 18702

Luzerne County (570) 824-0930

JOHN A. KLINE M.D.

Physical Medicine & Rehabilitation

150 MUNDY ST
WILKES BARRE, PA 18702

Luzerne County (570) 824-0930

MID-STATE OCCUPATIONAL HEALTH SERVICES, INC.

Clinic/Center (Occupational Medicine)

150 MUNDY ST, MAC 1
WILKES BARRE, PA 18702

Luzerne County (570) 970-2300

AMERICAN HOMECARE SUPPLY CO

Durable Medical Equipment & Medical Supplies

150 MUNDY ST, MAC IV BUILDING
WILKES BARRE, PA 18702

Luzerne County (570) 825-7600

JOHN HEINZ INSTITUTE OF REHABILITATION MEDICINE

Rehabilitation Hospital

150 MUNDY ST
WILKES BARRE, PA 18702

Luzerne County (570) 826-3800

DENISE ANN ZAVADA L.C.S.W.

Social Worker (Clinical)

150 MUNDY ST
WILKES BARRE, PA 18702

Luzerne County (570) 830-4207

KELLY MONICA GAZEY PT

Physical Therapist

150 MUNDY ST
WILKES BARRE, PA 18702

Luzerne County (570) 826-3800

GREGORY G. BASTING M.D.

Physical Medicine & Rehabilitation

150 MUNDY ST
WILKES BARRE, PA 18702

Luzerne County (570) 824-0930

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 Gnanesh Patel's NPI number?

The NPI number for Gnanesh Patel is 1316238298. It was assigned to this individual provider in the NPPES registry on April 26, 2011.

Where is Gnanesh Patel located?

Gnanesh Patel practices at 150 Mundy St Arthritis Center Of Nepa, Wilkes Barre, PA 18702. The listed phone number is (570) 824-7117.

What is Gnanesh Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Gnanesh Patel enrolled in Medicare?

Yes. Gnanesh 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 Gnanesh Patel affiliated with any hospitals?

According to CMS data, Gnanesh Patel is affiliated with Geisinger Medical Center, Wilkes-Barre General Hospital, St Luke's Miners Memorial Hospital, Lehigh Valley Hospital - Hazleton and Geisinger Wyoming Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Gnanesh Patel was last updated on April 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.