JAY PATEL MD
NPI 1316359565
Orthopaedic Surgery in St. Louis, MO

Active since May 22, 2014PECOS EnrolledAccepts Medicare Assignment
425 NORTH NEW BALLAS ROAD, SUITE 230, ST. LOUIS, MO 63141(314) 266-2066(314) 266-2069 Get Directions Write a Review

NPPES record last updated: May 30, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 15, 2021, Mar 10, 2021, Jun 4, 2020 (3 updates tracked since 2020).

About Jay Patel Md NPPES

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

JAY PATEL MD (NPI 1316359565) is an individual orthopaedic surgery provider in St. Louis, Missouri, licensed in Missouri (2021028383) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS, maintains a secondary practice location in Bloomington, and is a graduate of Saint Louis University School Of Medicine (2014).

NPPES Registry Identity

NPI1316359565
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameJAY PATELCredential: MD
Location Address425 NORTH NEW BALLAS ROAD, SUITE 230St. Louis, MO 63141-6848
Mailing Address425 North New Ballas Road, Suite 230St. Louis, MO 63141-6848 · (314) 266-2066 · Fax (314) 266-2069
Fax(314) 266-2069
Sole ProprietorNo
Medical School CMSSaint Louis University School Of MedicineGraduated 2014
Enumeration DateMay 22, 2014
Last NPPES UpdateMay 30, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2021
✔ NPI 1316359565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in MO · 2021028383
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.
425 NORTH NEW BALLAS ROAD, St. Louis, MO 63141

Secondary Practice Location 1

Location 18100 Northland DrBloomington, MN 55431-4800 · Phone (952) 831-8742

Other Identifiers 1

Medicaid1316359565MO

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jay 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 ID1658673116
PECOS Enrollment IDI20210922000771
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jay Patel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Orthopaedic Surgery of the Spine
425 N NEW BALLAS RD STE 230
Saint Louis, MO 63141
  • Reassigned Medicare billing, Missouri enrollment
  • 6 clinicians in this Medicare group
Rural Health
114 DOWNEY PL
Cuba, MO 65453
  • Reassigned Medicare billing, Missouri enrollment
  • Also billed through NPI 1245277631 (Missouri)
  • 1,487 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63141 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
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.

Other Providers at the Same Location NPPES

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

Orthopaedic Surgery
425 NORTH NEW BALLAS ROAD, SUITE 230
ST. LOUIS, MO 63141

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 Jay Patel's NPI number?

The NPI number for Jay Patel is 1316359565. It was assigned to this individual provider in the NPPES registry on May 22, 2014.

Where is Jay Patel located?

Jay Patel practices at 425 North New Ballas Road Suite 230, St. Louis, MO 63141. The listed phone number is (314) 266-2066.

What is Jay Patel's specialty?

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

Is Jay Patel enrolled in Medicare?

Yes. Jay 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.

Which organizations bill Medicare for Jay Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jay Patel reassigns Medicare benefits to 2 organizations: Onyx Spine Institute, LLC (Saint Louis, MO) and Mercy Clinic Springfield Communities (Cuba, MO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jay Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jay Patel was last updated on May 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.