SARTHAK PATEL MD
NPI 1316599723
Hospitalist in Wheeling, WV

Active since July 15, 2019PECOS EnrolledAccepts Medicare Assignment
95.38/100
CMS Quality Rating
40 MEDICAL PARK STE 401, WHEELING, WV 26003(304) 243-3880(304) 243-3895 Get Directions Write a Review

NPPES record last updated: December 13, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 13, 2022, Jul 15, 2019 (2 updates tracked since 2019).

About Sarthak Patel Md NPPES

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

SARTHAK PATEL MD (NPI 1316599723) is an individual hospitalist provider in Wheeling, West Virginia, licensed in New York (318028) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS, is affiliated with Canton-potsdam Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1316599723
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameSARTHAK PATELCredential: MD
Location Address40 MEDICAL PARK STE 401Wheeling, WV 26003-6392
Mailing Address40 Medical Park Ste 401Wheeling, WV 26003-6392 · (304) 243-3880 · Fax (304) 243-3895
Fax(304) 243-3895
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 15, 2019
Last NPPES UpdateDecember 13, 20222 updates tracked since enumeration
NPPES CertifiedDecember 13, 2022
NPI 1316599723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in NY · 318028
Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

40 MEDICAL PARK STE 401, Wheeling, WV 26003

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

Sarthak 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 ID1658757695
PECOS Enrollment IDI20220929000076
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 2

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
197 services187 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.
21 services21 patients

Hospital Affiliations CMS Care Compare 3

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

Canton-Potsdam Hospital

Acute Care Hospitals · Potsdam, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330197
Location50 Leroy StreetPotsdam, NY 13676 · St. Lawrence County
Emergency services Birthing friendly

Gouverneur Hospital

Critical Access Hospitals · Gouverneur, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331315
Location77 West Barney StreetGouverneur, NY 13642 · St. Lawrence County
Emergency services

Slhs Massena, Inc

Critical Access Hospitals · Massena, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331322
Location1 Hospital DriveMassena, NY 13662 · St. Lawrence County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26003 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
$124.46 typical visit price
range $53.20 – $164.59
Typical copayment $31.11 (range $13.30 – $41.14)
Most-billed visit code 99204
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

95.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.26
Promoting Interoperability99.17
Improvement Activities40

Other Providers at the Same Location NPPES 17

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

Student in an Organized Health Care Education/Training Program
40 MEDICAL PARK STE 401
WHEELING, WV 26003
Hospitalist
40 MEDICAL PARK STE 401
WHEELING, WV 26003
Student in an Organized Health Care Education/Training Program
40 MEDICAL PARK STE 401, JAMESON HOSPITAL
WHEELING, WV 26003
Student in an Organized Health Care Education/Training Program
40 MEDICAL PARK STE 401
WHEELING, WV 26003
Student in an Organized Health Care Education/Training Program
40 MEDICAL PARK STE 401
WHEELING, WV 26003
Family Medicine
40 MEDICAL PARK STE 401
WHEELING, WV 26003
Clinical Medical Laboratory
40 MEDICAL PARK STE 401
WHEELING, WV 26003
Student in an Organized Health Care Education/Training Program
40 MEDICAL PARK STE 401
WHEELING, WV 26003

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 Sarthak Patel's NPI number?

The NPI number for Sarthak Patel is 1316599723. It was assigned to this individual provider in the NPPES registry on July 15, 2019.

Where is Sarthak Patel located?

Sarthak Patel practices at 40 Medical Park Ste 401, Wheeling, WV 26003. The listed phone number is (304) 243-3880.

What is Sarthak Patel's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Sarthak Patel enrolled in Medicare?

Yes. Sarthak 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 Sarthak Patel affiliated with any hospitals?

According to CMS data, Sarthak Patel is affiliated with Canton-Potsdam Hospital, Gouverneur Hospital and Slhs Massena, Inc.

When was this NPI record last updated?

The NPPES record for Sarthak Patel was last updated on December 13, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.