VIJAY M PATEL MD
NPI 1326260837
Internal Medicine - Medical Oncology in Gainesville, FL

Active since May 03, 2007PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
6420 W NEWBERRY RD, EAST WING, SUITE 100, GAINESVILLE, FL 32605(352) 332-3900(352) 332-5009 Get Directions Write a Review

NPPES record last updated: August 12, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 12, 2022, Nov 17, 2021, Jul 14, 2016 and 1 more (4 updates tracked since 2015).

About Vijay M Patel Md NPPES

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

VIJAY M PATEL MD (NPI 1326260837) is an individual medical oncology provider in Gainesville, Florida, licensed in Florida (ME112504) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1326260837
Entity TypeIndividualMale
Primary Taxonomy207RX0202X
Provider Legal NameVIJAY M PATELCredential: MD
Location Address6420 W NEWBERRY RD, EAST WING, SUITE 100Gainesville, FL 32605-4308
Mailing AddressPo Box 102222, Attn: Credentialing DepartmentAtlanta, GA 30368-2222 · (239) 274-8200 · Fax (239) 278-3350
Fax(352) 332-5009
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateMay 3, 2007
Last NPPES UpdateAugust 12, 20224 updates tracked since enumeration
NPPES CertifiedAugust 12, 2022
NPI 1326260837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
License Licensed in FL · ME112504
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
Also ListedInternal Medicine · HematologyTaxonomy 207RH0000X · License ME112504 (FL)
6420 W NEWBERRY RD, Gainesville, FL 32605

Other Identifiers 1

Medicaid015408200FL

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

Vijay M 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 ID2365611530
PECOS Enrollment IDI20150901003089
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 56

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, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) Q0138
Ferumoxytol injection is a treatment for iron deficiency anemia, a condition where your body lacks enough iron. It is injected into your vein to increase iron levels, aiding in the production of healthy red blood cells. This treatment is not for ESRD patients.
137,190 services136 patients
Injection, pembrolizumab, 1 mg J9271
Pembrolizumab is a medication given via injection to help your body's immune system fight certain types of cancer. It's typically administered in a hospital or clinic by a healthcare professional.
29,200 services21 patients
Injection, nivolumab, 1 mg J9299
Nivolumab is a medication given via injection, often used in cancer treatment. It works by helping your immune system fight the cancer cells. The dosage is measured in milligrams (mg), with 1 mg being a common dose.
26,649 services16 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.
25,800 services73 patients
Injection, oxaliplatin, 0.5 mg J9263
Oxaliplatin is a chemotherapy drug that is administered via injection. It works by stopping cancer cells from growing and dividing, which helps in the treatment of certain types of cancer. The dosage is 0.5 mg, and it's important to follow your doctor's instructions for this treatment.
17,722 services15 patients
Injection, iron sucrose, 1 mg J1756
Iron sucrose injection is a treatment given to replenish iron in your body, often used when oral iron supplements are not effective. This helps your body make red blood cells, improving health and energy levels.
12,800 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32605 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
$171.84 typical visit price
range $56.00 – $171.84
Typical copayment $42.96 (range $14.00 – $42.96)
Most-billed visit code 99205
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

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.
96%1,759 patients4/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
100%301 patients5/55-star benchmark: 96%
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.
92%1,146 patients4/55-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.
40%2,415 patients2/55-star benchmark: 99%
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…
56%2,415 patients3/55-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…
5%2,415 patients1/55-star benchmark: 59%
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims330 services$4.15 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims6,193 services$0.39 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.

Nurse Practitioner
6420 W NEWBERRY RD, EAST WING, SUITE 100
GAINESVILLE, FL 32605
Nurse Practitioner (Adult Health)
6420 W NEWBERRY RD, EAST WING, SUITE 100
GAINESVILLE, FL 32605
Radiology (Radiation Oncology)
6420 W NEWBERRY RD
GAINESVILLE, FL 32605
Acupuncturist
6420 W NEWBERRY RD, RM #180
GAINESVILLE, FL 32605
Internal Medicine (Medical Oncology)
6420 W NEWBERRY RD, EAST WING, SUITE 100
GAINESVILLE, FL 32605
Radiology (Radiation Oncology)
6420 W NEWBERRY RD
GAINESVILLE, FL 32605
Nurse Practitioner (Family)
6420 W NEWBERRY RD, EAST WING, SUITE 100
GAINESVILLE, FL 32605
Internal Medicine (Medical Oncology)
6420 W NEWBERRY RD, EAST WING, SUITE 100
GAINESVILLE, FL 32605

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 Vijay Patel's NPI number?

The NPI number for Vijay Patel is 1326260837. It was assigned to this individual provider in the NPPES registry on May 3, 2007.

Where is Vijay Patel located?

Vijay Patel practices at 6420 W Newberry Rd East Wing, Suite 100, Gainesville, FL 32605. The listed phone number is (352) 332-3900.

What is Vijay Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Vijay Patel enrolled in Medicare?

Yes. Vijay 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 Vijay Patel accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 3 other insurers list Vijay 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.

When was this NPI record last updated?

The NPPES record for Vijay Patel was last updated on August 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.