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ABHISHEK P PATEL M.D.
NPI 1366760662
Urology in Columbus, OH

Active since May 11, 2010PECOS EnrolledAccepts Medicare Assignment
81.3/100
CMS Quality Rating
5141 W BROAD ST, SUITE 180, COLUMBUS, OH 43228(614) 544-1460(614) 544-1853 Get Directions Write a Review

NPPES record last updated: January 25, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 25, 2022, Sep 22, 2016 (2 updates tracked since 2016).

About Abhishek P Patel M.d. NPPES

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

ABHISHEK P PATEL M.D. (NPI 1366760662) is an individual urology provider in Columbus, Ohio, licensed in Ohio (35129550) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and is a graduate of University Of Missouri, Columbia School Of Medicine (2010).

NPPES Registry Identity

NPI1366760662
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameABHISHEK P PATELCredential: M.D.
Location Address5141 W BROAD ST, SUITE 180Columbus, OH 43228-1992
Mailing Address5400 Frantz Rd, Suite 250Dublin, OH 43016-4144
Phone(614) 544-1460
Fax(614) 544-1853
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 2010
Enumeration DateMay 11, 2010
Last NPPES UpdateJanuary 25, 20222 updates tracked since enumeration
✔ NPI 1366760662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in OH · 35129550
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
5141 W BROAD ST, Columbus, OH 43228
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Abhishek P Patel M.d. 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 ID1850532227
PECOS Enrollment IDI20161012002883
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 10

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 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.
333 services201 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
104 services30 patients
Dilation of urethra using an endoscope 52281
This procedure involves expanding a narrow passage in your urinary tract with the help of a special instrument called an endoscope. It aids in improving urine flow and resolving related issues, ensuring better urinary health.
51 services40 patients
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.
47 services34 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.
43 services43 patients
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.
22 services22 patients

Hospital Affiliations CMS Care Compare 4

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

Riverside Methodist Hospital

Acute Care Hospitals · Columbus, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360006
Location3535 Olentangy River RdColumbus, OH 43214 · Franklin County
Emergency services Birthing friendly

Grant Medical Center

Acute Care Hospitals · Columbus, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360017
Location111 South Grant AvenueColumbus, OH 43215 · Franklin County
Emergency services Birthing friendly

Doctors Hospital

Acute Care Hospitals · Columbus, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360152
Location5100 West Broad StreetColumbus, OH 43228 · Franklin County
Emergency services Birthing friendly

Dublin Methodist Hospital

Acute Care Hospitals · Dublin, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360348
Location7500 Hospital AvenueDublin, OH 43016 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43228 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
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

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.

81.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.58
Promoting Interoperability98
Improvement Activities40
Cost65.77

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.

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
4 suppliers38 claims4,620 services$0.09 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
5 suppliers41 claims5,100 services$1.58 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 6

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

LOUISE MAE OWEN MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
5141 W BROAD ST, STE 180
COLUMBUS, OH 43228
Franklin County (614) 788-8360
MS. IVY ELIZABETH POMA PA-C
Physician Assistant
5141 W BROAD ST
COLUMBUS, OH 43228
Franklin County (614) 544-1860
ALEXANDER S FALK PA
Physician Assistant
5141 W BROAD ST, SUITE 180
COLUMBUS, OH 43228
Franklin County (614) 544-1460
STUART L BOWERS MD
Urology
5141 W BROAD ST, SUITE 180
COLUMBUS, OH 43228
Franklin County (614) 544-1460
DR. MICHAEL BENJAMIN HALLET M.D.
Urology
5141 W BROAD ST, SUITE 180
COLUMBUS, OH 43228
Franklin County (614) 544-1460
COMPLETE EYECARE WEST INC
Ophthalmology
5141 W BROAD ST, SUITE 100
COLUMBUS, OH 43228
Franklin County (614) 878-1571

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 Abhishek Patel's NPI number?

The NPI number for Abhishek Patel is 1366760662. It was assigned to this individual provider in the NPPES registry on May 11, 2010.

Where is Abhishek Patel located?

Abhishek Patel practices at 5141 W Broad St Suite 180, Columbus, OH 43228. The listed phone number is (614) 544-1460.

What is Abhishek Patel's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Abhishek Patel enrolled in Medicare?

Yes. Abhishek 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 Abhishek Patel accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual list Abhishek 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 Abhishek Patel affiliated with any hospitals?

According to CMS data, Abhishek Patel is affiliated with Riverside Methodist Hospital, Grant Medical Center, Doctors Hospital and Dublin Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Abhishek Patel was last updated on January 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.