AMIT RASIKBHAI PATEL MD
NPI 1376604025
Orthopaedic Surgery in York, PA

Active since December 13, 2006PECOS EnrolledAccepts Medicare Assignment
95.21/100
CMS Quality Rating
1855 POWDER MILL RD, YORK, PA 17402(717) 848-4800(717) 741-9867 Get Directions Write a Review

NPPES record last updated: March 30, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Amit Rasikbhai Patel Md NPPES

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

AMIT RASIKBHAI PATEL MD (NPI 1376604025) is an individual orthopaedic surgery provider in York, Pennsylvania, licensed in Pennsylvania (MD438160) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Wellspan York Hospital, and is a graduate of Medical College Of Georgia School Of Medicine (2006).

NPPES Registry Identity

NPI1376604025
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameAMIT RASIKBHAI PATELCredential: MD
Location Address1855 POWDER MILL RDYork, PA 17402-4702
Mailing Address1861 Powder Mill Rd., Attn Medical Staff OfficeYork, PA 17402-4702 · (717) 718-2041 · Fax (717) 741-9867
Fax(717) 741-9867
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2006
Enumeration DateDecember 13, 2006
Last NPPES UpdateMarch 30, 2022
NPPES CertifiedMarch 30, 2022
NPI 1376604025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in PA · MD438160
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.

Also ListedOrthopaedic Surgery · Orthopaedic Surgery of the SpineTaxonomy 207XS0117X · License MD438160 (PA)
1855 POWDER MILL RD, York, PA 17402

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

Amit Rasikbhai 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 ID4789853268
PECOS Enrollment IDI20120821000727
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 22

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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, 30-39 minutes 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.
510 services283 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
283 services225 patients
X-ray of lower and sacral spine, minimum of 4 views 72110
An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.
208 services194 patients
X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
126 services93 patients
Ct scan of leg without contrast 73700
A CT scan of the leg is a non-invasive imaging test that uses X-rays to capture detailed images of your leg's bones, muscles, and blood vessels. It doesn't use contrast dye and doesn't cause any pain. It helps in diagnosing injuries or diseases.
75 services75 patients
X-ray of upper spine, 4-5 views 72050
An X-ray of the upper spine with 4-5 views is a non-invasive imaging test. It uses radiation to capture detailed images of the bones and structures in your neck and upper back. This procedure helps identify issues like fractures, infections, or deformities.
66 services63 patients

Hospital Affiliations CMS Care Compare 4

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

Wellspan York Hospital

Acute Care Hospitals · York, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390046
Location1001 South George StreetYork, PA 17403 · York County
Emergency services Birthing friendly

Gettysburg Hospital

Acute Care Hospitals · Gettysburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390065
Location147 Gettys StreetGettysburg, PA 17325 · Adams County
Emergency services Birthing friendly

Upmc Memorial

Acute Care Hospitals · York, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390101
Location1701 Innovation DriveYork, PA 17408 · York County
Emergency services Birthing friendly

Oss Orthopaedic Hospital

Acute Care Hospitals · York, PA
OwnershipProprietary
CMS Certification Number390325
Location1861 Powder Mill RdYork, PA 17402 · York County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17402 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

95.21/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.73
Promoting Interoperability100
Improvement Activities40
Cost93.32

Reported Quality Measures

Perioperative Care: Selection of Prophylactic Antibiotic - First OR Second Generation Cephalosporin
Percentage of surgical patients aged 18 years and older undergoing procedures with the indications for a first OR second generation cephalosporin prophylactic antibiotic, who had an order for a first OR second generation cephalosporin for antimicrobial…
100%75 patients
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

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

Neuromuscular stimulator, electronic shock unit E0745
DME-Other DME · category DE000N
1 supplier21 claims21 services$63.71 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.

Orthopaedic Surgery
1855 POWDER MILL RD
YORK, PA 17402
Orthopaedic Surgery
1855 POWDER MILL RD
YORK, PA 17402
Anesthesiology (Pain Medicine)
1855 POWDER MILL RD
YORK, PA 17402
Anesthesiology (Pain Medicine)
1855 POWDER MILL RD
YORK, PA 17402
Orthopaedic Surgery
1855 POWDER MILL RD
YORK, PA 17402
Orthopaedic Surgery
1855 POWDER MILL RD
YORK, PA 17402
Occupational Therapist
1855 POWDER MILL RD
YORK, PA 17402
Specialist/Technologist (Athletic Trainer)
1855 POWDER MILL RD
YORK, PA 17402

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376604025, enumerated as an "individual" on December 13, 2006.

The provider is located at 1855 POWDER MILL RD YORK, PA 17402 and the phone number is (717) 848-4800.

Orthopaedic Surgery with taxonomy code 207X00000X.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter Health. Please consult your insurance carrier or call the provider to verify.

Amit Patel is affiliated with: WELLSPAN YORK HOSPITAL, GETTYSBURG HOSPITAL, UPMC MEMORIAL and OSS ORTHOPAEDIC HOSPITAL.