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SAMIR B PATEL M.D.
NPI 1396075958
Family Medicine in Fallsington, PA

Active since January 05, 2010PECOS EnrolledAccepts Medicare Assignment
83.11/100
CMS Quality Rating
11 ELLERDALE RD, FALLSINGTON, PA 19054(267) 249-7703(215) 295-4182 Get Directions Write a Review

NPPES record last updated: November 27, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Samir B Patel M.d. NPPES

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

SAMIR B PATEL M.D. (NPI 1396075958) is an individual family medicine provider in Fallsington, Pennsylvania, licensed in New Jersey (25MA09103600) and active in the NPI registry since January 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1396075958
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSAMIR B PATELCredential: M.D.
Location Address11 ELLERDALE RDFallsington, PA 19054-1139
Mailing Address11 Ellerdale RdFallsington, PA 19054-1139 · (267) 249-7703 · Fax (215) 295-4182
Phone(267) 249-7703
Fax(215) 295-4182
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateJanuary 5, 2010
Last NPPES UpdateNovember 27, 2019
✔ NPI 1396075958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NJ · 25MA09103600
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
11 ELLERDALE RD, Fallsington, PA 19054
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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

Samir B 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 ID446409403
PECOS Enrollment IDI20201203000204
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 5

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 low level od decision making, if using time, 20 minutes or more 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.
32 services30 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
29 services29 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.
19 services19 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
12 services12 patients
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.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19054 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

83.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.91
Promoting Interoperability100
Improvement Activities40
Cost61.09

Reported Quality Measures

Appropriate Treatment for Upper Respiratory Infection (URI)
89%949 patients4/55-star benchmark: 100%
Chlamydia Screening for Women
60%942 patients
Closing the Referral Loop: Receipt of Specialist Report
1%473 patients1/55-star benchmark: 87%
Colorectal Cancer Screening
0%1,019 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
36%55 patients2/55-star benchmark: 91%
Diabetes: Eye Exam
0%53 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
100%53 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
97%5,429 patients4/55-star benchmark: 100%
e-Prescribing
97%2,723 patients4/55-star benchmark: 100%
HIV Screening
12%5,200 patients1/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
29%5,196 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
34%5,133 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 21% · 2,320 patients
Patients screened: 24% · 2,320 patients
9%88 patients1/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
91%3,132 patients4/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 326 patients
Patients totalRate: 2% · 326 patients
2%326 patients4/55-star benchmark: 100%
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.

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 Samir Patel's NPI number?

The NPI number for Samir Patel is 1396075958. It was assigned to this individual provider in the NPPES registry on January 5, 2010.

Where is Samir Patel located?

Samir Patel practices at 11 Ellerdale Rd, Fallsington, PA 19054. The listed phone number is (267) 249-7703.

What is Samir Patel's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Samir Patel enrolled in Medicare?

Yes. Samir 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.

When was this NPI record last updated?

The NPPES record for Samir Patel was last updated on November 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.