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DR. VIMAL PATEL M.D.
NPI 1427198787
Family Medicine in Hyannis, MA

Active since February 07, 2007PECOS EnrolledAccepts Medicare Assignment
18.88/100
CMS Quality Rating
105 PARK ST, HYANNIS, MA 02601(774) 470-1370(508) 484-1777 Get Directions Write a Review

NPPES record last updated: November 18, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Vimal Patel M.d. NPPES

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

DR. VIMAL PATEL M.D. (NPI 1427198787) is an individual family medicine provider in Hyannis, Massachusetts, licensed in Massachusetts (231577) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Cape Cod Hospital, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1427198787
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. VIMAL PATELCredential: M.D.
Location Address105 PARK STHyannis, MA 02601-5205
Mailing Address105 Park StHyannis, MA 02601-5205 · (774) 470-1370 · Fax (508) 484-1777
Phone(774) 470-1370
Fax(508) 484-1777
Sole ProprietorYes
Medical School CMSOtherGraduated 1999
Enumeration DateFebruary 7, 2007
Last NPPES UpdateNovember 18, 2019
✔ NPI 1427198787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in MA · 231577✔ Licensed in OH · BB5202786150
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.
105 PARK ST, Hyannis, MA 02601
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Dr. Vimal 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 ID8123152535
PECOS Enrollment IDI20100819000957
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 8

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.
507 services222 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
332 services62 patients
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.
171 services112 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
87 services87 patients
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454
This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.
39 services39 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.
25 services25 patients

Hospital Affiliations CMS Care Compare 3

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

Cape Cod Hospital

Acute Care Hospitals · Hyannis, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220012
Location27 Park StreetHyannis, MA 02601 · Barnstable County
Emergency services Birthing friendly

Beth Israel Deaconess Medical Center

Acute Care Hospitals · Boston, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220086
Location330 Brookline AvenueBoston, MA 02215 · Suffolk County
Emergency services Birthing friendly

Falmouth Hospital

Acute Care Hospitals · Falmouth, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220135
Location67 & 100 Ter Heun DriveFalmouth, MA 02540 · Barnstable County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02601 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

18.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost62.96

Referred Medical Equipment & Supplies CMS DME claims 12

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers33 claims73 services$4.29 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
2 suppliers14 claims14 services$39.87 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
2 suppliers19 claims19 services$97.56 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
2 suppliers17 claims51 services$35.03 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
3 suppliers14 claims14 services$19.75 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
3 suppliers15 claims15 services$16.28 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 15

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

MOLLY A NEVENS LCSW
Social Worker (Clinical)
105 PARK ST
HYANNIS, MA 02601
Barnstable County (508) 771-9599
AMELIA E FOURNIER AHNP
Nurse Practitioner (Adult Health)
105 PARK ST
HYANNIS, MA 02601
Barnstable County (508) 771-9599
LEANNE J WAKSMAN
Physician Assistant
105 PARK ST
HYANNIS, MA 02601
Barnstable County (508) 862-5565
GARRETT G GILLESPIE MD
Specialist
105 PARK ST
HYANNIS, MA 02601
Barnstable County (508) 771-9599
DR. MATTHEW KALLIATH D.O.
Surgery
105 PARK ST
HYANNIS, MA 02601
Barnstable County (508) 862-5565
JOSEPH L SUMMERS JR. LCSW
Social Worker (Clinical)
105 PARK ST
HYANNIS, MA 02601
Barnstable County (508) 771-9599
KELLY L SULLIVAN
Social Worker (Clinical)
105 PARK ST
HYANNIS, MA 02601
Barnstable County (508) 771-9599
CYNTHIA E GLISTA RN
Registered Nurse (Community Health)
105 PARK ST
HYANNIS, MA 02601
Barnstable County (508) 771-9599

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 Vimal Patel's NPI number?

The NPI number for Vimal Patel is 1427198787. It was assigned to this individual provider in the NPPES registry on February 7, 2007.

Where is Vimal Patel located?

Vimal Patel practices at 105 Park St, Hyannis, MA 02601. The listed phone number is (774) 470-1370.

What is Vimal Patel's specialty?

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

Is Vimal Patel enrolled in Medicare?

Yes. Vimal 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 Vimal Patel accept?

Health plans from Anthem Blue Cross and Blue Shield list Vimal 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 Vimal Patel affiliated with any hospitals?

According to CMS data, Vimal Patel is affiliated with Cape Cod Hospital, Beth Israel Deaconess Medical Center and Falmouth Hospital.

When was this NPI record last updated?

The NPPES record for Vimal Patel was last updated on November 18, 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.