ANIL C. PATEL MD, MBA
NPI 1437108800
Specialist in Clarksville, TN

Active since May 10, 2006PECOS EnrolledAccepts Medicare Assignment
97.4/100
CMS Quality Rating
280 WARFIELD BLVD, CLARKSVILLE, TN 37043(931) 551-9605(931) 503-0386 Get Directions Write a Review

NPPES record last updated: January 27, 2012. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Anil C. Patel Md, Mba NPPES

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

ANIL C. PATEL MD, MBA (NPI 1437108800) is an individual specialist in Clarksville, Tennessee, licensed in Tennessee (MD17553) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1982).

NPPES Registry Identity

NPI1437108800
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameANIL C. PATELCredential: MD, MBA
Location Address280 WARFIELD BLVDClarksville, TN 37043-1828
Mailing Address280 Warfield BlvdClarksville, TN 37043-1828 · (931) 551-9605 · Fax (931) 503-0386
Fax(931) 503-0386
Sole ProprietorYes
Medical School CMSOtherGraduated 1982
Enumeration DateMay 10, 2006
Last NPPES UpdateJanuary 27, 2012
NPI 1437108800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in TN · MD17553
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
280 WARFIELD BLVD, Clarksville, TN 37043

Other Identifiers 3

Medicaid3023155TN
Medicare UPINA98703TN
Medicare ID-Type Unspecified3023155TN

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

Anil C. Patel Md, Mba 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 ID4284734385
PECOS Enrollment IDI20111221000553
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.

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.
371 services371 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.
211 services203 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.
170 services146 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
104 services104 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
87 services87 patients
Diagnostic exam of large bowel using a flexible endoscope 45378
This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.
84 services84 patients

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.

97.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality94.55
Promoting Interoperability100
Improvement Activities40
Cost96.8

Reported Quality Measures

Colorectal Cancer Screening
94%755 patients5/55-star benchmark: 88%
Controlling High Blood Pressure
52%430 patients3/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
12%191 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
67%1,473 patients3/55-star benchmark: 100%
e-Prescribing
99%464 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
79%921 patients4/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 94% · 387 patients
Patients screened: 95% · 387 patients
90%52 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
100%534 patients5/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 528 patients
Patients totalRate: 0% · 528 patients
0%528 patients5/55-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.

Other Providers at the Same Location NPPES 4

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

Nurse Anesthetist, Certified Registered
280 WARFIELD BLVD
CLARKSVILLE, TN 37043
Internal Medicine (Gastroenterology)
280 WARFIELD BLVD
CLARKSVILLE, TN 37043
Nurse Anesthetist, Certified Registered
280 WARFIELD BLVD
CLARKSVILLE, TN 37043
Clinic/Center (Endoscopy)
280 WARFIELD BLVD
CLARKSVILLE, TN 37043

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 Anil Patel's NPI number?

The NPI number for Anil Patel is 1437108800. It was assigned to this individual provider in the NPPES registry on May 10, 2006.

Where is Anil Patel located?

Anil Patel practices at 280 Warfield Blvd, Clarksville, TN 37043. The listed phone number is (931) 551-9605.

What is Anil Patel's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Anil Patel enrolled in Medicare?

Yes. Anil 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 Anil Patel accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Anil 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 Anil Patel was last updated on January 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.