PRAYASH GAURANG PATEL
NPI 1437440757
Neurological Surgery in Chattanooga, TN

Active since April 20, 2011PECOS EnrolledAccepts Medicare Assignment
96.19/100
CMS Quality Rating
1010 E 3RD ST, SUITE 202, CHATTANOOGA, TN 37403(423) 265-2233(423) 756-8265 Get Directions Write a Review

NPPES record last updated: April 27, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Prayash Gaurang Patel NPPES

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

PRAYASH GAURANG PATEL (NPI 1437440757) is an individual neurological surgery provider in Chattanooga, Tennessee, licensed in Tennessee (55432) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, is affiliated with Hamilton Medical Center, and is a graduate of Mercer University School Of Medicine (2011).

NPPES Registry Identity

NPI1437440757
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NamePRAYASH GAURANG PATEL
Location Address1010 E 3RD ST, SUITE 202Chattanooga, TN 37403-2109
Mailing Address975 E 3rd St, Attn: Provider EnrollmentChattanooga, TN 37403-2147 · (423) 265-2233 · Fax (423) 756-8265
Fax(423) 756-8265
Sole ProprietorNo
Medical School CMSMercer University School Of MedicineGraduated 2011
Enumeration DateApril 20, 2011
Last NPPES UpdateApril 27, 2017
NPI 1437440757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License Licensed in TN · 55432
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
1010 E 3RD ST, Chattanooga, TN 37403

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

Prayash Gaurang Patel 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 ID4284871195
PECOS Enrollment IDI20170717002831
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 7

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.
57 services57 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.
32 services28 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.
20 services20 patients
Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853
Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.
18 services12 patients
Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment 63047
This procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.
14 services14 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
12 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Hamilton Medical Center

Acute Care Hospitals · Dalton, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110001
Location1200 Memorial DriveDalton, GA 30720 · Whitfield County
Birthing friendly

Erlanger Medical Center

Acute Care Hospitals · Chattanooga, TN
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440104
Location975 E 3rd StChattanooga, TN 37403 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37403 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

96.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.2
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 10

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

Physician Assistant
1010 E 3RD ST
CHATTANOOGA, TN 37403
Physician Assistant
1010 E 3RD ST, SUITE 202
CHATTANOOGA, TN 37403
Specialist
1010 E 3RD ST, SUITE 202
CHATTANOOGA, TN 37403
Neurological Surgery
1010 E 3RD ST, SUITE 202
CHATTANOOGA, TN 37403
Neurological Surgery
1010 E 3RD ST, SUITE 202
CHATTANOOGA, TN 37403
Neurological Surgery
1010 E 3RD ST, SUITE 202
CHATTANOOGA, TN 37403
Registered Nurse (Neuroscience)
1010 E 3RD ST, STE. 201
CHATTANOOGA, TN 37403
Nurse Practitioner (Acute Care)
1010 E 3RD ST, SUITE 202
CHATTANOOGA, TN 37403

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 Prayash Patel's NPI number?

The NPI number for Prayash Patel is 1437440757. It was assigned to this individual provider in the NPPES registry on April 20, 2011.

Where is Prayash Patel located?

Prayash Patel practices at 1010 E 3rd St Suite 202, Chattanooga, TN 37403. The listed phone number is (423) 265-2233.

What is Prayash Patel's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Prayash Patel enrolled in Medicare?

Yes. Prayash 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 Prayash Patel accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list Prayash 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 Prayash Patel affiliated with any hospitals?

According to CMS data, Prayash Patel is affiliated with Hamilton Medical Center and Erlanger Medical Center.

When was this NPI record last updated?

The NPPES record for Prayash Patel was last updated on April 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.