DR. BASIL MAULIK PATEL M.D.
NPI 1457705527
Dermatology - Dermatopathology in Yardley, PA

Active since April 14, 2016PECOS EnrolledAccepts Medicare Assignment
79.55/100
CMS Quality Rating
209 FLORAL VALE BLVD, YARDLEY, PA 19067(215) 860-6100(215) 860-1996 Get Directions Write a Review

NPPES record last updated: July 16, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jul 16, 2024, Oct 17, 2023, Sep 7, 2023 and 1 more (4 updates tracked since 2022).

About Dr. Basil Maulik Patel M.d. NPPES

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

DR. BASIL MAULIK PATEL M.D. (NPI 1457705527) is an individual dermatopathology provider in Yardley, Pennsylvania, licensed in Pennsylvania (MD482022) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS and is a graduate of Rutgers New Jersey Medical School (2016).

NPPES Registry Identity

NPI1457705527
Entity TypeIndividualMale
Primary Taxonomy207ND0900X
Provider Legal NameDR. BASIL MAULIK PATELCredential: M.D.
Location Address209 FLORAL VALE BLVDYardley, PA 19067-5524
Mailing Address209 Floral Vale BlvdYardley, PA 19067-5524 · (215) 860-6100 · Fax (877) 437-7288
Fax(215) 860-1996
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 2016
Enumeration DateApril 14, 2016
Last NPPES UpdateJuly 16, 20244 updates tracked since enumeration
NPPES CertifiedJuly 16, 2024
NPI 1457705527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDermatology · DermatopathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ND0900X
License Licensed in PA · MD482022
Definition
A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.
Also ListedDermatologyTaxonomy 207N00000X · License ME155621 (FL)
209 FLORAL VALE BLVD, Yardley, PA 19067

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

Dr. Basil Maulik 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 ID4183056237
PECOS Enrollment IDI20231013002860, I20231013002970, I20240206003871
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 19

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
4,481 services2,816 patients
Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
708 services134 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.
396 services298 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
214 services174 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
123 services102 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
120 services108 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19067 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
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

79.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.75
Promoting Interoperability97
Improvement Activities40
Cost46.59

Other Providers at the Same Location NPPES 3

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

Specialist
209 FLORAL VALE BLVD
YARDLEY, PA 19067
Nurse Practitioner (Family)
209 FLORAL VALE BLVD
YARDLEY, PA 19067
Dermatology
209 FLORAL VALE BLVD
YARDLEY, PA 19067

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 Basil Patel's NPI number?

The NPI number for Basil Patel is 1457705527. It was assigned to this individual provider in the NPPES registry on April 14, 2016.

Where is Basil Patel located?

Basil Patel practices at 209 Floral Vale Blvd, Yardley, PA 19067. The listed phone number is (215) 860-6100.

What is Basil Patel's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Dermatopathology, with taxonomy code 207ND0900X.

Is Basil Patel enrolled in Medicare?

Yes. Basil 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 Basil Patel accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer list Basil 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 Basil Patel was last updated on July 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.