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TRUSHA PATEL PA
NPI 1548594492
Physician Assistant in Winter Haven, FL

Active since September 24, 2009PECOS EnrolledAccepts Medicare Assignment
950 FRIST STREET SOUTH, WINTER HAVEN, FL 33880(863) 595-1360 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 17, 2018, Oct 26, 2017 (2 updates tracked since 2017).

About Trusha Patel Pa NPPES

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

TRUSHA PATEL PA (NPI 1548594492) is an individual physician assistant in Winter Haven, Florida, licensed in Illinois (085-003565) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS, is affiliated with Winter Haven Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1548594492
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTRUSHA PATELCredential: PA
Location Address950 FRIST STREET SOUTHWinter Haven, FL 33880
Mailing Address5261 English DrLakeland, FL 33812-4479 · (630) 440-2160
Phone(863) 595-1360
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateSeptember 24, 2009
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1548594492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IL · 085-003565
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
950 FRIST STREET SOUTH, Winter Haven, FL 33880
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.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

Trusha Patel Pa 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 ID1355521022
PECOS Enrollment IDI20170531000666
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

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.
37 services16 patients

Hospital Affiliations CMS Care Compare

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

Winter Haven Hospital

Acute Care Hospitals · Winter Haven, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100052
Location200 Ave F NEWinter Haven, FL 33881 · Polk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33880 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
65%31 patients3/55-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 Trusha Patel's NPI number?

The NPI number for Trusha Patel is 1548594492. It was assigned to this individual provider in the NPPES registry on September 24, 2009.

Where is Trusha Patel located?

Trusha Patel practices at 950 Frist Street South, Winter Haven, FL 33880. The listed phone number is (863) 595-1360.

What is Trusha Patel's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Trusha Patel enrolled in Medicare?

Yes. Trusha 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 Trusha Patel accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Molina Healthcare and UnitedHealthcare and 1 other insurer list Trusha 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 Trusha Patel affiliated with any hospitals?

According to CMS data, Trusha Patel is affiliated with Winter Haven Hospital.

When was this NPI record last updated?

The NPPES record for Trusha Patel was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.