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MIKIN S PATEL
NPI 1558772426
Family Medicine in Zephyrhills, FL

Active since May 14, 2014PECOS EnrolledAccepts Medicare Assignment
38051 MARKET SQUARE DR, ZEPHYRHILLS, FL 33542(813) 780-8692(813) 355-5037 Get Directions Write a Review

NPPES record last updated: September 10, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 10, 2023, Aug 27, 2021, Apr 10, 2018 and 2 more (5 updates tracked since 2018).

About Mikin S Patel NPPES

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

MIKIN S PATEL (NPI 1558772426) is an individual family medicine provider in Zephyrhills, Florida, licensed in Florida (ME134774) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS, is affiliated with Florida Hospital Zephyrhills, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1558772426
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMIKIN S PATEL
Location Address38051 MARKET SQUARE DRZephyrhills, FL 33542-7504
Mailing Address38135 Market SqZephyrhills, FL 33542-7505 · (813) 778-7651 · Fax (813) 355-5021
Phone(813) 780-8692
Fax(813) 355-5037
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMay 14, 2014
Last NPPES UpdateSeptember 10, 20235 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2023
✔ NPI 1558772426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in FL · ME134774✔ Licensed in PA · MT206822
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.
38051 MARKET SQUARE DR, Zephyrhills, FL 33542
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Secondary Practice Locations 2

Location 11086 Franklin StJohnstown, PA 15905-4305 · Phone (814) 534-9106
Location 238135 Market SqZephyrhills, FL 33542-7505 · Phone (813) 778-7651 · Fax (813) 355-5021

Other Identifiers 1

Medicaid024219700FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) 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

Mikin S 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 ID143449561
PECOS Enrollment IDI20180418000367
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 9

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.
251 services181 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.
176 services115 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
73 services14 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
63 services63 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.
36 services36 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
18 services16 patients

Hospital Affiliations CMS Care Compare

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

Florida Hospital Zephyrhills

Acute Care Hospitals · Zephyrhills, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100046
Location7050 Gall BlvdZephyrhills, FL 33541 · Pasco County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33542 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
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Referred Medical Equipment & Supplies CMS DME claims 8

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
10 suppliers24 claims94 services$6.24 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers13 claims13 services$15.81 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers31 claims31 services$69.88 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers17 claims17 services$31.00 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
3 suppliers12 claims2,873 services$0.03 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
1 supplier11 claims1,450 services$0.10 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 3

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

MARIA ISABEL HICKS M.D.
Dermatology
38051 MARKET SQUARE DR
ZEPHYRHILLS, FL 33542
Pasco County (813) 780-8085
OHI WEST MEDICAL GROUP II LLC
Durable Medical Equipment & Medical Supplies
38051 MARKET SQUARE DR
ZEPHYRHILLS, FL 33542
Pasco County (813) 779-2057
LAURA A RICE APRN, FNP-C
Nurse Practitioner (Family)
38051 MARKET SQUARE DR
ZEPHYRHILLS, FL 33542
Pasco County (813) 780-8692

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 Mikin Patel's NPI number?

The NPI number for Mikin Patel is 1558772426. It was assigned to this individual provider in the NPPES registry on May 14, 2014.

Where is Mikin Patel located?

Mikin Patel practices at 38051 Market Square Dr, Zephyrhills, FL 33542. The listed phone number is (813) 780-8692.

What is Mikin Patel's specialty?

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

Is Mikin Patel enrolled in Medicare?

Yes. Mikin 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 Mikin Patel accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare list Mikin 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 Mikin Patel affiliated with any hospitals?

According to CMS data, Mikin Patel is affiliated with Florida Hospital Zephyrhills.

When was this NPI record last updated?

The NPPES record for Mikin Patel was last updated on September 10, 2023. 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.