DR. PRAYAG S PATEL M.D.
NPI 1619322971
Otolaryngology in Brooklyn, NY

Active since April 25, 2016PECOS EnrolledAccepts Medicare Assignment
450 CLARKSON AVE, BOX 1262, BROOKLYN, NY 11203(718) 270-1638 Get Directions Write a Review

NPPES record last updated: January 24, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Prayag S Patel M.d. NPPES

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

DR. PRAYAG S PATEL M.D. (NPI 1619322971) is an individual otolaryngology provider in Brooklyn, New York, licensed in New York (316571) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Maimonides Medical Center, and is a graduate of State University Of New York Downstate Medical Center (2016).

NPPES Registry Identity

NPI1619322971
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. PRAYAG S PATELCredential: M.D.
Location Address450 CLARKSON AVE, BOX 1262Brooklyn, NY 11203-2012
Mailing Address450 Clarkson Ave, Box 1262Brooklyn, NY 11203-2012 · (718) 270-8867
Sole ProprietorNo
Medical School CMSState University Of New York Downstate Medical CenterGraduated 2016
Enumeration DateApril 25, 2016
Last NPPES UpdateJanuary 24, 2024
NPPES CertifiedJanuary 24, 2024
NPI 1619322971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in NY · 316571
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
450 CLARKSON AVE, Brooklyn, NY 11203

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. Prayag S 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 ID7719224831
PECOS Enrollment IDI20220802000250
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 13

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 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.
89 services62 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
84 services59 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
71 services71 patients
Test to assess middle ear function 92567
A test to assess middle ear function, also known as an impedance audiometry, helps evaluate how well your middle ear works. It measures the movement of your eardrum in response to changes in air pressure. This can help identify issues like fluid build-up, ear infections, or eardrum perforations.
52 services52 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.
39 services28 patients
Comprehensive hearing and speech recognition test 92557
A comprehensive hearing and speech recognition test assesses your ability to hear and understand spoken words. It includes hearing tests to check for issues with sound perception and speech tests to evaluate your word recognition. It's a crucial step in identifying any hearing or speech problems.
37 services37 patients

Hospital Affiliations CMS Care Compare

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

Maimonides Medical Center

Acute Care Hospitals · Brooklyn, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330194
Location4802 Tenth AvenueBrooklyn, NY 11219 · Kings County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11203 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

Other Providers at the Same Location NPPES 20

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

Obstetrics & Gynecology
450 CLARKSON AVE
BROOKLYN, NY 11203
Internal Medicine (Gastroenterology)
450 CLARKSON AVE, SUITE A
BROOKLYN, NY 11203
Emergency Medicine
450 CLARKSON AVE
BROOKLYN, NY 11203
Student in an Organized Health Care Education/Training Program
450 CLARKSON AVE, SUNY DOWNSTATE MEDICAL CENTER
BROOKLYN, NY 11203
Internal Medicine (Pulmonary Disease)
450 CLARKSON AVE
BROOKLYN, NY 11203
Family Medicine
450 CLARKSON AVE, MSC 67
BROOKLYN, NY 11203
Emergency Medicine
450 CLARKSON AVE
BROOKLYN, NY 11203
Emergency Medicine
450 CLARKSON AVE
BROOKLYN, NY 11203

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 Prayag Patel's NPI number?

The NPI number for Prayag Patel is 1619322971. It was assigned to this individual provider in the NPPES registry on April 25, 2016.

Where is Prayag Patel located?

Prayag Patel practices at 450 Clarkson Ave Box 1262, Brooklyn, NY 11203. The listed phone number is (718) 270-1638.

What is Prayag Patel's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Prayag Patel enrolled in Medicare?

Yes. Prayag 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.

Is Prayag Patel affiliated with any hospitals?

According to CMS data, Prayag Patel is affiliated with Maimonides Medical Center.

When was this NPI record last updated?

The NPPES record for Prayag Patel was last updated on January 24, 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.