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DR. SMITA PATEL MD
NPI 1619913894
Psychiatry & Neurology - Psychiatry in Stoneham, MA

Active since June 22, 2006PECOS EnrolledAccepts Medicare Assignment
91.41/100
CMS Quality Rating
92 MONTVALE AVE, SUITE 2200 , SMITA PATEL, M.D. AND ASSOC., STONEHAM, MA 02180(781) 438-4300(781) 279-2078 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Smita Patel Md NPPES

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

DR. SMITA PATEL MD (NPI 1619913894) is an individual psychiatry provider in Stoneham, Massachusetts, licensed in Massachusetts (52861) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Winchester Hospital, and is a graduate of Other (1978).

NPPES Registry Identity

NPI1619913894
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDR. SMITA PATELCredential: MD
Location Address92 MONTVALE AVE, SUITE 2200 , SMITA PATEL, M.D. AND ASSOC.Stoneham, MA 02180-3647
Mailing Address92 Montvale Ave., Smita Patel M.d. & Asso., Suite 2200Stoneham, MA 02180-3647 · (781) 438-4300 · Fax (781) 279-2078
Phone(781) 438-4300
Fax(781) 279-2078
Sole ProprietorNo
Medical School CMSOtherGraduated 1978
Enumeration DateJune 22, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1619913894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in MA · 52861
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
92 MONTVALE AVE, Stoneham, MA 02180
Open in Google Maps ↗

Other Identifiers 1

Medicare ID-Type UnspecifiedJO6153MA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.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. Smita Patel Md 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 ID4183668932
PECOS Enrollment IDI20050616000182
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 6

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.
180 services79 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.
88 services49 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
56 services35 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
28 services28 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
27 services18 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.
20 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Winchester Hospital

Acute Care Hospitals · Winchester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220105
Location41 Highland AvenueWinchester, MA 01890 · Middlesex County
Emergency services Birthing friendly

Lahey Hospital & Medical Center, Burlington

Acute Care Hospitals · Burlington, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220171
Location41 & 45 Mall RoadBurlington, MA 01803 · Middlesex County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02180 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
$189.86 typical visit price
range $63.72 – $189.86
Typical copayment $47.46 (range $15.93 – $47.46)
Most-billed visit code 99205
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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.

91.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.87
Promoting Interoperability100
Improvement Activities40

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.

KRISTIN KAZZI PA-C
Physician Assistant
92 MONTVALE AVE
STONEHAM, MA 02180
Middlesex County (617) 500-2669
DR. ROBERT P WAUGH MD
Orthopaedic Surgery
92 MONTVALE AVE
STONEHAM, MA 02180
Middlesex County (781) 279-7040
DR. JULIANNE STOUGHTON MD
Surgery
92 MONTVALE AVE, SUITE 3200
STONEHAM, MA 02180
Middlesex County (781) 438-8117
MR. CRAIG ALEXANDER HANSEN I
Physical Therapist (Orthopedic)
92 MONTVALE AVE, STE 1400
STONEHAM, MA 02180
Middlesex County (617) 591-4655
MS. BRIGID MARIA SCHIANO LICSW
Social Worker (Clinical)
92 MONTVALE AVE
STONEHAM, MA 02180
Middlesex County (781) 438-4300
KIMBERLY B TIGHE PA
Physician Assistant
92 MONTVALE AVE, SUITE 1400
STONEHAM, MA 02180
Middlesex County (781) 279-7040
DR. PETER ELLZEY GEE M.D.
Specialist
92 MONTVALE AVE, STONEHAM
STONEHAM, MA 02180
Middlesex County (781) 662-2229
MRS. JEAN WYATT GEE N.P.-C
Nurse Practitioner (Primary Care)
92 MONTVALE AVE, 4605
STONEHAM, MA 02180
Middlesex County (781) 662-2229

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 Smita Patel's NPI number?

The NPI number for Smita Patel is 1619913894. It was assigned to this individual provider in the NPPES registry on June 22, 2006.

Where is Smita Patel located?

Smita Patel practices at 92 Montvale Ave Suite 2200 , Smita Patel, M.D. And Assoc., Stoneham, MA 02180. The listed phone number is (781) 438-4300.

What is Smita Patel's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Smita Patel enrolled in Medicare?

Yes. Smita 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 Smita Patel accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Smita 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 Smita Patel affiliated with any hospitals?

According to CMS data, Smita Patel is affiliated with Winchester Hospital and Lahey Hospital & Medical Center, Burlington.

When was this NPI record last updated?

The NPPES record for Smita Patel was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.