DR. TUSHAR PATEL MBCHB
NPI 1649231440
Surgery in Jacksonville, FL

Q: What is Tushar Patel's NPI number?

The NPI number for Tushar Patel is 1649231440. It was assigned to this individual provider in the NPPES registry on March 31, 2006.

Q: What is Tushar Patel's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Tushar Patel was last updated on August 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.

Active since March 31, 2006PECOS EnrolledAccepts Medicare Assignment

76.2/100

CMS Quality Rating

4500 SAN PABLO RD S, STABILE BLDG N, JACKSONVILLE, FL 32224(904) 953-2000(904) 953-1756 Get Directions Write a Review

NPPES record last updated: August 11, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Aug 11, 2025, Aug 28, 2020, Dec 21, 2017 (3 updates tracked since 2017).

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About Dr. Tushar Patel Mbchb NPPES

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

DR. TUSHAR PATEL MBCHB (NPI 1649231440) is an individual surgery provider in Jacksonville, Florida, licensed in Florida (ME108804) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Mayo Clinic, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1649231440

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameDR. TUSHAR PATELCredential: MBCHB

Location Address4500 SAN PABLO RD S, STABILE BLDG NJacksonville, FL 32224-1865

Mailing Address4500 San Pablo Rd S, Stabile Bldg NJacksonville, FL 32224-1865 · (904) 953-2000 · Fax (904) 953-1756

Phone(904) 953-2000

Fax(904) 953-1756

Sole ProprietorYes

Medical School CMSOtherGraduated 1988

Enumeration DateMarch 31, 2006

Last NPPES UpdateAugust 11, 20253 updates tracked since enumeration

NPPES CertifiedAugust 11, 2025

✔ NPI 1649231440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in FL · ME108804

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X · License 35.089113 (OH), ME108804 (FL)

4500 SAN PABLO RD S, Jacksonville, FL 32224

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Other Identifiers 2

Medicaid2715299OH

Medicaid277560300FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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. Tushar Patel Mbchb 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 ID3173625381

PECOS Enrollment IDI20110304000737

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 3

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.

67 services52 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.

22 services20 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Mayo Clinic

Acute Care Hospitals · Jacksonville, FL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100151

Location4500 San Pablo RdJacksonville, FL 32224 · Duval County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32224 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.

76.2/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

69.33

Promoting Interoperability

100

Improvement Activities

Cost

51.32

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.

KATHERINE L WALSH PA-C/MPH

Physician Assistant