ASHISHKUMAR RANCHHODBHAI PATEL MD
NPI 1699290775
Orthopaedic Surgery in Du Bois, PA

Active since August 09, 2017PECOS EnrolledAccepts Medicare Assignment
96.56/100
CMS Quality Rating
145 HOSPITAL AVE STE 311, DU BOIS, PA 15801(814) 375-6200(814) 375-6452 Get Directions Write a Review

NPPES record last updated: July 5, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 5, 2021, Jul 29, 2020, Aug 9, 2017 (3 updates tracked since 2017).

About Ashishkumar Ranchhodbhai Patel Md NPPES

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

ASHISHKUMAR RANCHHODBHAI PATEL MD (NPI 1699290775) is an individual orthopaedic surgery provider in Du Bois, Pennsylvania, licensed in Pennsylvania (MD465993) and active in the NPI registry since August 2017. He is enrolled in Medicare PECOS, is affiliated with Penn Highlands Dubois, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1699290775
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameASHISHKUMAR RANCHHODBHAI PATELCredential: MD
Location Address145 HOSPITAL AVE STE 311Du Bois, PA 15801-1465
Mailing Address100 Hospital AveDu Bois, PA 15801-1440 · (814) 375-4200 · Fax (814) 375-4232
Fax(814) 375-6452
Sole ProprietorYes
Medical School CMSOtherGraduated 1993
Enumeration DateAugust 9, 2017
Last NPPES UpdateJuly 5, 20213 updates tracked since enumeration
NPPES CertifiedJuly 5, 2021
NPI 1699290775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in PA · MD465993
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Also ListedOrthopaedic Surgery · Pediatric Orthopaedic SurgeryTaxonomy 207XP3100X · License 207XP3100X (FL)
145 HOSPITAL AVE STE 311, Du Bois, PA 15801

Other Identifiers 1

Medicaid103569071PA

Accepted 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

Ashishkumar Ranchhodbhai 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 ID648514638
PECOS Enrollment IDI20181203000174
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 4

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.
74 services50 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.
73 services55 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
31 services31 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
17 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Penn Highlands Dubois

Acute Care Hospitals · Dubois, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390086
Location100 Hospital AvenueDubois, PA 15801 · Clearfield County

Penn Highlands Brookville

Critical Access Hospitals · Brookville, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number391312
Location100 Hospital RoadBrookville, PA 15825 · Jefferson County
Emergency services

Penn Highlands Elk

Critical Access Hospitals · Saint Marys, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number391315
Location763 Johnsonburg RoadSaint Marys, PA 15857 · Elk County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15801 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

96.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability95.96
Improvement Activities40

Other Providers at the Same Location NPPES 5

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

Emergency Medicine (Sports Medicine)
145 HOSPITAL AVE STE 311
DU BOIS, PA 15801
Orthopaedic Surgery (Sports Medicine)
145 HOSPITAL AVE STE 311
DU BOIS, PA 15801
Physician Assistant
145 HOSPITAL AVE STE 311
DU BOIS, PA 15801
Physician Assistant
145 HOSPITAL AVE STE 311
DU BOIS, PA 15801
Physician Assistant
145 HOSPITAL AVE STE 311
DU BOIS, PA 15801

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 Ashishkumar Patel's NPI number?

The NPI number for Ashishkumar Patel is 1699290775. It was assigned to this individual provider in the NPPES registry on August 9, 2017.

Where is Ashishkumar Patel located?

Ashishkumar Patel practices at 145 Hospital Ave Ste 311, Du Bois, PA 15801. The listed phone number is (814) 375-6200.

What is Ashishkumar Patel's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Ashishkumar Patel enrolled in Medicare?

Yes. Ashishkumar 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 Ashishkumar Patel accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Ashishkumar 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 Ashishkumar Patel affiliated with any hospitals?

According to CMS data, Ashishkumar Patel is affiliated with Penn Highlands Dubois, Penn Highlands Brookville and Penn Highlands Elk.

When was this NPI record last updated?

The NPPES record for Ashishkumar Patel was last updated on July 5, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.