RAJAN PATEL M.D.
NPI 1700197217
Psychiatry & Neurology - Neurology in Arroyo Grande, CA

Q: What is Rajan Patel's NPI number?

The NPI number for Rajan Patel is 1700197217. It was assigned to this individual provider in the NPPES registry on June 30, 2010.

Q: What is Rajan Patel's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for Rajan Patel was last updated on November 3, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 30, 2010PECOS EnrolledAccepts Medicare Assignment

96.5/100

CMS Quality Rating

850 FAIR OAKS AVE STE 100, ARROYO GRANDE, CA 93420(805) 547-2224(805) 547-2228 Get Directions Write a Review

NPPES record last updated: November 3, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 3, 2023, Dec 28, 2022, Dec 19, 2019 and 2 more (5 updates tracked since 2016).

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About Rajan Patel M.d. NPPES

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

RAJAN PATEL M.D. (NPI 1700197217) is an individual neurology provider in Arroyo Grande, California, licensed in California (A133181) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1700197217

Entity TypeIndividualMale

Primary Taxonomy2084N0400X

Provider Legal NameRAJAN PATELCredential: M.D.

Location Address850 FAIR OAKS AVE STE 100Arroyo Grande, CA 93420-3929

Mailing Address850 Fair Oaks Ave Ste 220Arroyo Grande, CA 93420-3929 · (805) 547-2224 · Fax (805) 474-5276

Phone(805) 547-2224

Fax(805) 547-2228

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateJune 30, 2010

Last NPPES UpdateNovember 3, 20235 updates tracked since enumeration

NPPES CertifiedNovember 3, 2023

✔ NPI 1700197217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

Licenses✔ Licensed in CA · A133181✔ Licensed in AZ · R72319

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

850 FAIR OAKS AVE STE 100, Arroyo Grande, CA 93420

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Other Identifiers 2

OtherP01513827CA · Railroad Medicare

Other100248724CA · Blue Shield

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

Rajan 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 ID9830404342

PECOS Enrollment IDI20150812008808

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 11

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.

Injection, onabotulinumtoxina, 1 unit J0585

Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.

9,201 services16 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.

201 services160 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 services149 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

148 services148 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.

70 services59 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

59 services30 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

24 services24 patients

Needle measurement of electrical activity in arm or leg muscles, complete study 95886

This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.

22 services17 patients

Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212

This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.

20 services20 patients

Measurement of brain wave activity (eeg), 2-12 hours with health care professional review and report 95717

This procedure records your brain's electrical activity for 2-12 hours. It's known as an EEG. A healthcare professional applies sensors to your scalp. These sensors capture brain wave patterns which are reviewed and reported on to assist in diagnosing various conditions.

16 services15 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

15 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93420 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

$135.73 typical visit price

range $59.84 – $178.89

Typical copayment $33.93 (range $14.96 – $44.72)

Most-billed visit code 99204

Established Patient

$104.82 typical visit price

range $19.70 – $146.55

Typical copayment $26.20 (range $4.92 – $36.63)

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.

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.

96.5/100

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

Scored through an Alternative Payment Model

Quality

80.34

Promoting Interoperability

100

Improvement Activities

Leave this field empty

Other Providers at the Same Location NPPES 9

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

PETER SEBASTIAN MASNY MD

Psychiatry & Neurology (Neurology)