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PAVAN PATEL
NPI 1780119446
Psychiatry & Neurology - Brain Injury Medicine in Quakertown, PA

Active since May 01, 2017Opted out of Medicare · through May 29, 2028
95.64/100
CMS Quality Rating
127 S 5TH ST STE 155, QUAKERTOWN, PA 18951(267) 774-4187(267) 448-9267 Get Directions Write a Review

NPPES record last updated: May 22, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pavan Patel NPPES

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

PAVAN PATEL (NPI 1780119446) is an individual brain injury medicine provider in Quakertown, Pennsylvania, licensed in Pennsylvania (OS022112) and active in the NPI registry since May 2017. He has opted out of Medicare through May 29, 2028 and remains eligible to order and refer, is affiliated with St Lukes Quakertown Hospital, and is a graduate of Rowan University School Of Osteopathic Medicine (2017).

NPPES Registry Identity

NPI1780119446
Entity TypeIndividualMale
Primary Taxonomy2084P0301X
Provider Legal NamePAVAN PATEL
Location Address127 S 5TH ST STE 155Quakertown, PA 18951-1664
Mailing Address127 S 5th St Ste 155Quakertown, PA 18951-1664 · (267) 774-4187 · Fax (267) 448-9267
Phone(267) 774-4187
Fax(267) 448-9267
Sole ProprietorNo
Medical School CMSRowan University School Of Osteopathic MedicineGraduated 2017
Enumeration DateMay 1, 2017
Last NPPES UpdateMay 22, 2026
NPPES CertifiedMay 22, 2026
✔ NPI 1780119446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Brain Injury MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2084P0301X
License✔ Licensed in PA · OS022112
Definition
A Brain Injury Medicine physician specializes in disorders of brain function due to injury and disease. These disorders encompass a range of medical, physical, neurologic, cognitive, sensory, and behavioral disorders that result in psychosocial, educational, and vocational consequences.
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License OS022112 (PA)
127 S 5TH ST STE 155, Quakertown, PA 18951
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Pavan Patel has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 29, 2026 through May 29, 2028.

Opt-Out Effective DateMay 29, 2026
Opt-Out In Effect ThroughMay 29, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Areas of Expertise CMS Part B claims 5

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.
103 services82 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.
32 services32 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.
31 services28 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.
24 services24 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
16 services11 patients

Hospital Affiliations CMS Care Compare 2

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

St Lukes Quakertown Hospital

Acute Care Hospitals · Quakertown, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390035
Location3000 St. Luke's DriveQuakertown, PA 18951 · Bucks County
Emergency services Birthing friendly

St Luke's Hospital Bethlehem

Acute Care Hospitals · Bethlehem, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390049
Location801 Ostrum StreetBethlehem, PA 18015 · Northampton County
Emergency services Birthing friendly

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.

95.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.57
Promoting Interoperability100
Improvement Activities40

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 Pavan Patel's NPI number?

The NPI number for Pavan Patel is 1780119446. It was assigned to this individual provider in the NPPES registry on May 1, 2017.

Where is Pavan Patel located?

Pavan Patel practices at 127 S 5th St Ste 155, Quakertown, PA 18951. The listed phone number is (267) 774-4187.

What is Pavan Patel's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Brain Injury Medicine, with taxonomy code 2084P0301X.

Is Pavan Patel enrolled in Medicare?

No. Pavan Patel has opted out of Medicare through May 29, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Is Pavan Patel affiliated with any hospitals?

According to CMS data, Pavan Patel is affiliated with St Lukes Quakertown Hospital and St Luke's Hospital Bethlehem.

When was this NPI record last updated?

The NPPES record for Pavan Patel was last updated on May 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.