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TRUPTI PATEL M.D.
NPI 1780684191
Family Medicine in Ashburn, VA

Active since July 28, 2005PECOS EnrolledAccepts Medicare Assignment
92.61/100
CMS Quality Rating
21035 SYCOLIN ROAD, SUITE 180, ASHBURN, VA 20147(703) 783-5673(703) 297-8100 Get Directions Write a Review

NPPES record last updated: July 31, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 3, 2019, May 29, 2019 (2 updates tracked since 2019).

About Trupti Patel M.d. NPPES

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

TRUPTI PATEL M.D. (NPI 1780684191) is an individual family medicine provider in Ashburn, Virginia, licensed in Virginia (0101236469) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Eastern Virginia Medical School (1990).

NPPES Registry Identity

NPI1780684191
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameTRUPTI PATELCredential: M.D.
Location Address21035 SYCOLIN ROAD, SUITE 180Ashburn, VA 20147-4311
Mailing Address224d Cornwall St Nw Ste 403Leesburg, VA 20176-2704 · (703) 737-6001
Phone(703) 783-5673
Fax(703) 297-8100
Sole ProprietorNo
Medical School CMSEastern Virginia Medical SchoolGraduated 1990
Enumeration DateJuly 28, 2005
Last NPPES UpdateJuly 31, 20232 updates tracked since enumeration
NPPES CertifiedJuly 31, 2023
✔ NPI 1780684191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in VA · 0101236469
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedFamily Medicine · Obesity MedicineTaxonomy 207QB0002X · License 0101236469 (VA)
21035 SYCOLIN ROAD, SUITE 180, Ashburn, VA 20147
Open in Google Maps ↗

Secondary Practice Locations 2

Location 125055 Riding Plz, Suite 220South Riding, VA 20152-5917 · Phone (703) 722-5840 · Fax (703) 722-5821
Location 225055 Riding Plz Ste 230Chantilly, VA 20152-5920 · Phone (757) 406-6645 · Fax (703) 753-7870

Other Identifiers 1

Medicaid1780684191VA

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

Trupti 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 ID6800863812
PECOS Enrollment IDI20040910000283, I20180524000919
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.

Face-to-face behavioral counseling for obesity, 15 minutes G0447
This is a 15-minute consultation where a healthcare professional discusses your eating habits, physical activity, and goals to help manage your weight. The aim is to provide personalized strategies to promote a healthier lifestyle and combat obesity.
107 services43 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.
89 services40 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.
35 services35 patients
Test to measure exhaled air for evaluation of lung function at rest 94690
This test, known as spirometry, measures how much and how quickly you can move air out of your lungs. It helps to assess lung function by determining the amount of airflow obstruction present. It's non-invasive and important for diagnosing respiratory conditions.
23 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20147 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

92.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.22
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
82%45 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
44%57 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
41%66 patients2/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
45%38 patients2/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Skin barrier; solid, 4 x 4 or equivalent; each A4362
DME-Orthotic Devices · category DF010N
1 supplier11 claims110 services$2.59 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

LOUDOUN MEDICAL GROUP, PC
Family Medicine (Obesity Medicine)
21035 SYCOLIN ROAD, SUITE 180
ASHBURN, VA 20147
Loudoun County (703) 783-5673
JANET PERROTTA NP
Nurse Practitioner (Family)
21035 SYCOLIN ROAD, SUITE 180
ASHBURN, VA 20147
Loudoun County (703) 783-5673
SHREYA MATHUR
Nurse Practitioner (Acute Care)
21035 SYCOLIN ROAD, SUITE 180
ASHBURN, VA 20147
Loudoun County (703) 783-5673
KELLY SPENCER FNP-BC
Nurse Practitioner (Family)
21035 SYCOLIN ROAD, SUITE 180
ASHBURN, VA 20147
Loudoun County (703) 783-5673

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 Trupti Patel's NPI number?

The NPI number for Trupti Patel is 1780684191. It was assigned to this individual provider in the NPPES registry on July 28, 2005.

Where is Trupti Patel located?

Trupti Patel practices at 21035 Sycolin Road, Suite 180, Ashburn, VA 20147. The listed phone number is (703) 783-5673.

What is Trupti Patel's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Trupti Patel enrolled in Medicare?

Yes. Trupti 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.

When was this NPI record last updated?

The NPPES record for Trupti Patel was last updated on July 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.