PRIYESH PATEL
NPI 1821264730
Orthopaedic Surgery - Hand Surgery in Mchenry, IL

Active since May 01, 2008PECOS EnrolledAccepts Medicare Assignment
72.68/100
CMS Quality Rating
406 FRONT ST, MCHENRY, IL 60050(847) 381-0388(847) 381-0811 Get Directions Write a Review

NPPES record last updated: October 9, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 9, 2019, Oct 19, 2018, Aug 2, 2017 and 2 more (5 updates tracked since 2017).

About Priyesh Patel NPPES

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

PRIYESH PATEL (NPI 1821264730) is an individual hand surgery provider in Mchenry, Illinois, licensed in Illinois (036125161) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Mchenry, and is a graduate of Creighton University School Of Medicine (2004).

NPPES Registry Identity

NPI1821264730
Entity TypeIndividualMale
Primary Taxonomy207XS0106X
Provider Legal NamePRIYESH PATEL
Location Address406 FRONT STMchenry, IL 60050-5593
Mailing Address900 Rand Rd Ste 300Des Plaines, IL 60016-2359 · (847) 324-3976 · Fax (847) 929-1154
Fax(847) 381-0811
Sole ProprietorNo
Medical School CMSCreighton University School Of MedicineGraduated 2004
Enumeration DateMay 1, 2008
Last NPPES UpdateOctober 9, 20195 updates tracked since enumeration
NPI 1821264730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0106X
License Licensed in IL · 036125161
Definition
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 036125161 (IL)
406 FRONT ST, Mchenry, IL 60050

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

Priyesh Patel 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 ID1951426733
PECOS Enrollment IDI20100916000986
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 26

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, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
794 services217 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.
469 services279 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.
246 services205 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
154 services154 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.
146 services146 patients
Injection into tendon or ligament 20550
An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.
109 services76 patients

Hospital Affiliations CMS Care Compare 2

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

Northwestern Medicine Mchenry

Acute Care Hospitals · Mchenry, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140116
Location4201 Medical Center DriveMchenry, IL 60050 · Mc Henry County
Emergency services Birthing friendly

Northwest Community Hospital 1

Acute Care Hospitals · Arlington Heights, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140252
Location800 W Central RoadArlington Heights, IL 60005 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60050 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

72.68/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.81
Promoting Interoperability81
Improvement Activities40
Cost52.96

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.

Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908
DME-Orthotic Devices · category DF000N
3 suppliers32 claims32 services$55.54 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 6

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

Specialist
406 FRONT ST, SUITE C
MCHENRY, IL 60050
Orthopaedic Surgery
406 FRONT ST
MCHENRY, IL 60050
Physical Therapist
406 FRONT ST, SUITE B
MCHENRY, IL 60050
Orthopaedic Surgery (Sports Medicine)
406 FRONT ST
MCHENRY, IL 60050
Durable Medical Equipment & Medical Supplies
406 FRONT ST, STE C
MCHENRY, IL 60050
Physical Therapist
406 FRONT ST, SUITE B
MCHENRY, IL 60050

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 Priyesh Patel's NPI number?

The NPI number for Priyesh Patel is 1821264730. It was assigned to this individual provider in the NPPES registry on May 1, 2008.

Where is Priyesh Patel located?

Priyesh Patel practices at 406 Front St, Mchenry, IL 60050. The listed phone number is (847) 381-0388.

What is Priyesh Patel's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Is Priyesh Patel enrolled in Medicare?

Yes. Priyesh 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.

Is Priyesh Patel affiliated with any hospitals?

According to CMS data, Priyesh Patel is affiliated with Northwestern Medicine Mchenry and Northwest Community Hospital 1.

When was this NPI record last updated?

The NPPES record for Priyesh Patel was last updated on October 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.