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DR. SACHIN PATEL D.P.M.
NPI 1821388539
Podiatrist in Princeton, NJ

Active since April 14, 2011PECOS EnrolledAccepts Medicare Assignment
83.42/100
CMS Quality Rating
11 N HARRISON ST, PRINCETON, NJ 08540(609) 924-1922(609) 497-2936 Get Directions Write a Review

NPPES record last updated: July 2, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Sachin Patel D.p.m. NPPES

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

DR. SACHIN PATEL D.P.M. (NPI 1821388539) is an individual podiatrist in Princeton, New Jersey, licensed in New Jersey (25MD00316000) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS and is a graduate of Temple University School Of Medicine (2010).

NPPES Registry Identity

NPI1821388539
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameDR. SACHIN PATELCredential: D.P.M.
Location Address11 N HARRISON STPrinceton, NJ 08540-3502
Mailing Address11 N Harrison StPrinceton, NJ 08540-3502 · (609) 924-1922 · Fax (609) 497-2936
Phone(609) 924-1922
Fax(609) 497-2936
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 2010
Enumeration DateApril 14, 2011
Last NPPES UpdateJuly 2, 2013
✔ NPI 1821388539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in NJ · 25MD00316000
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
11 N HARRISON ST, Princeton, NJ 08540
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Sachin Patel D.p.m. 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 ID7315187945
PECOS Enrollment IDI20130702000703
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.

Medicare Billing Reassignment

Medicare enrollment records show Sachin Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Princeton Foot And Ankle Associates
4.8 mi
Podiatrist
263 PRINCETON HIGHTSTOWN RD
West Windsor, NJ 08550
  • Reassigned Medicare billing, New Jersey enrollment
  • 4 clinicians in this Medicare group
NPI 1538114475 (609) 799-0043

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
618 services197 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.
423 services222 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
349 services106 patients
Removal of noncancer thickened skin growth, more than 4 growths 11057
This procedure involves the removal of more than four noncancerous, thickened skin growths. It's a simple process where a healthcare professional uses a specialized tool to carefully remove these growths, promoting healthier skin.
152 services48 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.
130 services130 patients
Removal of fingernails or toenails, 1-5 nails 11720
This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.
125 services36 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08540 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
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.

83.42/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality63.57
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Advance Care Plan
89%580 patients4/55-star benchmark: 100%
Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation
40%113 patients2/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
100%47 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
77%3,014 patients3/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
47%561 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
30%1,852 patients2/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 65% · 753 patients
Patients screened: 67% · 753 patients
33%21 patients2/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
99%773 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
74%86 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 589 patients
Patients totalRate: 0% · 589 patients
0%589 patients5/55-star benchmark: 100%
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.

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.

DR. KRISHNA N TRAMBADIA DPM
Podiatrist (Foot & Ankle Surgery)
11 N HARRISON ST
PRINCETON, NJ 08540
Mercer County (609) 924-1922
PRINCETON FOOT AND ANKLE ASSOCIATES
Podiatrist
11 N HARRISON ST
PRINCETON, NJ 08540
Mercer County (609) 895-9700
DR. LEWIS S GUTTESMAN DPM
Podiatrist
11 N HARRISON ST
PRINCETON, NJ 08540
Mercer County (609) 924-1689
DR. JOHN F STANOCH DPM
Podiatrist (Foot & Ankle Surgery)
11 N HARRISON ST
PRINCETON, NJ 08540
Mercer County (609) 924-1922

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 Sachin Patel's NPI number?

The NPI number for Sachin Patel is 1821388539. It was assigned to this individual provider in the NPPES registry on April 14, 2011.

Where is Sachin Patel located?

Sachin Patel practices at 11 N Harrison St, Princeton, NJ 08540. The listed phone number is (609) 924-1922.

What is Sachin Patel's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Sachin Patel enrolled in Medicare?

Yes. Sachin 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.

Which organization bills Medicare for Sachin Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sachin Patel reassigns Medicare benefits to Princeton Foot And Ankle Associates (West Windsor, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sachin Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sachin Patel accept?

Health plans from Oscar Health list Sachin 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.

When was this NPI record last updated?

The NPPES record for Sachin Patel was last updated on July 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.