SARJOO B PATEL M.D.
NPI 1831362995
Family Medicine in Stoughton, WI

Active since April 09, 2008PECOS EnrolledAccepts Medicare Assignment
97.59/100
CMS Quality Rating
900 RIDGE ST, STOUGHTON HOSPITAL, STOUGHTON, WI 53589(608) 873-2280 Get Directions Write a Review

NPPES record last updated: September 25, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Sarjoo B Patel M.d. NPPES

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

SARJOO B PATEL M.D. (NPI 1831362995) is an individual family medicine provider in Stoughton, Wisconsin, licensed in Wisconsin (54134-20) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS, is affiliated with Morehouse General Hospital, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1831362995
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSARJOO B PATELCredential: M.D.
Location Address900 RIDGE ST, STOUGHTON HOSPITALStoughton, WI 53589-1864
Mailing Address900 Ridge St, Stoughton HospitalStoughton, WI 53589-1864 · (608) 873-2280
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateApril 9, 2008
Last NPPES UpdateSeptember 25, 2023
NPPES CertifiedSeptember 25, 2023
NPI 1831362995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in WI · 54134-20 Licensed in TX · T5771
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 ListedHospitalistTaxonomy 208M00000X · License 54134-020 (WI)
900 RIDGE ST, Stoughton, WI 53589

Accepted Insurance

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

Sarjoo B 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 ID4486825718
PECOS Enrollment IDI20221013003299, I20221130003428, I20241210004268, I20250113001541
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
1,322 services249 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
241 services231 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.
221 services199 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
20 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Morehouse General Hospital

Acute Care Hospitals · Bastrop, LA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number190116
Location323 W WalnutBastrop, LA 71220 · Morehouse County
Emergency services

Freestone Medical Center

Acute Care Hospitals · Fairfield, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450658
Location125 Newman StFairfield, TX 75840 · Freestone County
Emergency services

Frio Regional Hospital

Critical Access Hospitals · Pearsall, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number451391
Location200 S Ih 35Pearsall, TX 78061 · Frio County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53589 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

97.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.16
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Physician Assistant
900 RIDGE ST
STOUGHTON, WI 53589
Nurse Practitioner (Adult Health)
900 RIDGE ST
STOUGHTON, WI 53589
Occupational Therapist
900 RIDGE ST
STOUGHTON, WI 53589
Physical Therapy Assistant
900 RIDGE ST
STOUGHTON, WI 53589
Physical Therapist
900 RIDGE ST
STOUGHTON, WI 53589
Nurse Anesthetist, Certified Registered
900 RIDGE ST
STOUGHTON, WI 53589
Orthopaedic Surgery
900 RIDGE ST
STOUGHTON, WI 53589
Physician Assistant
900 RIDGE ST
STOUGHTON, WI 53589

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 Sarjoo Patel's NPI number?

The NPI number for Sarjoo Patel is 1831362995. It was assigned to this individual provider in the NPPES registry on April 9, 2008.

Where is Sarjoo Patel located?

Sarjoo Patel practices at 900 Ridge St Stoughton Hospital, Stoughton, WI 53589. The listed phone number is (608) 873-2280.

What is Sarjoo Patel's specialty?

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

Is Sarjoo Patel enrolled in Medicare?

Yes. Sarjoo 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.

What insurance does Sarjoo Patel accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. and Blue Cross and Blue Shield of Texas list Sarjoo 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.

Is Sarjoo Patel affiliated with any hospitals?

According to CMS data, Sarjoo Patel is affiliated with Morehouse General Hospital, Freestone Medical Center and Frio Regional Hospital.

When was this NPI record last updated?

The NPPES record for Sarjoo Patel was last updated on September 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.