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PRANAV D. PATEL M.D.
NPI 1841372356
Internal Medicine - Medical Oncology in Culpeper, VA

Active since October 20, 2006PECOS EnrolledAccepts Medicare Assignment
79.39/100
CMS Quality Rating
545 SUNSET LN, CULPEPER, VA 22701(540) 829-4352(540) 829-4260 Get Directions Write a Review

NPPES record last updated: January 2, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 2, 2025, Mar 7, 2023, Oct 9, 2020 (3 updates tracked since 2020).

About Pranav D. Patel M.d. NPPES

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

PRANAV D. PATEL M.D. (NPI 1841372356) is an individual medical oncology provider in Culpeper, Virginia, licensed in Virginia (0101237228) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Virginia Medical Center, and is a graduate of Texas A & M University System, Hsc, College Of Medicine (2003).

NPPES Registry Identity

NPI1841372356
Entity TypeIndividualMale
Primary Taxonomy207RX0202X
Provider Legal NamePRANAV D. PATELCredential: M.D.
Location Address545 SUNSET LNCulpeper, VA 22701-3914
Mailing AddressPo Box 748613Atlanta, GA 30384-8613 · (434) 295-1000
Phone(540) 829-4352
Fax(540) 829-4260
Sole ProprietorNo
Medical School CMSTexas A & M University System, Hsc, College Of MedicineGraduated 2003
Enumeration DateOctober 20, 2006
Last NPPES UpdateJanuary 2, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 2, 2025
✔ NPI 1841372356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
License✔ Licensed in VA · 0101237228
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
545 SUNSET LN, Culpeper, VA 22701
Open in Google Maps ↗

Other Identifiers 1

Other0101237228VA · Virginia Medical License

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

Pranav D. 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 ID8628212388
PECOS Enrollment IDI20140826002569
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 6

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.
638 services357 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.
487 services165 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.
57 services57 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.
42 services38 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
Biopsy and aspiration of bone marrow sample for diagnosis 38222
A bone marrow biopsy and aspiration is a procedure where a small amount of bone marrow is removed for testing. It involves inserting a needle into a bone, typically the hip, to collect a sample. It can help diagnose various diseases and monitor treatment effectiveness.
12 services11 patients

Hospital Affiliations CMS Care Compare 5

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

University Of Virginia Medical Center

Acute Care Hospitals · Charlottesville, VA
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number490009
Location1215 Lee StreetCharlottesville, VA 22908 · Charlottesville City County
Emergency services Birthing friendly

Novant Health Uva Health System Culpeper Med Cente

Acute Care Hospitals · Culpeper, VA
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490019
Location501 Sunset LaneCulpeper, VA 22701 · Culpeper County
Emergency services Birthing friendly

Fauquier Hospital

Acute Care Hospitals · Warrenton, VA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number490023
Location500 Hospital DriveWarrenton, VA 20186 · Fauquier County
Emergency services Birthing friendly

Novant Prince William Medical Center

Acute Care Hospitals · Manassas, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490045
Location8700 Sudley RdManassas, VA 20110 · Manassas City County
Emergency services Birthing friendly

Uva Health Haymarket Medical Center

Acute Care Hospitals · Haymarket, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490144
Location15225 Healthcote BoulevardHaymarket, VA 20169 · Prince William County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22701 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
$170.30 typical visit price
range $56.19 – $170.30
Typical copayment $42.57 (range $14.04 – $42.57)
Most-billed visit code 99205
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.

79.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.66
Promoting Interoperability100
Improvement Activities40
Cost57.65

Referred Medical Equipment & Supplies CMS DME claims 7

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

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
1 supplier14 claims14 services$18.49 avg. paid by Medicare
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222
DME-Medical/Surgical Supplies · category DA000N
1 supplier14 claims14 services$35.55 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers15 claims16 services$79.22 avg. paid by Medicare
Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
5 suppliers23 claims1,376 services$0.66 avg. paid by Medicare
Injection, fluorouracil, 500 mg J9190
Treatment-Chemotherapy · category RH002N
1 supplier14 claims154 services$1.72 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
5 suppliers12 claims12 services$17.47 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 3

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

JONATHAN M FIELDS PHARMD
Pharmacist
545 SUNSET LN, SUITE 101
CULPEPER, VA 22701
Culpeper County (540) 829-8893
MICHELLE W. OTTO N.P.
Nurse Practitioner (Adult Health)
545 SUNSET LN
CULPEPER, VA 22701
Culpeper County (540) 829-4352
ALI MAHJOUB M.D.
Internal Medicine (Medical Oncology)
545 SUNSET LN
CULPEPER, VA 22701
Culpeper County (540) 829-4352

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 Pranav Patel's NPI number?

The NPI number for Pranav Patel is 1841372356. It was assigned to this individual provider in the NPPES registry on October 20, 2006.

Where is Pranav Patel located?

Pranav Patel practices at 545 Sunset Ln, Culpeper, VA 22701. The listed phone number is (540) 829-4352.

What is Pranav Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Pranav Patel enrolled in Medicare?

Yes. Pranav 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 Pranav Patel affiliated with any hospitals?

According to CMS data, Pranav Patel is affiliated with University Of Virginia Medical Center, Novant Health Uva Health System Culpeper Med Cente, Fauquier Hospital, Novant Prince William Medical Center and Uva Health Haymarket Medical Center.

When was this NPI record last updated?

The NPPES record for Pranav Patel was last updated on January 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.