DR. NILPESH MAHESH PATEL M.D
NPI 1851577308
Orthopaedic Surgery in Rockwall, TX

Q: What is Nilpesh Patel's NPI number?

The NPI number for Nilpesh Patel is 1851577308. It was assigned to this individual provider in the NPPES registry on January 15, 2008.

Q: What is Nilpesh Patel's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Nilpesh Patel was last updated on August 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since January 15, 2008PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

1301 SUMMER LEE DR, ROCKWALL, TX 75032(972) 771-8111(972) 771-8103 Get Directions Write a Review

NPPES record last updated: August 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 15, 2025, Jul 23, 2021 (2 updates tracked since 2021).

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About Dr. Nilpesh Mahesh Patel M.d NPPES

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

DR. NILPESH MAHESH PATEL M.D (NPI 1851577308) is an individual orthopaedic surgery provider in Rockwall, Texas, licensed in Texas (N7323) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS, is affiliated with Hunt Regional Medical Center, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1851577308

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameDR. NILPESH MAHESH PATELCredential: M.D

Location Address1301 SUMMER LEE DRRockwall, TX 75032-5452

Mailing Address1301 Summer Lee DrRockwall, TX 75032-5452 · (972) 771-8111 · Fax (972) 771-8103

Phone(972) 771-8111

Fax(972) 771-8103

Sole ProprietorYes

Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 2004

Enumeration DateJanuary 15, 2008

Last NPPES UpdateAugust 15, 20252 updates tracked since enumeration

NPPES CertifiedAugust 15, 2025

✔ NPI 1851577308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in TX · N7323

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Also ListedOrthopaedic Surgery · Hand SurgeryTaxonomy 207XS0106X · License N7323 (TX)

1301 SUMMER LEE DR, Rockwall, TX 75032

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Secondary Practice Locations 4

Location 1731 Woodbridge Pkwy Suite 100Wylie, TX 75098 · Phone (972) 771-8111 · Fax (972) 771-8103

Location 2325 N FM 548 Suite 100Forney, TX 75126 · Phone (972) 771-8111 · Fax (972) 771-8103

Location 3200 N Arch StRoyse City, TX 75189-8631 · Phone (972) 771-8111

Location 4200 N Virginia StTerrell, TX 75160-2732 · Phone (972) 771-8111

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Dr. Nilpesh Mahesh 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 ID2567656531

PECOS Enrollment IDI20101214000187

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 23

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, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

1,242 services204 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.

616 services344 patients

X-ray of hand, minimum of 3 views 73130

An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.

409 services263 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.

194 services194 patients

X-ray of wrist, minimum of 3 views 73110

An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.

185 services90 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.

177 services145 patients

Aspiration and/or injection of fluid from small joint 20600

This procedure involves inserting a thin needle into a small joint to remove (aspirate) or inject fluid. It can help diagnose conditions, relieve discomfort, or administer medication directly into the joint. It's generally safe with minimal discomfort.

130 services93 patients

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

116 services20 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.

112 services85 patients

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110

This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.

100 services28 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.

75 services75 patients

X-ray of elbow, minimum of 3 views 73080

An elbow X-ray with a minimum of 3 views is a non-invasive imaging test. It helps visualize the bones of the elbow from different angles. This aids in diagnosing conditions like fractures or arthritis. The procedure is quick, painless, and usually takes around 15 minutes.

68 services34 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

32 services21 patients

Aspiration and/or injection of fluid from medium joint 20605

This procedure involves a needle being inserted into a medium-sized joint, such as a knee or shoulder, to remove (aspirate) excess fluid. Sometimes, medication may also be injected into the joint to reduce inflammation and pain.

29 services25 patients

Therapy procedure using functional activities 97530

A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.

29 services19 patients

Incision of tendon covering of finger 26055

This procedure involves making a small cut into the protective sheath around a finger tendon. It's typically done to relieve pressure or inflammation, improve finger movement, or treat conditions like trigger finger. It's a safe, often outpatient procedure.

28 services20 patients

Release of wrist ligament using an endoscope 29848

This procedure involves using a small camera, called an endoscope, to view and treat a tight wrist ligament. The endoscope is inserted through a tiny incision, reducing recovery time and scarring. It helps to relieve pain and improve wrist function.

27 services24 patients

Cast supplies, short arm cast, adult (11 years +), fiberglass Q4010

A short arm cast, made from fiberglass, is often used for fractures or injuries to the wrist or forearm in adults and children over 11. It's lightweight, durable, and can be molded to fit your arm comfortably. This cast allows for limited movement while ensuring proper healing.

22 services17 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

21 services13 patients

Application of elbow to finger cast 29075

An elbow to finger cast is applied to immobilize the arm from the elbow down to the fingers. This aids in healing fractures or severe sprains. The cast, made from plaster or fiberglass, wraps around the arm, providing support and limiting movement to promote recovery.

18 services16 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

18 services14 patients

Cast supplies, short arm splint, adult (11 years +), plaster Q4021

A short arm splint, made of plaster, is a supportive device for adults and children over 11 years. It's applied to the lower part of the arm to stabilize and protect it during healing from injuries, fractures, or surgeries.

18 services14 patients

Application of nonmoveable forearm to hand splint 29125

The application of a non-moveable forearm to hand splint is a procedure where a rigid support is placed on your forearm and hand. This is done to stabilize the area, promote healing, and prevent further injury. It restricts movement, providing rest to the injured part.

16 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Hunt Regional Medical Center

Acute Care Hospitals · Greenville, TX

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450352

Location4215 Joe Ramsey Blvd EGreenville, TX 75401 · Hunt County

Emergency services Birthing friendly

Baylor Scott And White Medical Center Lake Pointe

Acute Care Hospitals · Rowlett, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450742

Location6800 Scenic DrRowlett, TX 75088 · Dallas County

Emergency services Birthing friendly

Texas Health Presbyterian Hospital Rockwall

Acute Care Hospitals · Rockwall, TX

5/5 CMS rating

OwnershipProprietary

CMS Certification Number670044

Location3150 Horizon RoadRockwall, TX 75032 · Rockwall County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75032 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

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.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims 2

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

1 supplier21 claims22 services$45.61 avg. paid by Medicare

Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf L3924

DME-Orthotic Devices · category DF000N

1 supplier14 claims14 services$62.06 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 20

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

MRS. SARA HAYS LEWIS FNP-BC

Nurse Practitioner