VARUN P PATEL MD
NPI 1861832438
Internal Medicine - Gastroenterology in Crystal River, FL

Active since June 27, 2013PECOS EnrolledAccepts Medicare Assignment
94.24/100
CMS Quality Rating
6410 W GULF TO LAKE HWY, CRYSTAL RIVER, FL 34429(352) 563-2450 Get Directions Write a Review

NPPES record last updated: January 6, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Varun P Patel Md NPPES

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

VARUN P PATEL MD (NPI 1861832438) is an individual gastroenterology provider in Crystal River, Florida, licensed in Florida (ME140617) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Citrus Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1861832438
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameVARUN P PATELCredential: MD
Location Address6410 W GULF TO LAKE HWYCrystal River, FL 34429-7622
Mailing Address1309 E Venice AveVenice, FL 34285-7154 · (714) 310-7326
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateJune 27, 2013
Last NPPES UpdateJanuary 6, 2020
NPI 1861832438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in FL · ME140617
Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

6410 W GULF TO LAKE HWY, Crystal River, FL 34429

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Varun P Patel Md 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 ID5698007359
PECOS Enrollment IDI20191029003334
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 27

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
721 services319 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
652 services456 patients
New patient office or other outpatient visit, 30-44 minutes 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.
268 services268 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
222 services220 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
190 services183 patients
Follow-up hospital inpatient care per day, typically 35 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.
177 services110 patients

Hospital Affiliations CMS Care Compare 2

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

Hca Florida Citrus Hospital

Acute Care Hospitals · Inverness, FL
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100023
Location502 W Highland BlvdInverness, FL 34452 · Citrus County
Emergency services Birthing friendly

Tampa General Hospital Crystal River

Acute Care Hospitals · Crystal River, FL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100249
Location6201 N Suncoast BlvdCrystal River, FL 34428 · Citrus County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34429 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

94.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40
Cost80.82

Other Providers at the Same Location NPPES 12

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

Internal Medicine (Gastroenterology)
6410 W GULF TO LAKE HWY
CRYSTAL RIVER, FL 34429
Internal Medicine (Gastroenterology)
6410 W GULF TO LAKE HWY
CRYSTAL RIVER, FL 34429
Internal Medicine (Gastroenterology)
6410 W GULF TO LAKE HWY
CRYSTAL RIVER, FL 34429
Internal Medicine (Gastroenterology)
6410 W GULF TO LAKE HWY
CRYSTAL RIVER, FL 34429
Internal Medicine (Gastroenterology)
6410 W GULF TO LAKE HWY
CRYSTAL RIVER, FL 34429
Internal Medicine (Gastroenterology)
6410 W GULF TO LAKE HWY
CRYSTAL RIVER, FL 34429
Clinic/Center (Ambulatory Surgical)
6410 W GULF TO LAKE HWY
CRYSTAL RIVER, FL 34429
Internal Medicine (Gastroenterology)
6410 W GULF TO LAKE HWY
CRYSTAL RIVER, FL 34429

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 Varun Patel's NPI number?

The NPI number for Varun Patel is 1861832438. It was assigned to this individual provider in the NPPES registry on June 27, 2013.

Where is Varun Patel located?

Varun Patel practices at 6410 W Gulf To Lake Hwy, Crystal River, FL 34429. The listed phone number is (352) 563-2450.

What is Varun Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Varun Patel enrolled in Medicare?

Yes. Varun 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 Varun Patel accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Varun 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 Varun Patel affiliated with any hospitals?

According to CMS data, Varun Patel is affiliated with Hca Florida Citrus Hospital and Tampa General Hospital Crystal River.

When was this NPI record last updated?

The NPPES record for Varun Patel was last updated on January 6, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.