DR. KETAN B. PATEL MD
NPI 1881896777
Pain Medicine - Interventional Pain Medicine in Haymarket, VA

Q: What is Ketan Patel's NPI number?

The NPI number for Ketan Patel is 1881896777. It was assigned to this individual provider in the NPPES registry on June 3, 2007.

Q: What is Ketan Patel's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Q: When was this NPI record last updated?

The NPPES record for Ketan Patel was last updated on July 26, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 03, 2007PECOS EnrolledAccepts Medicare Assignment

85.88/100

CMS Quality Rating

15195 HEATHCOAT BLVD, SUITE 230, HAYMARKET, VA 20169(703) 914-8000(703) 642-1876 Get Directions Write a Review

NPPES record last updated: July 26, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 26, 2021, Jul 11, 2019, Jul 23, 2018 and 1 more (4 updates tracked since 2016).

On this page

About Dr. Ketan B. Patel Md NPPES

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

DR. KETAN B. PATEL MD (NPI 1881896777) is an individual interventional pain medicine provider in Haymarket, Virginia, licensed in Virginia (0101251492) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Fauquier Hospital, and maintains a secondary practice location in Aldie.

NPPES Registry Identity

NPI1881896777

Entity TypeIndividualMale

Primary Taxonomy208VP0014X

Provider Legal NameDR. KETAN B. PATELCredential: MD

Location Address15195 HEATHCOAT BLVD, SUITE 230Haymarket, VA 20169

Mailing Address11350 Mccormick Road, Executive Plaza 1, Suite 501Hunt Valley, MD 21031 · (410) 329-1071 · Fax (410) 329-1054

Phone(703) 914-8000

Fax(703) 642-1876

Sole ProprietorNo

Medical School CMSAlbany Medical College Of Union UniversityGraduated 2007

Enumeration DateJune 3, 2007

Last NPPES UpdateJuly 26, 20214 updates tracked since enumeration

NPPES CertifiedJuly 26, 2021

✔ NPI 1881896777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code208VP0014X

License✔ Licensed in VA · 0101251492

Definition

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

15195 HEATHCOAT BLVD, Haymarket, VA 20169

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Secondary Practice Location 1

Location 124560 Southpoint Dr Ste 120Aldie, VA 20105-3505 · Phone (703) 348-5060

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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. Ketan B. 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 ID1759547722

PECOS Enrollment IDI20120731000075

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.

Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg J7322

Hymovis is a treatment involving the injection of a substance called hyaluronan into a joint. This substance, naturally found in the body, helps lubricate and cushion your joints. The treatment can help reduce joint pain and improve mobility.

816 services15 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483

This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.

388 services269 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.

386 services49 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level 64484

This procedure involves injecting an anesthetic or steroid drug into the sacral spine nerve root. It's done under imaging guidance to ensure accuracy. The process can be repeated for each additional level of the spine to help manage pain or inflammation.

197 services136 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.

158 services158 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.

153 services111 patients

Injection of substance into middle or upper spine canal using imaging guidance 62321

This procedure involves injecting a substance into your middle or upper spine canal. It's performed under imaging guidance to ensure accuracy. The substance can help diagnose or treat various conditions, providing relief from symptoms.

113 services80 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.

112 services85 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.

109 services72 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.

107 services107 patients

Fluoroscopic guidance for needle placement 77002

Fluoroscopic guidance for needle placement is a medical procedure that uses a special X-ray technology to help accurately place a needle in the body. It's often used in biopsies, injections or other treatments to ensure precision and safety.

96 services64 patients

Injection of lower or sacral spine facet joint using imaging guidance, single level 64493

This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.

81 services45 patients

Injection of lower or sacral spine facet joint using imaging guidance, second level 64494

This procedure involves injecting medication into the facet joints of your lower or sacral spine to manage pain. Imaging guidance ensures accurate placement. It's the second level, meaning it's done on two different joint levels.

79 services44 patients

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint 64636

This procedure involves using imaging technology to locate and treat nerves in your lower spine or sacral area that may be causing pain. Each additional facet joint refers to treating more than one spinal nerve. It's a non-invasive way to manage chronic back pain.

51 services43 patients

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635

This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.

50 services44 patients

Injection of substance into lower spine canal using imaging guidance 62323

This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.

46 services31 patients

Electronic analysis reprogramming and refill of spinal canal drug infusion pump by physician 62370

This procedure involves a physician checking and adjusting your spinal canal drug infusion pump. The pump's programming is updated electronically and the medication reservoir is refilled, ensuring effective pain management and optimal device performance.

45 services22 patients

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702

This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.

42 services18 patients

Compounded drug, not otherwise classified J7999

A compounded drug is a personalized medication created to meet unique patient needs. If you can't take standard drugs due to allergies or need a specific dosage not commercially available, a pharmacist can mix ingredients to make a drug specifically for you.

42 services20 patients

Electronic analysis and reprogramming of spinal canal drug infusion pump 62368

This procedure involves the use of technology to assess and adjust a medication pump, implanted near the spine. The pump delivers precise doses of medication directly into the spinal canal to manage pain or spasticity. The reprogramming ensures optimal treatment.

30 services15 patients

Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance 27096

This procedure involves injecting medicine into the joint where your lower spine meets your hip bone. Using special imaging technology, the doctor ensures the medicine is delivered accurately. This can help reduce pain and inflammation in that area.

29 services26 patients

Maintenance of spinal canal or brain drug infusion pump by health care professional 95991

This procedure involves a healthcare professional managing a pump that delivers medication directly into your spinal canal or brain. It's typically done to ensure the pump is working correctly, to refill the medication, or to adjust the dosage.

28 services13 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

16 services13 patients

Hospital Affiliations CMS Care Compare 4

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

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

Inova Fair Oaks Hospital

Acute Care Hospitals · Fairfax, VA

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number490101

Location3600 Joseph Siewick DriveFairfax, VA 22033 · Fairfax County

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 20169 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

$129.04 typical visit price

range $56.19 – $170.30

Typical copayment $32.26 (range $14.04 – $42.57)

Most-billed visit code 99204

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.

85.88/100

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

Individually scored

Quality

74.33

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

Advance Care Plan

89%560 patients4/55-star benchmark: 100%

Controlling High Blood Pressure

57%368 patients3/55-star benchmark: 98%

Overuse of Imaging for the Evaluation of Primary Headache

Lower rates are better for this measure.

0%20 patients

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

87%1,358 patients4/55-star benchmark: 100%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

81%1,245 patients4/55-star benchmark: 100%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

66%1,502 patients3/55-star benchmark: 100%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 94% · 289 patients

94%289 patients

Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling

Patients combinedPopulations: 89% · 280 patients

Patients screened: 94% · 280 patients

69%45 patients

Provide Patients Electronic Access to Their Health Information

99%765 patients4/55-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.

Referred Medical Equipment & Supplies CMS DME claims

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

Neuromuscular stimulator, electronic shock unit E0745

DME-Other DME · category DE000N

1 supplier33 claims33 services$58.67 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

PHYSICAL MEDICINE ASSOCIATES LTD

Physical Medicine & Rehabilitation (Pain Medicine)

15195 HEATHCOAT BLVD, SUITE 230
HAYMARKET, VA 20169

Prince William County (703) 914-8000

DR. JAMES B MIN MD

Family Medicine

15195 HEATHCOAT BLVD, SUITE 338
HAYMARKET, VA 20169

Prince William County (703) 368-3161

MOUNTAIN VIEW INTERNAL MEDICINE AND PEDIATRICS INC.

Internal Medicine

15195 HEATHCOAT BLVD, SUITE 330
HAYMARKET, VA 20169

Prince William County (571) 248-0167

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 Ketan Patel's NPI number?

The NPI number for Ketan Patel is 1881896777. It was assigned to this individual provider in the NPPES registry on June 3, 2007.

Where is Ketan Patel located?

Ketan Patel practices at 15195 Heathcoat Blvd Suite 230, Haymarket, VA 20169. The listed phone number is (703) 914-8000.

What is Ketan Patel's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Is Ketan Patel enrolled in Medicare?

Yes. Ketan 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 Ketan Patel accept?

Health plans from CareSource list Ketan 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 Ketan Patel affiliated with any hospitals?

According to CMS data, Ketan Patel is affiliated with Fauquier Hospital, Novant Prince William Medical Center, Inova Fair Oaks Hospital and Uva Health Haymarket Medical Center.

When was this NPI record last updated?

The NPPES record for Ketan Patel was last updated on July 26, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.