1. Home
  2. Directory
  3. Ohio
  4. Wilmington
  5. Obstetrics Gynecology
  6. NPI Profile

RAJIV R PATEL MD
NPI 1902899099
Obstetrics & Gynecology in Wilmington, OH

Active since August 24, 2005PECOS EnrolledAccepts Medicare Assignment
630 W MAIN ST STE 102, WILMINGTON, OH 45177(937) 283-2588(937) 283-2594 Get Directions Write a Review

NPPES record last updated: October 16, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Rajiv R Patel Md NPPES

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

RAJIV R PATEL MD (NPI 1902899099) is an individual obstetrics & gynecology provider in Wilmington, Ohio, licensed in Ohio (35-076617) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Clinton Memorial Hospital, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1902899099
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameRAJIV R PATELCredential: MD
Location Address630 W MAIN ST STE 102Wilmington, OH 45177-2181
Mailing Address630 W Main St Ste 102Wilmington, OH 45177-2181 · (937) 283-2588 · Fax (937) 283-2594
Phone(937) 283-2588
Fax(937) 283-2594
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateAugust 24, 2005
Last NPPES UpdateOctober 16, 2025
NPPES CertifiedOctober 16, 2025
✔ NPI 1902899099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in OH · 35-076617✔ Licensed in OH · MD062974L/PA
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
630 W MAIN ST STE 102, Wilmington, OH 45177
Open in Google Maps ↗

Other Identifiers 1

Medicaid2142612OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, UnitedHealthcare.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

Rajiv R 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 ID5799721148
PECOS Enrollment IDI20091217000211
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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
28 services28 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
28 services28 patients
Stool analysis for blood to screen for colon tumors 82270
A stool analysis for blood is a non-invasive procedure used to check for the presence of hidden blood in your stool. This can be an early sign of colon tumors. The test involves collecting a small sample of stool at home and sending it to a lab for analysis.
24 services24 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.
22 services18 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.
20 services19 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
14 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Clinton Memorial Hospital

Acute Care Hospitals · Wilmington, OH
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number360175
Location610 West Main StreetWilmington, OH 45177 · Clinton County
Birthing friendly

Highland District Hospital

Critical Access Hospitals · Hillsboro, OH
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number361332
Location1275 North High StreetHillsboro, OH 45133 · Highland County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45177 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
76%160 patients4/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
92%617 patients
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
99%599 patients5/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%126 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
29%1,170 patients2/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
23%598 patients1/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 99% · 541 patients
Patients tobacco: 3% · 80 patients
74%541 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
69%1,170 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
40%1,170 patients2/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
44%1,170 patients
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.

Other Providers at the Same Location NPPES 2

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

CHRISTINA KLASMEIER CNM
Advanced Practice Midwife
630 W MAIN ST STE 102
WILMINGTON, OH 45177
Clinton County (937) 283-2588
LINDA J BRACKETT CNM
Advanced Practice Midwife
630 W MAIN ST STE 102
WILMINGTON, OH 45177
Clinton County (937) 283-2588

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 Rajiv Patel's NPI number?

The NPI number for Rajiv Patel is 1902899099. It was assigned to this individual provider in the NPPES registry on August 24, 2005.

Where is Rajiv Patel located?

Rajiv Patel practices at 630 W Main St Ste 102, Wilmington, OH 45177. The listed phone number is (937) 283-2588.

What is Rajiv Patel's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Rajiv Patel enrolled in Medicare?

Yes. Rajiv 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 Rajiv Patel accept?

Health plans from CareSource and UnitedHealthcare list Rajiv 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 Rajiv Patel affiliated with any hospitals?

According to CMS data, Rajiv Patel is affiliated with Clinton Memorial Hospital and Highland District Hospital.

When was this NPI record last updated?

The NPPES record for Rajiv Patel was last updated on October 16, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.