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BINDYABEN AMBUBHAI PATEL
NPI 1912484213
Nurse Practitioner - Family in Portsmouth, OH

Active since July 19, 2018PECOS EnrolledAccepts Medicare Assignment
85.07/100
CMS Quality Rating
2001 SCIOTO TRL STE 300, PORTSMOUTH, OH 45662(740) 353-6390(740) 353-6290 Get Directions Write a Review

NPPES record last updated: July 23, 2019. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jul 23, 2019, Aug 16, 2018, Aug 7, 2018 and 1 more (4 updates tracked since 2018).

About Bindyaben Ambubhai Patel NPPES

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

BINDYABEN AMBUBHAI PATEL (NPI 1912484213) is an individual family provider in Portsmouth, Ohio, licensed in Ohio (APRN.CNP.022538) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS, is affiliated with King's Daughters' Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1912484213
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBINDYABEN AMBUBHAI PATEL
Location Address2001 SCIOTO TRL STE 300Portsmouth, OH 45662
Mailing AddressPo Box 1595Ashland, KY 41105-1595 · (606) 408-6200 · Fax (606) 408-6612
Phone(740) 353-6390
Fax(740) 353-6290
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 19, 2018
Last NPPES UpdateJuly 23, 20194 updates tracked since enumeration
✔ NPI 1912484213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in OH · APRN.CNP.022538✔ Licensed in KY · 3012320
2001 SCIOTO TRL STE 300, Portsmouth, OH 45662
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Bindyaben Ambubhai Patel 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 ID4385995117
PECOS Enrollment IDI20180918002786, I20180918003262
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 7

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.
77 services59 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.
38 services36 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.
33 services27 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.
30 services30 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
24 services12 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
17 services15 patients

Hospital Affiliations CMS Care Compare 3

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

King's Daughters' Medical Center

Acute Care Hospitals · Ashland, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180009
Location2201 Lexington AvenueAshland, KY 41101 · Boyd County
Emergency services

Southern Ohio Medical Center

Acute Care Hospitals · Portsmouth, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360008
Location1805 27th StreetPortsmouth, OH 45662 · Scioto County
Emergency services Birthing friendly

Kings Daughters Medical Center Ohio

Acute Care Hospitals · Portsmouth, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number360361
Location1901 Argonne RoadPortsmouth, OH 45662 · Scioto County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45662 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

85.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.96
Promoting Interoperability100
Improvement Activities40
Cost64.52

Other Providers at the Same Location NPPES 7

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

JULIA ANN GILBERT CNP
Nurse Practitioner (Family)
2001 SCIOTO TRL STE 300
PORTSMOUTH, OH 45662
Scioto County (740) 353-6390
CHRISTOPHER KEETON APRN
Nurse Practitioner (Family)
2001 SCIOTO TRL STE 300
PORTSMOUTH, OH 45662
Scioto County (740) 353-6390
HILLARD PATRICK BROWN APRN
Nurse Practitioner (Family)
2001 SCIOTO TRL STE 300
PORTSMOUTH, OH 45662
Scioto County (740) 353-6390
DR. ROY AARON ADAMS D.O.
Family Medicine
2001 SCIOTO TRL STE 300
PORTSMOUTH, OH 45662
Scioto County (740) 353-6390
ALICIA M FINK APRN
Nurse Practitioner (Family)
2001 SCIOTO TRL STE 300
PORTSMOUTH, OH 45662
Scioto County (740) 353-6390
AMBER DAWN STEPHENS APRN
Nurse Practitioner (Family)
2001 SCIOTO TRL STE 300
PORTSMOUTH, OH 45662
Scioto County (740) 353-6390
DR. LEONARD HERBERT OTWORTH IV D.O.
Family Medicine
2001 SCIOTO TRL STE 300
PORTSMOUTH, OH 45662
Scioto County (740) 353-6390

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 Bindyaben Patel's NPI number?

The NPI number for Bindyaben Patel is 1912484213. It was assigned to this individual provider in the NPPES registry on July 19, 2018.

Where is Bindyaben Patel located?

Bindyaben Patel practices at 2001 Scioto Trl Ste 300, Portsmouth, OH 45662. The listed phone number is (740) 353-6390.

What is Bindyaben Patel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Bindyaben Patel enrolled in Medicare?

Yes. Bindyaben 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 Bindyaben Patel accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Molina Healthcare list Bindyaben 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 Bindyaben Patel affiliated with any hospitals?

According to CMS data, Bindyaben Patel is affiliated with King's Daughters' Medical Center, Southern Ohio Medical Center and Kings Daughters Medical Center Ohio.

When was this NPI record last updated?

The NPPES record for Bindyaben Patel was last updated on July 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.