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DR. BHUPENDRANATH GALAL PATEL M.D.
NPI 1932143971
Family Medicine in Clarkston, MI

Active since June 16, 2006PECOS Enrolled
6770 DIXIE HWY, CLARKSTON, MI 48346(248) 625-0030(248) 625-4403 Get Directions Write a Review

NPPES record last updated: December 22, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Bhupendranath Galal Patel M.d. NPPES

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

DR. BHUPENDRANATH GALAL PATEL M.D. (NPI 1932143971) is an individual family medicine provider in Clarkston, Michigan, licensed in Michigan (4301040083) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932143971
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. BHUPENDRANATH GALAL PATELCredential: M.D.
Location Address6770 DIXIE HWYClarkston, MI 48346-2087
Mailing Address6770 Dixie Hwy Ste 303Clarkston, MI 48346-2090 · (248) 625-0030
Phone(248) 625-0030
Fax(248) 625-4403
Sole ProprietorNo
Enumeration DateJune 16, 2006
Last NPPES UpdateDecember 22, 2017
✔ NPI 1932143971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 4301040083
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
6770 DIXIE HWY, Clarkston, MI 48346
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Other Identifiers 1

Medicaid1932143971MI

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.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Bhupendranath Galal Patel M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 9

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 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.
321 services172 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.
226 services165 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
165 services165 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
89 services89 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
75 services75 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
52 services51 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48346 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

Reported Quality Measures

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.
98%11,188 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
69%557 patients4/55-star benchmark: 88%
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.
97%399 patients4/55-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.
96%1,949 patients4/55-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…
100%380 patients5/55-star benchmark: 100%
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…
100%1,949 patients5/55-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…
35%1,949 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.
32%1,949 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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
17 suppliers58 claims114 services$6.30 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
3 suppliers16 claims16 services$2.94 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
11 suppliers39 claims42 services$1.06 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.

UNITED EAGLE IMAGING, LLC
Radiology (Diagnostic Radiology)
6770 DIXIE HWY, STE 107
CLARKSTON, MI 48346
Oakland County (248) 625-7506
ALLISON EYE CARE INC
Optometrist
6770 DIXIE HWY, SUITE 203
CLARKSTON, MI 48346
Oakland County (248) 922-1111
RICHARD S SCHWARTZ M D DERMATOLOGY P C
Dermatology
6770 DIXIE HWY, SUITE 304
CLARKSTON, MI 48346
Oakland County (248) 625-1123
DR. KAY T. MILLER M.D.
Radiology (Radiation Oncology)
6770 DIXIE HWY, SUITE #106
CLARKSTON, MI 48346
Oakland County (248) 625-0300
MIRO-CLARKSTON
Radiology (Radiation Oncology)
6770 DIXIE HWY, SUITE 106
CLARKSTON, MI 48346
Oakland County (248) 625-0300
MRS. DEBORHA TYCOLIZ CAMPBELL PSY. S. LLP
Psychologist
6770 DIXIE HWY, SUITE 312
CLARKSTON, MI 48346
Oakland County (248) 922-2300
B. G. PATEL, M.D. PLC
Family Medicine
6770 DIXIE HWY, STE 303
CLARKSTON, MI 48346
Oakland County (248) 625-0030
PETER SHAMAN, M.D., PC
Obstetrics & Gynecology
6770 DIXIE HWY, STE 313
CLARKSTON, MI 48346
Oakland County (248) 625-8555

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 Bhupendranath Patel's NPI number?

The NPI number for Bhupendranath Patel is 1932143971. It was assigned to this individual provider in the NPPES registry on June 16, 2006.

Where is Bhupendranath Patel located?

Bhupendranath Patel practices at 6770 Dixie Hwy, Clarkston, MI 48346. The listed phone number is (248) 625-0030.

What is Bhupendranath Patel's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Bhupendranath Patel enrolled in Medicare?

Yes. Bhupendranath Patel is registered in the Medicare PECOS enrollment system.

What insurance does Bhupendranath Patel accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Bhupendranath 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.

When was this NPI record last updated?

The NPPES record for Bhupendranath Patel was last updated on December 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.