DR. ARJUN PATEL MD
NPI 1942888243
Family Medicine in Watertown, WI

Active since March 30, 2021PECOS EnrolledAccepts Medicare Assignment
1507 DOCTORS CT, WATERTOWN, WI 53094(920) 261-4111 Get Directions Write a Review

NPPES record last updated: August 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 15, 2024, May 10, 2023, Mar 30, 2021 (3 updates tracked since 2021).

About Dr. Arjun Patel Md NPPES

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

DR. ARJUN PATEL MD (NPI 1942888243) is an individual family medicine provider in Watertown, Wisconsin, licensed in Wisconsin (77787-20) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, is affiliated with Watertown Memorial Hospital, and is a graduate of Medical College Of Wisconsin (2021).

NPPES Registry Identity

NPI1942888243
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ARJUN PATELCredential: MD
Location Address1507 DOCTORS CTWatertown, WI 53094-4101
Mailing Address1507 Doctors CtWatertown, WI 53094-4101 · (920) 261-4111
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 2021
Enumeration DateMarch 30, 2021
Last NPPES UpdateAugust 15, 20243 updates tracked since enumeration
NPPES CertifiedAugust 15, 2024
NPI 1942888243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WI · 77787-20
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.
1507 DOCTORS CT, Watertown, WI 53094

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

Dr. Arjun 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 ID1951772581
PECOS Enrollment IDI20240705002100
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 4

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.
73 services58 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.
36 services34 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
36 services30 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.
26 services26 patients

Hospital Affiliations CMS Care Compare 2

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

Watertown Memorial Hospital

Acute Care Hospitals · Watertown, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520116
Location125 Hospital DriveWatertown, WI 53098 · Dodge County
Emergency services Birthing friendly

Columbus Community Hospital

Critical Access Hospitals · Columbus, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521338
Location1515 Park AveColumbus, WI 53925 · Columbia County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53094 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Other Providers at the Same Location NPPES 8

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

Physician Assistant
1507 DOCTORS CT
WATERTOWN, WI 53094
Family Medicine
1507 DOCTORS CT
WATERTOWN, WI 53094
Family Medicine
1507 DOCTORS CT
WATERTOWN, WI 53094
Nurse Practitioner (Family)
1507 DOCTORS CT
WATERTOWN, WI 53094
Family Medicine
1507 DOCTORS CT
WATERTOWN, WI 53094
Family Medicine
1507 DOCTORS CT
WATERTOWN, WI 53094
Family Medicine
1507 DOCTORS CT
WATERTOWN, WI 53094
Nurse Practitioner (Family)
1507 DOCTORS CT
WATERTOWN, WI 53094

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 Arjun Patel's NPI number?

The NPI number for Arjun Patel is 1942888243. It was assigned to this individual provider in the NPPES registry on March 30, 2021.

Where is Arjun Patel located?

Arjun Patel practices at 1507 Doctors Ct, Watertown, WI 53094. The listed phone number is (920) 261-4111.

What is Arjun Patel's specialty?

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

Is Arjun Patel enrolled in Medicare?

Yes. Arjun 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 Arjun Patel accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Group Health Cooperative-SCW, MercyCare Health Plans and Network Health and 2 other insurers list Arjun 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 Arjun Patel affiliated with any hospitals?

According to CMS data, Arjun Patel is affiliated with Watertown Memorial Hospital and Columbus Community Hospital.

When was this NPI record last updated?

The NPPES record for Arjun Patel was last updated on August 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.