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DR. PRAGNA B PATEL MD
NPI 1952533622
Obstetrics & Gynecology in Dublin, OH

Active since August 14, 2009PECOS Enrolled
79.35/100
CMS Quality Rating
7950 DENNISON CT, DUBLIN, OH 43017(440) 339-9559 Get Directions Write a Review

NPPES record last updated: July 21, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 1, 2024, Dec 9, 2022, Nov 7, 2017 (3 updates tracked since 2017).

About Dr. Pragna B Patel Md NPPES

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

DR. PRAGNA B PATEL MD (NPI 1952533622) is an individual obstetrics & gynecology provider in Dublin, Ohio, licensed in Ohio (35093738) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952533622
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. PRAGNA B PATELCredential: MD
Location Address7950 DENNISON CTDublin, OH 43017-5248
Mailing Address7950 Dennison CtDublin, OH 43017-5248
Phone(440) 339-9559
Sole ProprietorNo
Enumeration DateAugust 14, 2009
Last NPPES UpdateJuly 21, 20253 updates tracked since enumeration
NPPES CertifiedJuly 21, 2025
✔ NPI 1952533622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in OH · 35093738
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.
7950 DENNISON CT, Dublin, OH 43017
Open in Google Maps ↗

Other Identifiers 1

Medicaid2987193OH

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Pragna B Patel Md 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Pragna Patel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ohiohealth Corporation
11 mi
Cardiovascular Disease
3705 OLENTANGY RIVER RD, SUITE 100
Columbus, OH 43214
  • Reassigned Medicare billing, Ohio enrollment
  • 3,314 clinicians in this Medicare group
NPI 1194979526 (614) 262-6772
Columbus Neighborhood Health Center Inc
15 mi
Federally Qualified Health Center (FQHC)
2300 W BROAD ST
Columbus, OH 43204
  • Reassigned Medicare billing, Ohio enrollment
  • 117 clinicians in this Medicare group
NPI 1497817142 (614) 645-2300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43017 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.

79.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.02
Promoting Interoperability100
Improvement Activities40
Cost57.85

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 Pragna Patel's NPI number?

The NPI number for Pragna Patel is 1952533622. It was assigned to this individual provider in the NPPES registry on August 14, 2009.

Where is Pragna Patel located?

Pragna Patel practices at 7950 Dennison Ct, Dublin, OH 43017. The listed phone number is (440) 339-9559.

What is Pragna Patel's specialty?

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

Is Pragna Patel enrolled in Medicare?

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

Which organizations bill Medicare for Pragna Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pragna Patel reassigns Medicare benefits to 2 organizations: Ohiohealth Corporation (Columbus, OH) and Columbus Neighborhood Health Center Inc (Columbus, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Pragna Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pragna Patel accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Antidote Health Plan of Ohio, Inc. and CareSource and 1 other insurer list Pragna 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 Pragna Patel was last updated on July 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.