DR. PRASHANT V PATIL MD
NPI 1962612630
Hospitalist in Canton, GA

Active since May 23, 2007PECOS EnrolledAccepts Medicare Assignment
98.31/100
CMS Quality Rating
450 NORTHSIDE CHEROKEE BLVD, CANTON, GA 30115(770) 224-1000 Get Directions Write a Review

NPPES record last updated: October 1, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 15, 2019, Feb 16, 2016 (2 updates tracked since 2016).

About Dr. Prashant V Patil Md NPPES

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

DR. PRASHANT V PATIL MD (NPI 1962612630) is an individual hospitalist provider in Canton, Georgia, licensed in Georgia (69126) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Cherokee, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1962612630
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. PRASHANT V PATILCredential: MD
Location Address450 NORTHSIDE CHEROKEE BLVDCanton, GA 30115-8015
Mailing Address450 Northside Cherokee BlvdCanton, GA 30115-8015 · (707) 224-1000
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateMay 23, 2007
Last NPPES UpdateOctober 1, 20252 updates tracked since enumeration
NPPES CertifiedOctober 1, 2025
NPI 1962612630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Licenses Licensed in GA · 69126 Licensed in FL · ME106548
Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedFamily MedicineTaxonomy 207Q00000X · License L2663 (AL)
Also ListedInternal MedicineTaxonomy 207R00000X · License MT190229 (PA)
450 NORTHSIDE CHEROKEE BLVD, Canton, GA 30115

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. Prashant V Patil 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 ID7416071626
PECOS Enrollment IDI20130206000541
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 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
629 services260 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
95 services95 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
78 services75 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
40 services26 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
35 services35 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
26 services23 patients

Hospital Affiliations CMS Care Compare 2

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

Northside Hospital Cherokee

Acute Care Hospitals · Canton, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110008
Location450 Northside Cherokee BoulevardCanton, GA 30115 · Cherokee County
Emergency services Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30115 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

98.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.88
Improvement Activities40
Cost84.56

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers67 claims67 services$15.27 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers75 claims75 services$70.10 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.

Obstetrics & Gynecology
450 NORTHSIDE CHEROKEE BLVD
CANTON, GA 30115
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
450 NORTHSIDE CHEROKEE BLVD
CANTON, GA 30115
Pharmacist
450 NORTHSIDE CHEROKEE BLVD
CANTON, GA 30115
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
450 NORTHSIDE CHEROKEE BLVD
CANTON, GA 30115
Internal Medicine
450 NORTHSIDE CHEROKEE BLVD
CANTON, GA 30115
Pharmacist
450 NORTHSIDE CHEROKEE BLVD
CANTON, GA 30115
Internal Medicine
450 NORTHSIDE CHEROKEE BLVD
CANTON, GA 30115
Hospitalist
450 NORTHSIDE CHEROKEE BLVD
CANTON, GA 30115

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962612630, enumerated as an "individual" on May 23, 2007.

The provider is located at 450 NORTHSIDE CHEROKEE BLVD CANTON, GA 30115 and the phone number is (770) 224-1000.

Hospitalist with taxonomy code 208M00000X.

Prashant Patil is affiliated with: NORTHSIDE HOSPITAL CHEROKEE and NORTHSIDE HOSPITAL.