DR. JAY PATEL D.O.
NPI 1962841452
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery in Fall River, MA
About Dr. Jay Patel D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JAY PATEL D.O. (NPI 1962841452) is an individual adult reconstructive orthopaedic surgery provider in Fall River, Massachusetts, licensed in Massachusetts (1016407) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Saint Anne's Hospital, and maintains 6 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 6
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Jay Patel D.o. 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.
Medicare Billing Reassignments
2Medicare enrollment records show Jay Patel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fall River, MA 02721
- Reassigned Medicare billing, Massachusetts and Rhode Island enrollments
- 317 clinicians in this Medicare group
Stockbridge, GA 30281
- Reassigned Medicare billing, Georgia enrollment
- 19 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 10
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Saint Anne's Hospital
Acute Care Hospitals · Fall River, MASouthcoast Hospitals Group
Acute Care Hospitals · Fall River, MAMedicare 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.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FALL RIVER, MA 02721
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 Jay Patel's NPI number?
The NPI number for Jay Patel is 1962841452. It was assigned to this individual provider in the NPPES registry on June 18, 2013.
Where is Jay Patel located?
Jay Patel practices at 277 Pleasant St Bldg 1, Fall River, MA 02721. The listed phone number is (508) 676-3292.
What is Jay Patel's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.
Is Jay Patel enrolled in Medicare?
Yes. Jay 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.
Which organizations bill Medicare for Jay Patel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jay Patel reassigns Medicare benefits to 2 organizations: Prima Care, PC (Fall River, MA) and Atlanta Knee And Shoulder Clinic PC (Stockbridge, GA). 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 Jay Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jay Patel accept?
Health plans from Anthem Blue Cross and Blue Shield list Jay 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 Jay Patel affiliated with any hospitals?
According to CMS data, Jay Patel is affiliated with Saint Anne's Hospital and Southcoast Hospitals Group.
When was this NPI record last updated?
The NPPES record for Jay Patel was last updated on October 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Jay Patel, D.O. · NPI 1962841452
Adult Reconstructive Orthopaedic Surgery physician in Fall River, Massachusetts. Individual provider, active in the CMS NPPES registry since June 18, 2013.
## Identity
- **NPI:** 1962841452 (Entity type: Individual)
- **Enumerated:** June 18, 2013
- **Primary specialty:** Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery · taxonomy 207XS0114X
- **State license:** 1016407 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 277 PLEASANT ST BLDG 1, Fall River, MA 02721-3005
- **Phone:** (508) 676-3292
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Prima Care, PC (NPI 1265422596, Fall River, MA); Atlanta Knee And Shoulder Clinic PC (NPI 1538296678, Stockbridge, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Touro Un Col Of Osteopathic Medicine, Henderson, class of 2013
## Record status
- **NPPES last updated:** October 31, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1962841452) · Data from the CMS NPPES public registry.