PRAFUL B. PATEL (M.D.) – Pulmonary Disease Physician, NPI 1396760575
Pulmonary Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,173 PULMONARY DISEASE in FL
Provider Addresses for PRAFUL B. PATEL (M.D.)
4203 Belfort Rd Ste 345
Jacksonville, FL 322161469
Phone: (904) 450-6461
Fax: (904) 450-6469
Type: Location
4205 BELFORT RD STE 4015
JACKSONVILLE, FL 322163623
Phone: (904) 450-6063
Fax: (904) 450-6401
Type: Mailing
4203 BELFORT RD STE 345
JACKSONVILLE, FL 322161469
Phone: (904) 450-6461
Fax: (904) 450-6469
Type: Location
585 W COLLEGE AVE STE A
SANTA ROSA, CA 954015060
Phone: (707) 547-5450
Type: Location
1401, Centerville Road, Tallahassee, Leon County, Florida, 32308, United States
SUITE G02
TALLAHASSEE, FL 323084647
Phone: (850) 878-8714
Fax: (850) 878-2464
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 29 Open Payments records for all available years, with a total value of $1,012.
Total Amount is formed as General ($1,012) + Research ($0) + Ownership ($0) = $1,012.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($301).
Total Amount
$1,012
General + Research + Ownership
Payments
29
Total payment records
General Amount
$1,012
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-02-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230228000292 | I | Pulmonary Disease | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 94729 | Test to examine how well the lungs exchange gases | 347 | 347 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 328 | 295 | $0 |
| 94060 | Test to measure expiratory airflow and volume changes before and after medication administration | 291 | 291 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 287 | 252 | $0 |
| 94727 | Test to determine lung volumes using gas dilution or washout | 223 | 223 | $0 |
Insurance plans in this area (ZIP 32216)
Loading plans...
Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PULMONARY DISEASE | FL | 94060 | Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration | 38 | 38 |
| PULMONARY DISEASE | FL | 95811 | Sleep monitoring of patient (6 years or older) in sleep lab with continued pressured respiratory assistance by mask or breathing tube | 44 | 41 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CA | |
| - | CA | |
| - | CA | |
| - | WA | |
| - | ME | |
| - | CA | |
| - | CA | |
| - | CA | |
| - | CA | |
| - | CA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.