DEEP GAUTAM PATEL (PA-C, ATC/L) – Physician Assistant, NPI 1033603832
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,430 PHYSICIAN ASSISTANT in GA
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Provider Addresses for DEEP GAUTAM PATEL (PA-C, ATC/L)
5575 FORDS CROSSING CT NW
ACWORTH, GA 301014806
Phone:
Type: Mailing
11685, Alpharetta Highway, Roswell, Fulton County, Georgia, 30076, United States
ROSWELL, GA 300764913
Phone: (770) 619-3842
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $939.
Total Amount is formed as General ($939) + Research ($0) + Ownership ($0) = $939.
Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Bioventus LLC ($915).
Total Amount
$939
General + Research + Ownership
Payments
11
Total payment records
General Amount
$939
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bioventus LLC | $915 |
| Heron Therapeutics, Inc. | $24 |
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: 2018-11-07
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 |
|---|---|---|---|---|
| I20181107000228 | I | Physician Assistant | GA | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 215 | 163 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 102 | 102 | $0 |
| 73030 | X-ray of shoulder, minimum of 2 views | 83 | 52 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 83 | 44 | $0 |
| 73562 | X-ray of knee, 3 views | 66 | 61 | $0 |
Insurance plans in this area (ZIP 30101)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NJ | |
| Physician Assistant | GA | |
| Family Practice | GA | |
| Family Practice | GA | |
| Physician Assistant | GA | |
| - | GA | |
| Family Practice | GA | |
| Nurse Practitioner | GA | |
| Internal Medicine, Emergency Medicine | GA | |
| Physician Assistant | GA |
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