PIKESHKUMAR J PATEL (MD) – Gastroenterology Physician, NPI 1730359605
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
829 GASTROENTEROLOGY in MA
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Provider Addresses for PIKESHKUMAR J PATEL (MD)
280, Chestnut Street, Metro Center, Springfield, Hampden County, Massachusetts, 01103, United States
2ND FLOOR
SPRINGFIELD, MA 011991001
Phone: (413) 794-5700
Type: Mailing
48, Sanderson Street, Greenfield, Franklin County, Massachusetts, 01301, United States
2ND FL
GREENFIELD, MA 013012778
Phone: (413) 773-2655
Fax: (413) 772-2629
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $239.
Total Amount is formed as General ($239) + Research ($0) + Ownership ($0) = $239.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: EMD Serono, Inc. ($138).
Total Amount
$239
General + Research + Ownership
Payments
5
Total payment records
General Amount
$239
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| EMD Serono, Inc. | $138 |
| Takeda Pharmaceuticals U.S.A., Inc. | $75 |
| Intercept Pharmaceuticals, Inc. | $27 |
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: 2024-04-10
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 |
|---|---|---|---|---|
| I20240410001565 | I | Gastroenterology | CT | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 172 | 138 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 133 | 132 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 113 | 112 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 75 | 74 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 67 | 62 | $0 |
Insurance plans in this area (ZIP 01199)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| Cardiovascular Disease (Cardiology) | CT | |
| - | CT | |
| Emergency Medicine | RI | |
| - | GA | |
| Physician Assistant | CT | |
| G A S T R O E N T E R O L O G Y | CT | |
| Cardiovascular Disease (Cardiology) | CT | |
| Physician Assistant | CT | |
| General Surgery, Surgical Oncology | CT |
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