RAJESH J PATEL (M.D.) – Internal Medicine Physician, NPI 1013985936
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,962 INTERNAL MEDICINE in PA
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Provider Addresses for RAJESH J PATEL (M.D.)
116, Kerr Avenue, Jersey Shore, Lycoming County, Pennsylvania, 17740, United States
SUITE B
JERSEY SHORE, PA 177401720
Phone: (570) 398-1800
Fax: (570) 398-3320
Type: Mailing
1 OUTLET LN STE 380
LOCK HAVEN, PA 177457814
Phone: (570) 398-1800
Fax: (570) 398-3320
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 283 Open Payments records for all available years, with a total value of $37,220.
Total Amount is formed as General ($37,220) + Research ($0) + Ownership ($0) = $37,220.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Phathom Pharmaceuticals, Inc. ($15,524).
Total Amount
$37,220
General + Research + Ownership
Payments
283
Total payment records
General Amount
$37,220
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
| Company | Amount |
|---|---|
| Phathom Pharmaceuticals, Inc. | $15,524 |
| Lilly USA, LLC | $15,149 |
| Eli Lilly and Company | $3,080 |
| Novo Nordisk Inc | $619 |
| ABBVIE INC. | $470 |
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: 2010-02-25
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 |
|---|---|---|---|---|
| I20100225000424 | I | Internal Medicine | PA | 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 | 339 | 88 | $0 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 233 | 49 | $0 |
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 192 | 53 | $0 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 184 | 48 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 137 | 69 | $0 |
Insurance plans in this area (ZIP 17740)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O L O G Y | PA | |
| Family Practice | PA | |
| Emergency Medicine | PA | |
| Family Practice | PA | |
| Family Practice | PA | |
| Orthopedic Surgery | PA | |
| Physician Assistant | PA | |
| Internal Medicine | MA | |
| Physician Assistant | PA | |
| Orthopedic Surgery | PA |
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