DR. PRAGNESH A PATEL (M.D.) – Cardiovascular Disease Physician, NPI 1568529006
Cardiovascular Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
758 CARDIOVASCULAR DISEASE (CARDIOLOGY) in TN
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Provider Addresses for DR. PRAGNESH A PATEL (M.D.)
735, McFarland Street, Country Club Hills, Crockett Ridge, Morristown, Hamblen County, East Tennessee, Tennessee, 37814, United States
SUITE 2
MORRISTOWN, TN 37814
Phone: (423) 585-5567
Fax: (423) 586-6863
Type: Mailing
120 HOSPITAL DR STE 260
JEFFERSON CITY, TN 377605283
Phone: (319) 331-8323
Fax: (423) 839-2424
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 151 Open Payments records for all available years, with a total value of $3,462.
Total Amount is formed as General ($3,462) + Research ($0) + Ownership ($0) = $3,462.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($555).
Total Amount
$3,462
General + Research + Ownership
Payments
151
Total payment records
General Amount
$3,462
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novartis Pharmaceuticals Corporation | $555 |
| ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) | $430 |
| AngioDynamics, Inc. | $369 |
| Abbott Laboratories | $161 |
| Penumbra, Inc. | $160 |
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: 2010-02-17
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 |
|---|---|---|---|---|
| I20100217000377 | I | Cardiovascular Disease (Cardiology) | TN | 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 | 1,383 | 506 | $0 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 561 | 550 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 506 | 380 | $0 |
| J2785 | Injection, regadenoson, 0.1 mg | 404 | 101 | $0 |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 289 | 145 | $0 |
Insurance plans in this area (ZIP 37814)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | TN | 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 113 | 112 |
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | TN | 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 48 | 47 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TN | |
| - | TN |
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