DR. SANJEEVKUMAR ASHOK PATEL (M.D) – Pulmonary Disease Physician, NPI 1033422860
Pulmonary Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
348 PULMONARY DISEASE in WI
Provider Addresses for DR. SANJEEVKUMAR ASHOK PATEL (M.D)
200 Theda Clark Medical Plz Ste 480
Neenah, WI 549562790
Phone: (920) 729-0608
Type: Location
921 CARRIAGE CIRCLE LN
APT. A
KIRKWOOD, MO 631226485
Phone:
Type: Mailing
2500 E CAPITOL DR STE 1700
APPLETON, WI 549118735
Phone: (920) 734-4773
Type: Location
191 Memorial Dr Ste 300
Berlin, WI 549231241
Phone: (920) 361-2500
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 21 Open Payments records for all available years, with a total value of $4,890.
Total Amount is formed as General ($4,890) + Research ($0) + Ownership ($0) = $4,890.
Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($4,675).
Total Amount
$4,890
General + Research + Ownership
Payments
21
Total payment records
General Amount
$4,890
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $4,675 |
| SANOFI-AVENTIS U.S. LLC | $100 |
| Inogen, Inc. | $78 |
| AstraZeneca Pharmaceuticals LP | $21 |
| GlaxoSmithKline, LLC. | $15 |
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: 2016-07-12
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20160712001155 | I | Pulmonary Disease | WI | 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 | 239 | 222 | $0 |
| 94010 | Test to measure expiratory airflow and volume | 144 | 128 | $0 |
| 94060 | Test to measure expiratory airflow and volume changes before and after medication administration | 139 | 138 | $0 |
| 94726 | Test to determine lung volumes using sensors | 133 | 132 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 133 | 108 | $0 |
Insurance plans in this area (ZIP 54956)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PULMONARY DISEASE | MO | 94060 | Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration | 28 | 28 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine, Internal Medicine | WI | |
| Nurse Practitioner | WI | |
| Internal Medicine, Pulmonary Disease, Critical Care (Intensivists) | WI | |
| Pulmonary Disease, Critical Care (Intensivists) | WI | |
| Nurse Practitioner | IL | |
| Internal Medicine, Pulmonary Disease, Critical Care (Intensivists) | WI | |
| Nurse Practitioner | WI | |
| - | WI | |
| Sleep Medicine, Pulmonary Disease | WI | |
| - | WI |
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