Ushma Patel, MD
NPI 1043322175 · Physical Medicine & Rehabilitation Physician · Ashland, KY
Enrolled with Medicare as Practitioner - Physical Medicine and Rehabilitation · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ushma Patel, MD is a Physical Medicine & Rehabilitation Physician provider in Ashland, KY (NPI 1043322175).
Provider details
- NPI number
- 1043322175
- Entity type
- Individual
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 39645 (KY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
1,249 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 688 | $57 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 229 | $85 |
| Needle Measurement of Electrical Activity in Arm Or Leg Muscles, Complete Study95886 | 166 | $80 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 102 | $116 |
| Nerve Conduction, 7-8 Studies95910 | 64 | $148 |
Typical Medicare-allowed amounts for these services range $57–$148 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 25 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 1,918 | 202 |
| Gabapentin | 821 | 102 |
| Oxycodone Hcl/Acetaminophenbrand: Oxycodone-Acetaminophen | 739 | 76 |
| Pregabalin | 472 | 67 |
| Tramadol Hcl | 321 | 44 |
| Tizanidine Hcl | 291 | 64 |
| Duloxetine Hcl |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$556 across 59 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-08-31
- Last updated
- 2011-12-23
Frequently asked questions
- What is Ushma Patel's NPI number?
- Ushma Patel's National Provider Identifier (NPI) is 1043322175, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ushma Patel's specialty?
- Ushma Patel is listed in the NPPES registry with a primary specialty of Physical Medicine & Rehabilitation Physician (Allopathic & Osteopathic Physicians).
- Where is Ushma Patel located?
- Ushma Patel's practice location on file with NPPES is 617 23rd Street, Ashland, KY 41101-2845.
- What is Ushma Patel's phone number?
- The practice phone number listed in the NPPES registry for Ushma Patel is (606) 408-7246.
- Does Ushma Patel accept Medicare?
- Ushma Patel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ushma Patel's NPI active?
- Yes — Ushma Patel's NPI (1043322175) is active in the NPPES registry as of the last update on 2011-12-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.