Shawn Patel, DO
NPI 1073008025 · Family Medicine Physician · Mequon, WI
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shawn Patel, DO is a Family Medicine Physician provider in Mequon, WI (NPI 1073008025).
Provider details
- NPI number
- 1073008025
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 125.073287 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
8 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
585 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 Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 119 | $128 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 111 | $89 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 93 | $16 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 64 | $8 |
| Hemoglobin A1c Level83036 | 47 | $9 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent Visit |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 60 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 249 | 103 |
| Amlodipine Besylate | 119 | 49 |
| Levothyroxine Sodium | 113 | 45 |
| Losartan Potassium | 81 | 45 |
| Metformin Hcl | 79 | 41 |
| Rosuvastatin Calcium | 79 | 32 |
| Hydrochlorothiazide |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$43 across 2 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
Additional practice locations (1)
- 13900 Quality DrHuntley, IL 60142-8098Phone: (847) 961-7800
Registry dates
- Enumerated
- 2018-06-22
- Last updated
- 2024-08-08
- Certified
- 2024-08-08
Frequently asked questions
- What is Shawn Patel's NPI number?
- Shawn Patel's National Provider Identifier (NPI) is 1073008025, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shawn Patel's specialty?
- Shawn Patel is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Shawn Patel located?
- Shawn Patel's practice location on file with NPPES is 12203 Corporate Pkwy, Mequon, WI 53092-3388.
- What is Shawn Patel's phone number?
- The practice phone number listed in the NPPES registry for Shawn Patel is (262) 387-8200.
- Does Shawn Patel accept Medicare?
- Shawn Patel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shawn Patel's NPI active?
- Yes — Shawn Patel's NPI (1073008025) is active in the NPPES registry as of the last update on 2024-08-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.